Coping With Stress: Its Influence on Periodontal Therapy

Wimmer, Gernot; Köhldorfer, Gabriele; Mischak, Irene; Lorenzoni, Martin; Kallus, K. Wolfgang

doi:10.1902/jop.2005.76.1.90

Cited by 39 publications

(37 citation statements)

References 25 publications

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“…High levels of anxiety, stress, and depression affect patients' pain perception, their use of pain medication, and wound healing 8‐37 . The connection between the body and mind is a topic of much controversy.…”

Section: Discussionmentioning

confidence: 99%

“…According to a study by Rozlog et al, 22 patients experiencing stress were slower in their recovery from periodontal surgery compared to patients not experiencing stress. In addition, healing following periodontal surgery was impacted negatively by patients' inability to use effective coping mechanisms 23 . In 2004, Takada et al 24 showed that increased stress modulated the progression of periodontal inflammation.…”

Section: The Role Of Stress In Dentistrymentioning

confidence: 99%

See 1 more Smart Citation

Anxiety, Stress, Depression, and Patients' Responses to Periodontal Treatment: Periodontists' Knowledge and Professional Behavior

Kloostra

Eber

Inglehart

2007

Journal of Periodontology

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The respondents were significantly less knowledgeable about the impact of depression on patients' responses to periodontal treatment than about the effect of anxiety and stress. Given the evidence concerning the relationships among depression, pain, pain medication use, and wound healing, it is important to educate periodontists about the role of anxiety and stress and the significance of depression on their patients' responses to periodontal therapy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: The Role Of Stress In Dentistrymentioning

confidence: 99%

Anxiety, Stress, Depression, and Patients' Responses to Periodontal Treatment: Periodontists' Knowledge and Professional Behavior

Kloostra

Eber

Inglehart

2007

Journal of Periodontology

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show abstract

“…It was found that supportive periodontal care was more effective in patients with aggressive periodontitis harboring less stress . A study to explain the influence of coping with stress on periodontal therapy concluded that patients with maladaptative coping strategies have more advanced disease and poor response to a nonsurgical periodontal treatment . A study was conducted to show the influence of emotional intelligence (a measure of the coping mechanisms) on the initial responses to periodontal treatment in patients with chronic periodontitis.…”

Section: Effect Of Stress On Wound Healingmentioning

confidence: 99%

Unveiling the role of stress in periodontal etiopathogenesis: an evidence‐based review

Chandran

Ambili

Nisha

et al. 2012

J of Invest & Clin Dent

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Periodontal disease is a multifactorial disease affecting the supporting tissues of the teeth, resulting in progressive attachment loss and bone loss. Periodontal disease is influenced by various systemic, environmental, and psychologic factors that have the potential to alter periodontal tissues and host immune response, resulting in more severe periodontal destruction. Several studies have documented the relationship between psychosocial stress and chronic forms of periodontal disease. Stress impairs periodontal health through changes in behavior and complex interactions among the nervous, endocrine, and immune systems. The influence of stress on periodontal disease is affected by the emotional coping skills of the individual. Psychologic stress and depression may also influence the outcome of periodontal therapy. Stressful life events and coping skills are factors to consider in the risk of periodontal disease destruction and the potential for successful periodontal therapy. Therefore psychosocial stress is considered as an important risk factor for periodontal disease, and emotional stress in periodontitis patients should be diagnosed and treatment should be administered for the proper management and successful outcome of periodontal disease.

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“…Patients with maladaptive coping strategies have more advanced disease and poor response to non-surgical treatment,[35] whereas positive correlation was observed in reduction of dental plaque and gingival bleeding in patients having an active coping. [36] Furthermore, the cellular immune response plays a vital role in wound healing.…”

Section: Stress and Periodontal Diseasementioning

confidence: 99%

Stress and periodontal disease: The link and logic!!

Goyal¹,

Gupta²,

Thomas

et al. 2013

Ind Psychiatry J

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Stress is an equated response to constant adverse stimuli. At one point or another everybody suffers from stress. Stress is compatible with good health, being necessary to cope with the challenges of everyday life. Problems start when the stress response is inappropriate to the intensity of the challenge. Psychological stress can down regulate the cellular immune response. Communication between the central nervous system and the immune system occurs via a complex network of bidirectional signals linking the nervous, endocrine, and immune systems. Stress disrupts the homeostasis of this network, which in turn, alters immune function. Direct association between periodontal disease and stress remains to be proven, which is partly due to lack of an adequate animal models and difficulty to quantifying the amount and duration of stress and also there are many factors influencing the incidence and severity of periodontal disease. Nevertheless, more recent studies indicate that psychosocial stress represents a risk indicator for periodontal disease and should be addressed before and during treatment. This paper discusses how stress may modulate host response to bacteria and influence the course and progression of periodontal disease.

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Coping With Stress: Its Influence on Periodontal Therapy

Cited by 39 publications

References 25 publications

Anxiety, Stress, Depression, and Patients' Responses to Periodontal Treatment: Periodontists' Knowledge and Professional Behavior

Anxiety, Stress, Depression, and Patients' Responses to Periodontal Treatment: Periodontists' Knowledge and Professional Behavior

Unveiling the role of stress in periodontal etiopathogenesis: an evidence‐based review

Stress and periodontal disease: The link and logic!!

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