Fenol Angel, Jebi Susan, Krishnan Sajitha, Perayil Jayachandran, Vyloppillil Rajesh, Bhaskar Anuradha, Menon Sai Megha, Mohandas Ashitha
Department of Periodontics, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Department of Biochemistry, Amrita School of Medicine, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Dent Res J (Isfahan). 2017 Jul-Aug;14(4):288-292. doi: 10.4103/1735-3327.211625.
The aim of this cross-sectional study was to evaluate the association between stress, salivary cortisol, and periodontitis among the inmates of the central prison.
Seventy inmates were grouped depending on their pocket depth into Group A (pocket depth >4 mm and <6 mm), Group B (at least four sites with pocket depth ≥6 mm), and Group C (pocket depth ≤3 mm). The clinical parameters such as the oral hygiene index-simplified, gingival index, pocket depth, and the clinical attachment levels (CALs) were recorded. Stress was measured using the Depression, Anxiety, and Stress Scale along with prison time served. Saliva samples were collected, and cortisol levels were determined using electrochemiluminescence assay. Chi-square test was used for finding the association between the clinical parameters. The correlation between clinical parameters, stress, salivary cortisol levels, and time served was done using Pearson's rank correlation coefficient.
The CALs, the stress score and the salivary cortisol levels were significantly higher in Group B ( < 0.001). Pearson's correlation showed a positive correlation between stress, cortisol level, and pocket depth. A positive correlation which was statistically significant was obtained between salivary cortisol level and prison time served by the inmates.
Within the limits of this study, it can be concluded that there is a positive relation between stress and periodontal disease. The study suggests that salivary cortisol level can be used as a marker to assess stress.
本横断面研究的目的是评估中央监狱囚犯的压力、唾液皮质醇与牙周炎之间的关联。
70名囚犯根据牙周袋深度分为A组（牙周袋深度>4mm且<6mm）、B组（至少四个位点牙周袋深度≥6mm）和C组（牙周袋深度≤3mm）。记录简化口腔卫生指数、牙龈指数、牙周袋深度和临床附着水平（CALs）等临床参数。使用抑郁、焦虑和压力量表以及服刑时间来测量压力。收集唾液样本，并使用电化学发光法测定皮质醇水平。采用卡方检验来寻找临床参数之间的关联。使用Pearson等级相关系数对临床参数、压力、唾液皮质醇水平和服刑时间之间的相关性进行分析。
B组的CALs、压力评分和唾液皮质醇水平显著更高（<0.001）。Pearson相关性分析显示压力、皮质醇水平与牙周袋深度之间呈正相关。囚犯的唾液皮质醇水平与服刑时间之间存在统计学上显著的正相关。
在本研究的范围内，可以得出压力与牙周疾病之间存在正相关的结论。该研究表明唾液皮质醇水平可作为评估压力的标志物。
