Palle Ajay Reddy, Tripathi Rinky, Punj Anahita, Vasudevan Sanjay, Abhinav Atchuta, Bommala Manisha
Periodontology, Army College of Dental Sciences, Secunderabad, IND.
Cureus. 2024 Jun 14;16(6):e62411. doi: 10.7759/cureus.62411. eCollection 2024 Jun.
Oral illnesses are multifactorial and also behavior-related. Stress and habits influence periodontal disease. Based on this premise, assessing the influence of stress on military personnel and understanding its influence on oral and periodontal health becomes imperative.
The aim of this study was to evaluate the occupational stress and periodontal status among Indian army personnel.
A cross-sectional study was carried out among 1000 army personnel divided into four groups of 250 each. Group A had recruits, Group B had trainee officers, Group C personnel were serving in the army below the officer's rank and Group D had officers who were currently serving in the army. Oral Hygiene Index - Simplified (OHI-S), Gingival Bleeding Index (GBI), pocket depth, and clinical loss of attachment (CLOA) were assessed for periodontal status. Stress levels were evaluated using the Modified Occupational Stress Index Questionnaire. Analysis of variance (ANOVA) test was applied to compare OHI-S, GBI, presence of pocket depth, and occupational stress scores, while the Kruskal-Wallis test was used to compare the occupational stress index and CLOA among the study groups.
Significant differences were observed among the four groups in terms of OHI-S (p = 0.001), GBI (p = 0.001), CLOA (p = 0.001), occupational stress scores (p = 0.001), and occupational stress index (p = 0.001). Differences observed among the four groups regarding periodontal disease based on the presence of pockets were weakly significant (p = 0.05). On intergroup comparison, a significant association could not be established between the groups as the p-value was ≥ 0.05. However, a weak association could be established between Groups A and C with a p-value of 0.031. Participants with moderate to high occupational stress showed more risk of developing pockets and CLOAs as compared to those having low stress.
The study revealed that the majority of army personnel were suffering from gingival bleeding and periodontal diseases; however, the association between stress level and periodontal diseases in Indian army personnel was less and not significant.
口腔疾病是多因素的，也与行为有关。压力和习惯会影响牙周疾病。基于这一前提，评估压力对军事人员的影响并了解其对口腔和牙周健康的影响变得势在必行。
本研究的目的是评估印度军队人员的职业压力和牙周状况。
对1000名军队人员进行了横断面研究，分为四组，每组250人。A组为新兵，B组为见习军官，C组为军官级别以下的现役军人，D组为现役军官。评估口腔卫生指数简化版（OHI-S）、牙龈出血指数（GBI）、牙周袋深度和临床附着丧失（CLOA）以了解牙周状况。使用改良职业压力指数问卷评估压力水平。应用方差分析（ANOVA）测试比较OHI-S、GBI、牙周袋深度和职业压力得分，而Kruskal-Wallis测试用于比较研究组之间的职业压力指数和CLOA。
四组在OHI-S（p = 0.001）、GBI（p = 0.001）、CLOA（p = 0.001）、职业压力得分（p = 0.001）和职业压力指数（p = 0.001）方面存在显著差异。根据牙周袋的存在情况，四组之间在牙周疾病方面观察到的差异微弱显著（p = 0.05）。在组间比较中，由于p值≥0.05，无法在各组之间建立显著关联。然而，A组和C组之间可以建立微弱关联，p值为0.031。与低压力参与者相比，中度至高度职业压力的参与者出现牙周袋和CLOA的风险更高。
该研究表明，大多数军队人员患有牙龈出血和牙周疾病；然而，印度军队人员的压力水平与牙周疾病之间的关联较小且不显著。
