Abstract

Stress is an unavoidable consequence of life. It is described as adverse emotions or reactions to unpleasant experiences. Thus, stress can be viewed as a process with both psychological and physiological components. The possible mechanisms by which psychosocial factors act on periodontal tissues are oral hygiene negligence, changes in dietary intake, smoking, bruxism, gingival circulation, alteration in salivary component and flow, hormonal changes and lowered host resistance. During stress hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic nervous system interact and release glucocorticoid which has myriad of effects that disrupt homeostasis and lead to increased susceptibility to periodontal diseases. The dental practioner, thus, may always decide to refer patients to appropriate professional for assistance and counselling. Therefore, reducing stress and improving coping strategies may improve the periodontal prognosis and treatment outcomes. The aim of this review is to provide an insight into the relationship between psychological stress and periodontal diseases.

Highlights

  • The term stress, when used in layman terms, describes an adverse emotions or reactions to unpleasant experi-How to cite this paper: Bansal, J., Bansal, A., Shahi, M., Kedige, S. and Narula, R. (2014) Periodontal Emotional Stress Syndrome: Review of Basic Concepts, Mechanism and Management

  • In 1976, Seyle [2] was basically responsible for defining stress as the response state of an organism to physical and mental forces beyond the adaptive capacity that lead to diseases of adaptation and eventually to exhaustion and death

  • It may influence inflammatory processes leading to development of systemic or local diseases such as rheumatoid arthritis [14], diabetes [15], cardiovascular diseases [16] or periodontal diseases [17]

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Summary

Introduction

The term stress, when used in layman terms, describes an adverse emotions or reactions to unpleasant experi-How to cite this paper: Bansal, J., Bansal, A., Shahi, M., Kedige, S. and Narula, R. (2014) Periodontal Emotional Stress Syndrome: Review of Basic Concepts, Mechanism and Management. In 1976, Seyle [2] was basically responsible for defining stress as the response state of an organism to physical and mental forces beyond the adaptive capacity that lead to diseases of adaptation and eventually to exhaustion and death. He recognized stressors which act to produce positive changes in the body (e.g. exciting, pleasurable), leading to a response state which he defined as “eustress”, or stressors could be negative that induce, threatening homeostasis with pain, discomfort and physical pathology.

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