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25.10.2019 | Original Article

Is there association between stress and periodontitis?

verfasst von: Julita Maria F. Coelho, Samilly S. Miranda, Simone S. da Cruz, Soraya C. Trindade, Johelle de S. Passos-Soares, Eneida de M. M. Cerqueira, Maria da Conceição N. Costa, Ana Claúdia M. G. Figueiredo, Alexandre Marcelo Hintz, Maurício L. Barreto, Gregory J. Seymour, Frank Scannapieco, Isaac Suzart Gomes-Filho

Erschienen in: Clinical Oral Investigations | Ausgabe 7/2020

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Abstract

Objective

This study estimated the association between stress and periodontitis.

Materials and methods

A cross-sectional study was conducted with a sample of 621 individuals. Information about individuals was obtained through a questionnaire. Stress was evaluated using the Perceived Stress Scale. The diagnosis of periodontitis was based on a complete periodontal examination including clinical attachment level, probing depth, and bleeding on probing. Prevalence ratios (PR), crude and adjusted, and their respective 95% confidence intervals (95%CI) were estimated by Poisson regression analysis.

Results

In the final sample, 48.47% (301) of the individuals were classified as having stress, of which, 23.92% (72) had the diagnosis of periodontitis. Association measurements between stress and probing depth ≥ 4 mm (PR_adjusted = 1.28, 95%CI [1.04 to 1.58]), stress and clinical attachment level ≥ 5 mm (PR_adjusted = 1.15, 95%CI [1.01 to 1.31]), and stress and periodontitis (PR_adjusted = 1.36, 95%CI [1.01 to 1.83]) showed that the frequency of these outcomes among those exposed to stress was 15–36% higher than those without the condition of stress, after adjustment for age, sex, schooling level, current smoking habit, pulmonary disease, and body mass index.

Conclusions

The findings showed positive association between exposure to stress and the presence of periodontitis, reaffirming the need to prevent and control stress.

Clinical relevance

Although there are limitations in this study, the results showed that an association exists between stress and periodontitis, signaling the necessity of a multidisciplinary attention when considering the psychological status in the management of oral and general health conditions of the individual.

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Titel: Is there association between stress and periodontitis?
verfasst von: Julita Maria F. Coelho
Samilly S. Miranda
Simone S. da Cruz
Soraya C. Trindade
Johelle de S. Passos-Soares
Eneida de M. M. Cerqueira
Maria da Conceição N. Costa
Ana Claúdia M. G. Figueiredo
Alexandre Marcelo Hintz
Maurício L. Barreto
Gregory J. Seymour
Frank Scannapieco
Isaac Suzart Gomes-Filho
Publikationsdatum: 25.10.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 7/2020
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-03083-9

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Is there association between stress and periodontitis?