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分析老年患者慢性牙周炎与心理压力之间的关系:一项研究方案。

Analyzing the Relationship Between Chronic Periodontitis and Psychological Stress in Elderly Patients: A Study Protocol.

作者信息

Gurav Tikeshwari, Jaiswal Priyanka, Masurkar Deepika

机构信息

Department of Periodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 4;16(7):e63869. doi: 10.7759/cureus.63869. eCollection 2024 Jul.

DOI:10.7759/cureus.63869
PMID:39104997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11298277/
Abstract

BACKGROUND

Although stress is the body's physiological response to challenging life events, chronic exposure to a stressor may not cause stress. In such cases, stress negatively impacts some physiological functions, which can lead to psychosomatic diseases. According to research, inadequate coping mechanisms and long-term stress are factors that moderate the risk and progression of periodontitis. As a result, theories explaining how stress affects the periodontium have been put forth. The clinical examination comprised measurements of the probing pocket depth (PPD), clinical attachment level, number of teeth present, and plaque index. The current study uses a questionnaire to examine how psychosocial stress affects periodontium.

METHODS

A written consent form will be obtained after each patient has received an extensive description of the study's objectives. The instrument for diagnosis and natural illumination will be used during the patient's examination. PPD and clinical attachment loss will be compared with a questionnaire.

IMPLICATIONS

Patients who are under stress should receive additional periodontal care to prevent periodontal disease from emerging or, if the issue already exists, from progressing to a more critical stage.

CONCLUSION

Stress here deserves special attention because it is a natural part of people's life experiences with various intensities. Prejudice suggests that psychological stress and anxiety have a role in the advancement of periodontitis, which is consistent with the findings.

摘要

背景

尽管压力是身体对具有挑战性的生活事件的生理反应,但长期暴露于压力源可能不会引发压力。在这种情况下,压力会对一些生理功能产生负面影响,进而导致身心疾病。根据研究,应对机制不足和长期压力是影响牙周炎风险和进展的因素。因此,已经提出了解释压力如何影响牙周组织的理论。临床检查包括测量探诊深度(PPD)、临床附着水平、现存牙齿数量和菌斑指数。本研究使用问卷调查来探究心理社会压力如何影响牙周组织。

方法

在向每位患者详细描述研究目的后,将获取书面知情同意书。在患者检查期间将使用诊断仪器和自然光。将PPD和临床附着丧失情况与一份问卷进行比较。

启示

处于压力下的患者应接受额外的牙周护理,以防止牙周疾病的出现,或者如果问题已经存在,防止其发展到更严重的阶段。

结论

这里的压力值得特别关注,因为它是人们不同强度生活经历的自然组成部分。有偏见的观点认为心理压力和焦虑在牙周炎的进展中起作用,这与研究结果一致。

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本文引用的文献

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Psychological stress: neuroimmune roles in periodontal disease.心理压力:牙周病中的神经免疫作用。
Odontology. 2023 Jul;111(3):554-564. doi: 10.1007/s10266-022-00768-8. Epub 2022 Nov 28.
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Periodontal disease and emotional disorders: A meta-analysis.牙周病与情绪障碍:一项荟萃分析。
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Association between Psychological Stress and Periodontitis: A Systematic Review.心理压力与牙周炎之间的关联:一项系统综述
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The association between periodontal disease and adverse pregnancy outcomes in Northern Tanzania: a cross-sectional study.坦桑尼亚北部牙周病与不良妊娠结局之间的关联:一项横断面研究。
Afr Health Sci. 2018 Sep;18(3):601-611. doi: 10.4314/ahs.v18i3.18.
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Assessment of Psychopatologic Traits in a Group of Patients with Adult Chronic Periodontitis: Study on 108 Cases and Analysis of Compliance during and after Periodontal Treatment.一组成人慢性牙周炎患者心理病理特征评估:108例研究及牙周治疗期间和治疗后的依从性分析
Int J Med Sci. 2015 Oct 4;12(10):832-9. doi: 10.7150/ijms.12317. eCollection 2015.
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So depression is an inflammatory disease, but where does the inflammation come from?那么抑郁症就是一种炎症性疾病,但炎症从何而来呢?
BMC Med. 2013 Sep 12;11:200. doi: 10.1186/1741-7015-11-200.
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Periodontal disease and atherosclerotic vascular disease: does the evidence support an independent association?: a scientific statement from the American Heart Association.牙周病与动脉粥样硬化性血管病:证据支持两者存在独立相关性吗?:美国心脏协会的科学声明。
Circulation. 2012 May 22;125(20):2520-44. doi: 10.1161/CIR.0b013e31825719f3. Epub 2012 Apr 18.
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The association between depression and anxiety and use of oral health services and tooth loss.抑郁和焦虑与口腔健康服务的使用及牙齿缺失的关系。
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Estimation of relationship between psychosocial stress and periodontal status using serum cortisol level: a clinico-biochemical study.利用血清皮质醇水平评估心理社会压力与牙周状况之间的关系:一项临床生化研究。
Indian J Dent Res. 2011 Jan-Feb;22(1):6-9. doi: 10.4103/0970-9290.79966.
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