How psychosomatic stress has an impact to our teeth and even to our whole periodontal system



Periodontal disease

Periodontal disease is a common chronic inflammatory disease characterized by destruction of the supporting structures of the teeth and includes gingivitis and periodontitis. On the other hand, diabetes is a metabolic syndrome whose commonness is growing rapidly. It is known to be accompanied by serious complications such as blindness, gangrene, nephropathy, healing disorders, cardiovascular disease, and even death.  Periodontal disease is the sixth most prevalent complication of diabetes, as the risk of periodontitis increases about three times in diabetic patients compared to non-diabetics.

Psychosomatic stress:

There are two concepts/hypothesis to explain the relationship between “Psyche” and “Soma”
Chronic diseases are the feedback of long-term interactions between a host and its environment and are multifactorial in nature. A number of mechanisms have been suggested, which could mediate the putative relationship between psychosocial conditions and inflammatory periodontal diseases.

Although interactions between stress-endocrine-periodontal are not yet well- understood, some hypotheses have been proposed. It has been doubted that periodontal status is connected to alterations in the concentration of adrenal corticoids and by altering the response of oral tissues to bacterial toxins and other hormones involved in the general adaptation syndrome

It is clear that good oral hygiene is partially dependent on the mental health status of the patient. It has been reported that psychological disturbances can cause patients to neglect oral hygiene and that the resultant accumulation of plaque is detrimental to the periodontal tissue. Academic stress was described as risk factors for gingival inflammation with enlarge crevicular interleukin-b levels and a diminution of quality of oral hygiene.

Role of stress in periodontal disease:

Stress influences the immune system and along with changes the behaviour, so it is very important to analyse if its influence is the same on the different forms of the periodontal disease. Stress decreases the saliva flow and increases the plaque formation. Studies have proven that the psychosocial factors are predisposing factors for the development of necrotic periodontitis.

 “How psychosomatic stress has an impact to our teeth and even to our whole periodontal system” is the workshop to be conducted by Dr. Dirk Schreckenbach of University of Saarland, Germany under the session ‘Diabetes and periodontal disease’ at the meeting 34th International Conference on Dental & Oral Health which is going to be held in Helsinki, Finland during October 21-22, 2019.

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