Department of Stomatology of Periodontology, Mackay Memorial Hospital, New Taipei City, Taiwan.
Department of Medicine, Hualien Armed Forces General Hospital, No. 163, Jiali Rd., Xincheng Township, Hualien, 97144, Taiwan.
Sci Rep. 2022 Nov 9;12(1):19139. doi: 10.1038/s41598-022-23958-4.
The associations of mental stress with decayed teeth in children and periodontitis in old-aged adults have been described. However, the associations for young adults were not clear. This study aimed to examine the associations of decayed teeth and localized periodontitis with mental stress in young adults. This study included 334 military recruiters, aged 19-45 years in Taiwan. Mental stress was assessed by the brief symptom rating scale-5 (BSRS-5), including five domains: anxiety, depression, hostility, interpersonal sensitivity and insomnia (maximum score of 20). Those with symptomatic mental stress were defined as having BSRS-5 > 5 (n = 34). Multiple linear and logistic regression models were used to determine the associations of decayed tooth numbers and periodontitis with BSRS-5, with adjustments for age, sex, education level, physical activity, body weight category and smoking status. The BSRS-5 was positively correlated with decayed tooth numbers [β: 0.26 (95% confidence interval: 0.01-0.52)]. Those who had more than two decayed teeth [odds ratio: 3.59 (1.52-8.46)] had a higher risk of symptomatic mental stress. In contrast, the correlation between BSRS-5 and localized severer periodontitis was null. Our study recommended that decayed teeth instead of localized periodontitis, was a risk factor for mental stress in young adults.
精神压力与儿童龋齿和老年人牙周炎的关系已有描述。然而，年轻人之间的关系尚不清楚。本研究旨在探讨年轻人的龋齿和局限性牙周炎与精神压力之间的关系。本研究纳入了 334 名年龄在 19-45 岁的台湾新兵。精神压力通过简明症状量表-5（BSRS-5）评估，包括五个领域：焦虑、抑郁、敌意、人际关系敏感和失眠（最高 20 分）。BSRS-5＞5 的被定义为有症状的精神压力（n=34）。多线性和逻辑回归模型用于确定龋齿数量和牙周炎与 BSRS-5 的关系，调整了年龄、性别、教育水平、体力活动、体重类别和吸烟状况。BSRS-5 与龋齿数量呈正相关[β：0.26（95%置信区间：0.01-0.52）]。有两颗以上龋齿的人[比值比：3.59（1.52-8.46）]患有症状性精神压力的风险更高。相比之下，BSRS-5 与局限性严重牙周炎之间的相关性为零。我们的研究表明，龋齿而非局限性牙周炎，是年轻人精神压力的一个危险因素。
