Abstract:
:Chronic stress is a relevant disease to periodontal practice, encompassing 25%-28% of the US population (American Psychological Association 2015). While it is well established that chronic psychologic stress can have significant deleterious systemic effects, only in recent decades have we begun to explore the biochemical, microbial, and physiologic impacts of chronic stress diseases on oral tissues. Currently, chronic stress is classified as a "risk indicator" for periodontal disease. However, as the evidence in this field matures with additional clinically controlled trials, more homogeneous data collection methods, and a better grasp of the biologic underpinnings of stress-mediated dysbiosis, emerging evidence suggests that chronic stress and related diseases (depression, anxiety) may be significant contributing factors in periodontal/peri-implant disease progression and inconsistent wound healing following periodontal-related therapeutics. Ideal solutions for these patients include classification of the disease process and de-escalation of chronic stress conditions through coping strategies. This paper also summarizes periodontal/implant-related therapeutic approaches to ensure predictable results for this specific patient subpopulation.
journal_name
Periodontol 2000journal_title
Periodontology 2000authors
Decker AM,Kapila YL,Wang HLdoi
10.1111/prd.12381keywords:
["interleukins","peri-implant diseases","peri-implantitis","periodontitis","psychologic stress","salivary cortisol","serum cortisol"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
94-106issue
1eissn
0906-6713issn
1600-0757journal_volume
87pub_type
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