The Effects Of Emotional Stress On Periodontal Disease

Abstract

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Keywords

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Emosyonel Stresin Periodontal Hastalık Üzerine Etkileri

Abstract

Diş gelişimi, erken embriyonik dönemde Günümüzde periodontitisin multi-faktöriyel bir hastalık olduğu net bir şekilde bilinmektedir. Diş plak biofilmi birincil etiyolojik faktör olup spesifik periodontal patojenleri içerir. Ayrıca çeşitli sistemik hastalıklar, bazı genetik polimorfizmler, kişinin sosyo-ekonomik veya eğitim durumu, sigara içimi ve psikolojik stres gibi riskler ve yatkınlıklar periodontitis ile bağlantılı bulunmuştur. Kronik stresin; immün yanıt üzerinde yaygın olarak, olumsuz etki oluşturduğu konak ve parazitler arasında dengesizliğe yol açtığı, sonuç olarak periodontal yıkıma neden olduğu düşünülmektedir. Stres, nekrotizan periodontitis için ikincil bir etiyolojik faktör olarak gösterilmiştir. Bu derlemede emosyonel stresin değerlendirilmiştir. periodontal hastalık üzerine etkileri

Keywords

• Stres, risk determinantı, periodontal hastalık

References

1. Katılımcılar Klinik Parametreler Aurer A ve ark. (1999)
2. periodontitis)+ 20 kişi (kontrol) çalışmaya alınmıştır. Çalışmanın sonuçlarına göre agresif periodontitis oluşumunda stres önemli bir
3. indikatör olarak bulunmuştur. Çalışmanın sonuçlarına göre stres, B.
4. forsythus ve P. Gingivalis’in şiddetli periodontal
5. hastalıklar için risk indikatörleri olduğu bulunmuştur. florada ölçülmüştür. CD, Pİ, KAK, Gİ,
6. SSE, SUÖL, DSKE değerleri saptanmıştır. (2003) Sadece KAK, CD değerleri ile stres arasında
7. pozitif ilişki bulunmuştur. Çalışmanın sonuçlarına
8. göre Pİ, Gİ, IL- 6 ve kortizol seviyeleri ile stres arasında

9. pozitif bir ilişki bulunmuştur. alınmıştır. 9 ve kortizol seviyelerine bakılmıştır. Stres markırları (kromogranin A,
10. kortizol, α-amilaz, β-endorfin) ölçülmüş ve Pİ, Gİ, ağızda mevcut olan periodontal
11. hastalıklı dişlerin sayısı belirlenmiştir.
12. arasında pozitif ilişki bulunmuştur. Çalışmanın sonucuna göre Pİ ve
13. hiperkortizolemi seviyeleri
14. arasında pozitif bir ilişki bulunmuştur. kortizol seviyelerine göre
15. değerlendirilmiştir.
16. PI:plak indeksi, GI: gingival indeks, CD: cep derinliği, SK:
17. sondlamada kanama, KAK: klinik ataşman seviyesi, AKY: alveol
18. kemik yüksekliği, Ca: kalsiyum, P:fosfor, CRP: C-reaktif protein,
19. DOS: dişeti oluğu sıvısı, IL-6: interlökin-6, MMP-9: matriks
20. metalloproteinaz-9, SUÖL: sosyal uyumu ölçme listesi, SSE: stres
21. semptom envanteri, DSKE: durumluk-sürekli kaygı envanteri, C3:
22. kompleman faktör 3 KAYNAKLAR
23. Chrousos GP, Gold PW. The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA 1992; 267: 1244- 52.
24. Eriksen HR, Olff M, Murisona R, Ursina H. The time dimension in stress responses: relevance for survival and health. Psychiatry Res 1999; 85: 39- 50.
25. Kinane DF, Lappin DF. Clinical, pathological and immunological aspects of periodontal disease. Acta Odontol Scand. Review. 2001; 59(3): 154-60.
26. Karen F Novak ve M John Novak. Carranza’s clinical periodontology. 10 ed. Saunders Elsevier; 2006: 602-603
27. Player MS, Peterson LE. Anxiety disorders, hypertension, and cardiovascular risk: a review. Int J Psychiatry Med 2011; 41(4): 365-77. 6. Yang EV, Glaser R. Stress-induced
28. immunomodulation and the implications for health.
29. Int Immunopharmacol 2002; 2: 315–324.
30. Miller DB, O’Callaghan JP. Neuroendocrine aspects of the response to stres. Metabolism2002; 51: 5- 10.
31. Takada T, Yoshinari N, Sugiishi S, Kawase H, Yamane T, Noguchi T. Effect of restraint stres on the progression of experimental periodontitis in rats.J Periodontal2004; 75: 306-315.
32. Furukawa H, del Rey A, Monge-Arditi G, Besedovsky HO. Interleukin-1, but not stres, stimulates glucocorticoid output during early postnatal life in mice. Ann N Y Acad Sci1998; 840: 117-122.
33. Glaser R, Kiecolt-Glaser JK, Marucha PT, MacCallum RC, Laskowski BF, Malarkey WB. Stres- related changes in proinflammatory cytokine production in wounds. Arch Gen Psychiatry 1999; 56: 450-456.
34. Hubner G, Brauchle M, Smola H, Madlener M, Fassler R, Werner S. Differential regulation of pro- inflammatory cytokines during wound healing in normal and glucocorticoid-treated mice. Cytokine 1996; 8: 548-556.
35. Wikesjo UM, Nilveus RE, Selving KA. Significance of early healing events on periodontal repair: a review. J Periodontal 1992; 63: 158-165.
36. Ader RF, Cohen DLN. Psychoneuroimmunology. San Diego, CA: Academic Press, 2001.
37. Merchant AT, Pitiphat W, Ahmed B, Kawachi I, Joshipura K. A prospective study of social support, anger expression and risk of periodontitis in men. J Am Dent Assoc 2003; 134: 1591-1596.
38. Kirschbaum C, Hellhammer DH. Salivary cortisol in psychoneuroendocrine developments Psychoneuroendocrinology 1994; 19: 313-333.
39. Pruessner JC, Hellhammer DH, Kirschbaum C. Burnout, perceived stress, and cortisol responses to awakening. Psychosom Med 1999; 61: 197-204.
40. Rosania AE, Low KG, McCormick CM, Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol 2009; 80: 260-266.
41. Cury PR, Arau´jo VC, Canavez F, Furuse C, Arau´jo NS. Hydrocortisone affects the expression of matrix metalloproteinases (MMP-1, -2, -3, -7, and -11) and tissue inhibitor of matrix metalloproteinases (TIMP-1) in human gingival Şbroblasts. J Periodontol 2007; 78: 1309-1315.
42. Balwant Rai, Jasdeep Kaur, S. C. Anand, Reinhilde Jacops. Salivary stress markers, stress, and periodontitis: a pilot study. J Periodontol 2011; 82: 287-292.
43. Yanaihara N, Nishikawa Y, Hoshino M. Evaluation of region-speciŞc radioimmunoassays for rat and human chromogranin A: Measurement of immunoreactivity in plasma, urine and saliva. In: Kanno T, Nakazato Y, Kumakura K, eds. The Adrenal ChromafŞn Cell. Sapporo, Japan: Hokkaido University Press; 1998: 305-313.
44. Nakane H, Asami O, Yamada Y, Ohira H. Effect of negative air ions on computer operation, anxiety and salivary chromogranin A-like immunoreactivity. Int J Psychophysiol 2002; 46: 85-89.
45. Chatterton RT Jr., Vogelsong KM, Lu YC, Ellman AB, Hudgens GA. Salivary alpha-amylase as a measure of endogenous adrenergic activity. Clin Physiol 1996; 16: 433-448.
46. Abegg C, Croucher R, Marcenes WS, Sheiham A. How do routines of daily activities and flexibility of daily activities affect tooth-cleaning behavior? J Public Health Dent 2000; 60: 154-158.
47. Schleifer SJ, Keller SE, Bartlett JA, Eckholdt HM, Delaney BR. Immunity in young adults with major depressive disorder. Am J Psychiatry 1996; 153: 477-482.
48. Minneman MA, Cobb C, Soriano F, Burns S, Schuchman L. Relationships of personality traits and stress to gingival status or soft-tissue oral pathology: An exploratory study. J Public Health Dent 1995; 55: 22-27.
49. LeResche L, Dworkin SF. The role of stress in inflammatory disease, including periodontal disease: Review of concepts and current Şndings. J Periodontol 2000 2002; 30: 91-103.
50. Genco RJ, Ho AW, Grossi SG, Dunford RG, Tedesco LA. Relationship of stress, distress, and inadequate coping behaviors to periodontal disease. J Periodontol 1999; 70: 711-723.
51. Hilgert JB, Hugo FN, Bandeira DR, Bozzetti MC. Stress, cortisol and periodontitis in a population aged 50 years and over. J Dent Res 2005; 85: 324-328.
52. Deinzer R, Hilpert D, Bach K, Schawacht M, Herforth A. Effects of academic stress on oral hygiene – A potential link between stress and plaque-associated disease? J Clin Periodontol 2001; 28: 459-464.
53. Kurer JR, Watts TL, Weinman J, Gower DB. Psychological mood of regular dental attenders in relation to oral hygiene behavior and gingival health. J Clin Periodontol 1995; 22: 52-55.
54. Bauer ME, Vedhara K, Perks P, Wilcok GK, Lightman SL, Shanks N. Chronic stress in caregivers of dementia patients is associated with reduced lymphocyte sensitivity to glucocorticoids. J Neuroimmunol 2000; 103: 84-92.
55. Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG, Tedesco LA. Models to evaluate the role of stres in periodontal disease. Ann Periodontol 1998; 3: 288-302.
56. Breivik T, Thrane PS. Psychoneuroimmune interaction in periodontal disease. In: Ader R, Fetten Psychoneuroimmunology, vol 2. San Diego: Academic Press; 2001: 627-644. N, eds.
57. Eriksen HM, Dimitrov V. Ecology of oral health: A complexity perspective. Eur J Oral Sci 2003; 111: 285-290.
58. Genco R. Current view of risk factors for periodontal diseases. J Periodontol 1996; 67: 1041–1049.
59. Page RC, Beck JD. Risk assessment for periodontal diseases. Int Dent J 1997; 47: 61–67.
60. Page RC. The pathobiology of periodontal disease may affect systemic diseases: inversion of a Paradigm. Ann Periodontol 1997; 3: 108–120.
61. Elter JR, Beck JD, Slade GD, Offenbacher S. Etiologic attachment loss in older adults. J Clin Periodontol 1999; 26: 113–123. incident periodontal
62. Green LW, Tryon WM, Marks B, Juryn J. Periodontal disease as a function of life-events stress. J Human Stress 1986; 12: 32–36.
63. Cohen-Cole SA, Cogen RB, Stevens AW Jr. Psychiatric psychosocial and endocrine correlates of acute necrotizing ulcerative gingivitis. Psychiatr Med 1983; 1: 215–225.
64. Monteira da silva A, Newmann H, Oakley D. Psychosocial factors in inflammatory periodontal diseases. J Clin Periodontol 1995; 22: 516–526.
65. Biondi M. Effects of stress on immune functions: an overview. In: Ader R, Felten DL, Cohen N, eds. Psychoneuroimmunology, vol. 2. San Diego, Academic Press, 2001, 189–226.
66. Andersen BL, Kiecolt-Blaser JK, Glaser R. A behavioral model of cancer stress and disease course. Am Psychol 1994; 49: 3–12.
67. Ringsdorf WM, Cheraskin E. Emotional status and the periodontium. J Tenn State Dent Assoc 1969; 49: 5–18.
68. Loos BG, Hamming H, Van der velden U. Stress and periodontitis: a literature review. J parodontologie d’implantologie orale. 1998; 17: 205-219.
69. Somer E, Ben-Aryeh H, Laufer D. Salivary composition gender and psychosocial stress. Int J Psychosom 1993; 40: 17–21.
70. Deinzer R, Kottman W, Fo¨ster P, Herforth A, Stiller-Winkler R, Idel H. Effects of academic stress on oral hygiene – a potential link between stress and plaque associated disease? J Clin Periodontol 2001; 28: 459–464.
71. Axtellius B, Edwardsson S, Theodorsson E, Svensater G, Attstrom R. Presence of cortisol in gingivalcrevicular fluid. A pilot study. J Clin Periodontol 1998; 25: 929–932.
72. Johannsen A, Rylander G, Soder B, Asberg M. Dental plaque, gingival inflammation and elevated levels of interleukine-6 and cortisol in gingival crevicular fluid from women with stress-related depression and exhaustion. J Periodontol 2006; 77: 1403–1409.
73. Sateesh C P, Santhosh Kumar R, Pushpalatha G. Relationship stress and periodontal disease. J Dent Sci and Res 2010; 1:1: 54-61.
74. Pindborg JJ. Gingivitis in military personnel with special reference to ulceromembranous gingivitis. Odontol Tidskr 1951; 59: 407–493.
75. Giddon DB, Goldhaber P, Dunning JM. Prevalence of reported cases of acute necrotizing ulcerative gingivitis in a university population. J Periodontol 1963; 34: 66–70.
76. Giddon DB, Zackin SJ, Goldhaber P. Acute necrotising ulcerative gingivitis in college students. J Am Dent Assoc 1964; 68: 381–386.
77. Page RC, Altman LC, Ebersole JL et al. Rapidly progressive periodontitis. A distinct clinical condition. J Periodontol 1983; 54: 197–209.
78. Monteira da silva A, Oakley D, Newmann H, Nohl F, Lloyd H. Psychosocial factors and adult onset rapidly progressive periodontitis. J Clin Periodontol 1996; 23: 789–794.
79. Kamma JJ, Baehni PC. Five-year maintenance follow-up of early onset periodontitis patients. J Clin Periodontol 2003; 30: 562–572.
80. Linden G, Mullaly B, Freeman R. Stress and the progression of periodontal disease. J Clin Periodontol 1996; 23: 675–680.
81. Gamboa ABO, Hughes FJ, Marcenes W. The relationship between emotional intelligence and initial response to a standardized periodontal treatment: a pilot study. J Clin Periodontol 2005; 32: 702–707.
82. Ng SKS, Leung WK. A community study on the relationship between stress, coping, affective dispositions and periodontal attachment loss. Community Dent Oral Epidemiol 2006; 34: 252– 266.
83. Clarke, N. G. & Hirsch, R. S. Personal risk factors for generalized periodontitis. J Clin Periodontol 1995;22: 136-145.
84. Horning, G. M. & Cohen, M. E. Necrotizing ulcerative gingivitis, periodontitis, and stomatitis: Clinical staging and predisposing factors. J Periodontol 1995; 66: 990-998.
85. Vettore MV, Lea˜o AT, Monteiro Da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol 2003; 30: 394-402.
86. Marcenes WS, Sheiham A. The relationship between work stress and oral health status. Soc Sci Med 1992; 35: 1511-1520.
87. Green LW, Tryon WW, Marks B, Huryn J. Periodontal disease as a function of life events stress. J Human Stress 1986; 12: 32-36.
88. Irwin M, Patterson T, Smith TL, et al. Reduction of immune function in life stress and depression. Biol Psychiatry 1990; 27: 22-30.
89. Ishisaka A, Ansai T, Soh I, Inenaga K, Yoshida A, Shigeyama C. Associations of salivary levels of cortisol periodontitis in older japanese adults. J Periodontol 2007; 78: 1767-73. with
90. Whitney JD. Physiologic effects of tissue oxygenation on wound healing. Heart Lung 1989; 18: 466–474.
91. Wiebe DJ, McCallum DM. Health practices and hardiness as mediators in the stress-illness relationship. Health Psychol 1986; 5: 425–438.
92. Ebrecht M, Hextall J, Kirtley LG, Taylor A, Dyson M, Weinman J. Perceived stres and cortisol levels predict speed of wound healing in healthy male adults. Psychoneuroendocrinology 2004; 29: 798– 809.
93. Rose M, Sanford A, Thomas C, Opp MR. Factors altering the sleep of burned children. Sleep 2001; 24: 45–51.
94. Christensen NJ, Jensen EW. Sympathoadrenal activity and psychosocial stress. The significance of aging, long-term smoking, and stress models. Ann N Y Acad Sci 1995; 771: 640–647.
95. Surwit RS, van Tilburg MA, Zucker N, McCaskill CC, Parekh P, Feinglos MN, Edwards CL, Williams P, Lane JD. Stress management improves long-term glycemic control in type 2 diabetes. Diabetes Care 2002; 25: 30–34.
96. Negishi J, Kawanami M, Terada Y, Matsuhashi C, Ogami E, Iwasaka K, Hongo T. Effect of lifestyle on periodontal disease status in diabetic patients. J Int Acad Periodontol 2004; 6: 120–124.
97. Glaser R, Sheridan J, Malarkey WB, MacCallum RC, Kiecolt-Glaser JK. Chronic stress modulates the immune response to a pneumococcal pneumonia vaccine. Psychosom Med 2000; 62: 804–807.
98. Glaser R. Stress-associated immune dysregulation and its importance for human health: a personal history of psychoneuroimmunology. Brain Behav Immun 2005; 19: 3–11.
99. Glaser R, Kiecolt-Glaser JK. Stress-induced immune dysfunction: implications for health. Nat Rev Immunol 2005; 5: 243–251.
100. Marshall GD, Jr, Agarwal SK, Lloyd C, Cohen L, Henninger EM, Morris GJ. Cytokine dysregulation associated with exam stress in healthy medical students. Brain Behav Immun 1998; 12: 297–307.
101. Breivik T, Sluyter F, Hof M, Cools A. Differential susceptibility to periodontitis in genetically selected Wistar rat lines that differ in their behavioral and endocrinological response to stressors. Behav Genet 2000; 30: 123–130.
102. Seymour GJ, Gemmell E, Kjeldsen M, Yamazaki K, Nakajima T, Hara K. Cellular immunity and hypersensitivity as components of periodontal destruction. Oral Dis 1996; 2: 96–101.
103. Houri-Haddad Y, Itzchaki O, Ben-Nathan D, Shapira L. The effect of chronic emotional stress on Porphyromonas gingivalis in mice. J Periodontal Res 2003; 38: 204–209. immune response to 81. Aurer A, Aurer-Kozelj
104. J, Stavljenić-Rukavina M, Haban A, Kalenić
105. İnflammatory mediators in saliva of patients with
106. rapidly progressive periodontitis during war stres
107. induced incidence increase. Coll Antropol 1999; 23(1): 117-24. V.
108. Mannem S, Chava VK. The effect of stres on periodontitis: A clinicobiochemical study. J İndian Soc Periodontol 2012; 16(3): 365-9.