Goleli Hulya Sariaslana, Akkaya Muratb, Camgoz Melikeca
aTurkish Telecom Headquaters Policlinics, Ankara, Turkey
bAnkara University, Faculty of Dentistry, Department of Periodontology, Ankara, Turkey
cGazi University, Faculty of Dentistry, Central Campus Dental Clinic, Ankara, Turkey
Summary
Background/Aim: It has been discussed over the years whether emotional stress might be a risk factor for periodontal diseases. The correlation between periodontal disease and stress can still not be explained. Our aim was to evaluate the effects of academic stress on gingival tissues in a prospective design. Material and Methods: The study population consisted of randomly selected 40 dental students. Clinical examinations of plaque (PI), gingival (GI) and sulcus bleeding (SBI) indices, probing pocket depth (PPD) and gingival crevicular fluid flow rate were performed along with State-Trait Anxiety Inventory at three different periods of the school year. Measurements were recorded one month before the finals (1 st period), during the final exams (2 nd period), and two months after the final exams (3 rd period). Results: The changes in mean values of all parameters except plaque and pocket depth between the final and control terms were statistically significant. There was a significant correlation between gingival index and stress, plaque, pocket depth, and sulcus bleeding indices at 1 st period. There was a significant correlation between gingival index and crevicular fluid at 2 nd period. There was a significant correlation between gingival index and plaque, and sulcus bleeding indices at 3 rd period. Conclusions: The present results support the hypothesis that academic stress is a significant risk factor for gingival and periodontal inflammation.
Keywords: gingivitis; periodontal diseases; emotional stress
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Balkan Journal of Dental Medicine, 2019, vol. 23, br. 2, str. 68-72