Premium
The effects of stress on periodontal treatment: a longitudinal investigation using clinical and biological markers
Author(s) -
Bakri Issam,
Douglas Charles W. Ian,
Rawlinson Andrew
Publication year - 2013
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12142
Subject(s) - medicine , psychosocial , elastase , bleeding on probing , periodontal disease , gastroenterology , dentistry , biochemistry , chemistry , psychiatry , enzyme
Abstract Aim To investigate the effects of psychosocial stress on the outcome of non‐surgical periodontal treatment (NPT). Methods Patients were categorized as stressed or unstressed, and the degree of stress was measured. One deep bleeding and one deep non‐bleeding site ≥6 mm were selected in each patient for detailed investigation, and the clinical parameters were recorded before and at 6 months after NPT. Elastase and C‐terminal teleopeptide of type I collagen (ICTP) were measured in gingival crevicular fluid (GCF) samples at both intervals. Results The baseline, clinical parameters and biological markers were similar in both stressed and unstressed groups, other than for GCF elastase levels, which were significantly higher in the stressed group of patients ( p < 0.05). The effect of stress on the changes for clinical measurements and elastase levels in GCF was statistically significant for deep bleeding sites, with the response to treatment being poorer in the stressed group. The effects of smoking and the degree of stress were not statistically significant for any of the clinical or biological parameters ( p > 0.05). Conclusions Patients under psychosocial stress had a poorer outcome following NPT. The assessment of psychosocial stress may be valuable in the holistic management of periodontal disease.