Is There Any Association Between Chronic Periodontitis and Anxiety in Adults? A Systematic Review

Aragão, Walessa Alana Bragança; Souza-Monteiro, Deiweson; Frazão, Déborah Ribeiro; Né, Yago Gecy de Sousa; Ferreira, Railson de Oliveira; Rivera, Luis Felipe Sarmiento; Saito, Motoi; Rösing, Cassiano Kuchenbecker; Fagundes, Nathália Carolina Fernandes; Maia, Lucianne Cople; Lima, Rafael Rodrigues

doi:10.3389/fpsyt.2021.710606

Cited by 8 publications

(3 citation statements)

References 79 publications

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“…This study found that depression and anxiety were strongly associated with OHRQoL. Depressed and anxious MEFCs were less likely to report good oral health, which is consistent with previous studies [61][62][63]. In addition, previous studies have shown a positive correlation between stress and poor oral health [40,64].…”

Section: Association Between Depression Anxiety Stress and Ohrqolsupporting

confidence: 91%

Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China

Kong

2022

IJERPH

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This study explored the relationship between depression, anxiety, stress, morbidity, and oral health-related quality of life (OHRQoL) in the migrant elderly following children (MEFC) in Weifang, China. A total of 613 MEFC were selected using multistage cluster random sampling. The GOHAI scale was used to evaluate oral health-related quality of life. The DASS-21 scale was used to assess levels of depression, anxiety, and stress. Univariate analysis and binary logistic regression were used to analyze the correlation between these indicators and oral health-related quality of life, of which 43.9% were classified as having poor oral health. Logistic regression analysis showed that the MEFC who were of older age (OR = 0.965, p = 0.039), with hypertension (OR = 0.567, p = 0.004), with gastroenteropathy (OR = 0.263, p = 0.007), had received an outpatient service in the past year (OR = 0.669, p = 0.048), were depressed (OR = 0.338, p = 0.012), and anxious (OR = 0.414, p = 0.026) were less likely to report good oral health status. On the other hand, the MEFC with a high school education or above (OR = 1.872, p = 0.020) were more likely to report good oral health than those with primary school education and below. In conclusion, with regard to depression, anxiety, and stress: the results indicated that the fewer morbidities, the lower the level of depression and anxiety and the better the OHRQoL of MEFC. Targeted measures for government, communities, and family members were given to improve the OHRQoL of MEFC.

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Section: Association Between Depression Anxiety Stress and Ohrqolsupporting

confidence: 91%

Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China

Kong

2022

IJERPH

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“…Increasing evidence from epidemiological investigations revealed a concomitance of periodontitis and psychiatric disorders 6 20. Numerous controversies surrounded the relationship between periodontitis and the two most prevalent mental disorders, including AD21 22 and MDD 23 24. A recent meta-analysis encompassing 12 cross-sectional studies found a significant association between periodontitis and anxiety 6.…”

Section: Discussionmentioning

confidence: 99%

Genetically predicted causal associations between periodontitis and psychiatric disorders

Tong,

Lyu,

Huang

et al. 2023

BMJ Ment Health

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BackgroundPsychiatric disorders have serious harm to individuals’ lives with high disease burden. Observational studies reported inconsistent associations between periodontitis and some psychiatric disorders, and the causal correlations between them remain unknown.ObjectiveThis study aims to explore the causal associations between periodontitis and psychiatric disorders.MethodsA series of two-sample Mendelian randomisation (MR) analyses were employed using genome-wide association study summary statistics for periodontitis in adults from Gene-Lifestyle Interactions in Dental Endpoints Consortium and 10 psychiatric disorders from Psychiatric Genomics Consortium. Causal effects were primarily estimated using the inverse-variance weighted (IVW) method. Various sensitivity analyses were also conducted to assess the robustness of our results.FindingsThe MR analysis suggested that genetically determined periodontitis was not causally associated with 10 psychiatric disorders (IVW, all p>0.089). Furthermore, the reverse MR analysis revealed that 10 psychiatric disorders had no causal effect on periodontitis (IVW, all p>0.068). We discovered that all the results were consistent in the four MR analytical methods, including the IVW, MR-Egger, weighted median and weighted mode. Besides, we did not identify any heterogeneity or horizontal pleiotropy in the sensitivity analysis.ConclusionsThese results do not support bidirectional causal associations between genetically predicted periodontitis and 10 common psychiatric disorders. Potential confounders might contribute to the previously observed associations.Clinical implicationsOur findings might alleviate the concerns of patients with periodontitis or psychiatric disorders. However, further research was warranted to delve into the intricate relationship between dental health and mental illnesses.

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“…It represents the interface of a systemic proinflammatory state, against the development of a pathogenic microbial biofilm on the gingival margin, intertwining it with metabolic and cardiovascular diseases [ 4 , 5 ]. Risk factors such as genetic predisposition [ 6 ], nutritional factors [ 7 ], smoking [ 8 ], suboptimal controlled metabolic diseases (diabetes and obesity) [ 9 , 10 ], poor oral hygiene [ 11 ] and certain psychosocial variables [ 1 , 12 ] are closely associated with the occurrence of periodontal disease, some of which are subject to modification.…”

Section: Introductionmentioning

confidence: 99%

Food preferences and periodontal status of adults assisted by a public health care system

Canaan,

Costa

et al. 2023

PLoS ONE

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This study aimed to investigate the relationship between food choices and periodontal health status (PHS) in adults who receive care through a public health system. We evaluated food preferences and periodontal status in a sample of 442 individuals with at least eight natural teeth. We employed the Food Frequency Questionnaire (FFQ) to assess food choices and the Periodontal Screening and Recording (PSR) instrument to evaluate periodontal health status during clinical appointments. Fisher’s discriminant analysis was used to differentiate the participants according to PHS severity within three age-ranges (18–39; 40–59 and > 60 years-old). The results showed that the prevalence of overweight/obesity was high in all age groups (above 65%), and BMI increased with age, accompanied by an increase in the prevalence of chronic diseases. A lower preference for natural foods and a higher intake of processed and ultra-processed foods, along with a high waist circumference and diabetes, were associated with a poorer periodontal health status. In the 18–39 age group, a lower waist circumference was associated with healthier periodontal status. In the 40–59 age group, a worse periodontal status resulted from a higher frequency of diabetes, lower intake of green leafy vegetables, olive oil, and fruit, and higher intake of industrialized juice. Conversely, a healthier periodontal status was associated with a lower frequency of diabetes and higher intake of fruit and vegetables. In the > 60age group, the worst periodontal status was associated with male sex. Overall, the study highlights the possible beneficial role of a healthy diet in maintaining periodontal health, particularly for those who receive care through a public health system.

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Is There Any Association Between Chronic Periodontitis and Anxiety in Adults? A Systematic Review

Cited by 8 publications

References 79 publications

Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China

Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China

Genetically predicted causal associations between periodontitis and psychiatric disorders

Food preferences and periodontal status of adults assisted by a public health care system

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