Oral mucosal diseases in anxiety and depression patients: Hospital based observational study from south India

Abstract

Objectives: The objective of this study was to evaluate the prevalence of different Oral Mucosal diseases in Anxiety and Depression patients. Material and Methods: A hospital based observational Study was conducted in the department of Psychiatry and department of Oral Medicine and Radiology. Patients who were diagnosed with Anxiety or Depression by the psychiatrists using Hamilton Anxiety and Depression scale were subjected to complete oral examination to check for oral diseases like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS), and Burning Mouth Syndrome (BMS). Equal number of control group subjects were also included. Results: In this study statistically significant increase in the oral diseases in patients with anxiety and depression than the control group was recorded. Oral diseases were significantly higher in anxiety patients (20.86%) than in depression (9.04%) and control group patients (5.17%). In anxiety patients, the prevalence of RAS was 12%, OLP was 5.7%, and BMS was 2.87%. In depression patients, the prevalence of RAS was 4.02%, OLP was 2.01% and BMS was 3.01%. In control group the prevalence was 2.2%, 1.33% and 1.62% in RAS, OLP and BMS respectively. RAS and OLP were significantly higher in the younger age group (18-49) and BMS was seen between the age group of 50-77 years in both study and control groups. Conclusions: The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, particularly conditions like OLP, RAS and BMS. Thus psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases. Hence psychological management should be taken into consideration when treating patients with these oral diseases. Key words:Lichen planus, anxiety, depression, burning mouth syndrome, recurrent aphthous stomatitis.

Psychological disorders and quality of life in oral lichen planus patients and a control group

“…Wilson's original description of LP already included the presence of hysteria, anxiety and depression as aetiological factors. Since then, many authors have demonstrated the importance of these psychological factors in the onset and development of the disease (Adamo et al, 2015;Alves et al, 2015;Čanković et al, 2015;Kalkur, Sattur, & Guttal, 2015;Sandhu et al, 2014;Suresh et al, 2015;Valter et al, 2013). Our results are similar to previous ones, considering that the HADS test showed higher levels of anxiety and depression among the OLP group patients than among the members of the control group.…”

Microcirculation disorders of the oral cavity in patients with primary Raynaud’s Phenomenon

“…Patients enrolled in the present study were admitted for the first time to the microvascular disorder clinic at an angiology center, presenting with symptoms of PRP as defined by the LeRoy and Medsger criteria. 1 A total of 61 patients met the study criteria: 42 women and 19 men at a median age of 24 years (interquartile range [IQR,[20][21][22][23][24][25][26][27], and capillary flow was measured using LDF on the oral mucosa, teeth, and lower lip vermilion (TABLE 1). 1,17 At the same time, the temperature of the oral mucosa was measured.…”

Relationship between Anxiety and Burning Mouth Syndrome of Psychiatric Outpatients

“…The result of Suresh et al study showed patients with severe anxiety who experienced BMS was 75%, moderate anxiety was 25%, and no patient with mild anxiety [5]. Anxiety can cause changes in the oral cavity [6]. Increased levels of anxiety can worsen body condition including oral cavity [2].…”

“…Anxiety can cause pathological changes in the body including the oral cavity [5].Oral lichen planus (OLP), recurrent aphthous stomatitis (RAS), and burning mouth syndrome (BMS) can be affected by anxiety [5,6].…”