1999
DOI: 10.1902/jop.1999.70.7.711
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Abstract: We find that psychosocial measures of stress associated with financial strain and distress manifest as depression, are significant risk indicators for more severe periodontal disease in adults in an age-adjusted model in which gender (male), smoking, diabetes mellitus, B. forsythus, and P. gingivalis are also significant risk indicators. Of considerable interest is the fact that adequate coping behaviors as evidenced by high levels of problem-based coping, may reduce the stress-associated risk. Further studies… Show more

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Cited by 373 publications
(449 citation statements)
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“…In contrast to the structures surrounding and supporting the teeth, in which stress is a contributing risk factor in the development of periodontitis [16][17], there is little information in the literature regarding the progression of periapical lesions associated with chronic stress.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast to the structures surrounding and supporting the teeth, in which stress is a contributing risk factor in the development of periodontitis [16][17], there is little information in the literature regarding the progression of periapical lesions associated with chronic stress.…”
Section: Discussionmentioning
confidence: 99%
“…However, a sound understanding of the psychosocial pathways of behavior strongly linked to periodontal disease, and how psychological factors affect the response of periodontal tissues to pathogens, is essential for diagnosis and improving the effectiveness of interventions (52). Various studies have provided evidence of an association between depression and periodontal health (53)(54)(55)(56)(57)(58). It has also been shown that clinical depression may also have a negative Table 3 Bivariate association between periodontal evaluation and study variables Table 4 Multiple liniar regression analyses between study variables effect on periodontal treatment outcome (59).…”
Section: Discussionmentioning
confidence: 99%
“…The behavioral mechanism of stress could also have an indirect effect on periodontal health through the life style changes such as smoking and drinking, an unhealthy diet and neglect of oral hygiene, leading to decreased host response and an increased risk for severe periodontal disease [12,13]. Various clinical observations and epidemiological studies indicate that there is a relationship between experiences of negative life events and the development and progression of periodontal disease [14,15].…”
Section: Introductionmentioning
confidence: 99%
“…Various clinical observations and epidemiological studies indicate that there is a relationship between experiences of negative life events and the development and progression of periodontal disease [14,15]. Studies have shown that the effects of adverse life circumstances such as financial strain [13], domestic and health problems, spousal bereavement and academic stress [16] might contribute to the diminution of general health, facilitating bacterial invasion resulting from poor oral hygiene and periodontal destruction.…”
Section: Introductionmentioning
confidence: 99%
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