Academic Stress on the Incidence of Recurrent Aphthous Stomatitis: A Cross Sectional Study

Abstract

Background: Oral and dental diseases experienced by Indonesians is recurrent apthous stomatitis with a national prevalence of 8.0%. Stress can afflict children, adolescents, adults and the elderly even in a school environment, so stress can happen to anyone, anywhere. People who experience stress result in decreased concentration ability, deteriorating health, depression and sleep disorders and even dental and oral health problems, one of which is recurrent aphthous stomatitis. Objective: To determine the relationship between academic stress and the incidence of recurrent aphthous stomatitis. Methodology: this type of analytic observational study with cross sectional design. The research was conducted on students of the Department of Dental Health, Jakarta Health Polytechnic I. Collecting data using an observation sheet for the incidence of recurrent aphthous stomatitis and a questionnaire to determine the level of academic stress. Data analysis using Chi-Square. Results: it was found that academic stress on the incidence of recurrent aphthous stomatitis showed the p-value was 0.047 (p <0.05). Conclusion: There is a significant relationship between academic stress and the incidence of recurrent aphthous stomatitis
 Keywords: Academic stress, recurrent aphthous stomatitis

Correlation Between Stress and Recurrent Aphthous Stomatitis in Bank BRI Tulungagung Employees: An Observational Analytic

“…This study is also consistent with the result of Tedi et al (2021) that 63.9% of stressed respondents also experience RAS. [2] The emergence of a stress-induced disease in an individual aligns with psychoneuroimmunology studies, which have been developed to investigate the effect on the immune system. Furthermore, the emergence of RAS in an individual experiencing stress may be due to stress stimuli that can affect the sympathetic nervous system in the brain and negatively impact the body's health, one of which manifests in the oral cavity.…”

“…[1] It is a multifactorial disease caused by various predispositions, such as psychological stress, hereditary factors, and hormonal balance. [2] Other predisposing factors that contribute to RAS are age, level of education, environment, and type of work. [3] The prevalence of RAS in Indonesia is 8.0% but varies from 5% to 66% in the world population with an average of 20%.…”

The Relationship Between Stress and Recurrent Aphthous Stomatitis Among Students of the Dentistry Faculty of Lambung Mangkurat University

“…The bodily response of glucocorticoids is that if a person experiences stress, his immune function will be suppressed, or his self-protection against microbes and tissue resistance will be hindered. As a result, he will be susceptible to infection (1,14).…”

“…The released CRH will stimulate the pituitary gland to release Adrenocorticotropic Hormone (ACTH). When released, ACTH stimulates the adrenal cortex to produce cortisol, which contains glucocorticoids (14). The bodily response of glucocorticoids is that if a person experiences stress, his immune function will be suppressed, or his self-protection against microbes and tissue resistance will be hindered.…”

Effectiveness of Low-Level Laser Therapy in Reducing Pain Score and Healing Time of Recurrent Aphthous Stomatitis: A Systematic Review and Meta-Analysis

“…This condition occur in 20% of global population ranging from 5% to 60% based on study and population. In Indonesia, national prevalence reported at 8% to 12% including 45.42% in South Kalimantan population, 48% among prisoners, and 68% in dental students [3][4][5]. The major symptom of RAS is pain that impair nutritional and water intake possibly leading to subsequent debilitating dehydration.…”