Abstract

PASCUCCI, J.O.; ALBERA, E.  and  GIAQUINTA, M.A.. Correlation between stress, smoking and periodontal state residents adults in Mendoza city. Avances en Periodoncia [online]. 2016, vol.28, n.1, pp.11-22. ISSN 2340-3209.

Background: The periodontitis are infections associated with pathogenic microorganisms and host response alterations. The psychosocial stress and inadequate coping behaviours to it may exert immunosuppressive effects, increasing susceptibility to periodontitis. The aim was to research the association between psychosocial stress, coping behaviours and smoking with periodontal condition. Methods: One hundred and sixty six voluntary subjects were recruited of both sexes, with healthy systemic conditions, between 25-65 years of age (41,2±11,3), that go to the Dentistry Branch of National University of Cuyo. For stress and coping behaviors assessment tests were applicated: Social Readjustment Rating Scale (SRRS), Stress Symptom Inventory (SSI), coping behaviours questionnaire COPE. Levels of salivary cortisol were determined and smoking habits were evaluated. The examinations of the periodontal condition were: probing pocket depth, attachment level, gingival and plaque index. The statistical survey included: bivariated and multivariated logistic regression, X 2 test; ANOVA. Results: The obtained results demonstrate significative association by bivariate analysis: age and periodontal condition (p<0,0001); coping behaviours and periodontal condition (p<0,0001) OR 5,3 CI95% (2,2-12,6); smoking and periodontal condition (p<0,0001) OR 3,36 CI95% (1,6-7,0); cortisol and periodontal condition (p0,0008). Bivariate analysis did not found significant difference between stress and periodontal condition. Multivariated logistic regression analysis adjusted to age found significant association of the relationship periodontal condition with stress (p=0,014), coping behaviors (p=0,030), smoking (p=0,031), age (p<0,0001). Conclusion: The subjects that show stress, inadequate coping behaviours and smoke are more susceptible to the periodontal damage. High levels of salivary cortisol are associated with major periodontal damage.

Keywords : Psychosocial stress; periodontal diseases; smoking; coping behaviours.

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