RESUMEN

OBJECTIVE: This case-control study investigated the association between life events, anxiety, and depression with periodontitis. METHODOLOGY: The study counted with 165 individuals, both sexes, 35-60 years of age. Case group included 96 individuals suffering from periodontal disease; and in control group 69 subjects with no history of periodontitis. Clinical examinations were performed by a single examiner. Psychological assessment included four inventories: Life Events Scale, Beck Anxiety Inventory, State-Trait Anxiety Inventory and Beck Depression Inventory. Bivariate and multivariate logistic regression analyses were performed to compare cases and controls. RESULTS: Mean probing depth and clinical attachment level were 3.44+/-0.80 and 4.01+/-1.61 in the case group and 1.96+/-0.19 and 0.95+/-0.50 in the control group, respectively (p<0.05). Positive association of periodontitis with age (odds ratio (OR)=1.15 95% confidence interval (CI): 1.06-1.24), male gender (OR=2.71, CI: 1.13-6.49), smoking (OR=6.05, CI: 1.67-21.94) and educational level (OR=6.49, CI: 1.14-36.95) was confirmed. Bivariate analysis did not demonstrate significant mean differences in life events, anxiety symptoms, trait or state of anxiety, or depression symptoms between cases and controls. Multivariate logistic regression, controlling for confounding factors, demonstrated no significant association between psychosocial factors and periodontal disease. CONCLUSIONS: Within the limits of this study it is possible to conclude that there was no significant association between periodontitis and the psychosocial factors analysed.

Asunto(s)

Periodontitis/psicología , Adulto , Factores de Edad , Ansiedad/clasificación , Ansiedad/psicología , Estudios de Casos y Controles , Depresión/clasificación , Depresión/psicología , Escolaridad , Femenino , Humanos , Renta , Acontecimientos que Cambian la Vida , Masculino , Persona de Mediana Edad , Pérdida de la Inserción Periodontal/clasificación , Pérdida de la Inserción Periodontal/psicología , Índice Periodontal , Bolsa Periodontal/clasificación , Bolsa Periodontal/psicología , Periodontitis/clasificación , Factores Sexuales , Fumar , Cepillado Dental

RESUMEN

AIM: The aim of this study was to evaluate the influence of stress and anxiety on the response to non-surgical periodontal treatment (NPT) in patients with chronic periodontitis. METHOD: Sixty-six patients (mean age 46.1 +/- 8 years) were assigned to three groups: control group, probing pocket depth (PPD) or=4 and 6 mm, n=20. Stress, state anxiety (SA) and trait anxiety (TA) and plaque index (PI), gingival index, PPD and clinical attachment level (CAL) were recorded at baseline and 3 months after NPT. RESULTS: TA scores were different among groups at baseline and after NPT. TA was related to periodontitis at baseline and after NPT. PI was associated with the SA at baseline. The reduction of frequency of CAL >6 mm was correlated with TA after adjusting for confounders. Stressed subjects did not show reduction of frequency of PPD >6 mm (T1), CAL 4-6 mm and CAL >6 mm (T2). CONCLUSIONS: The data suggest an influence of trait of anxiety and stress on the response to NPT.

Asunto(s)

Ansiedad/complicaciones , Periodontitis/terapia , Estrés Fisiológico/complicaciones , Ansiedad/diagnóstico , Enfermedad Crónica , Métodos Epidemiológicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pérdida de la Inserción Periodontal/psicología , Pérdida de la Inserción Periodontal/terapia , Bolsa Periodontal/psicología , Bolsa Periodontal/terapia , Periodontitis/psicología , Estrés Fisiológico/diagnóstico , Resultado del Tratamiento