Chronic marginal stress and periodontitis

Objectives. The aim of our study was to evaluate salivary cortisol levels and the scores of nicotinic social dependence, as markers of stress, in a group of patients with moderate and profound chronic periodontitis but systemically healthy. Material and method. Our study, of pretreatment cross-sect...

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Main Authors: Radu Costea, Alexandra Totan, Daniela Miricescu, Maria Greabu, Cristian Scheau, Andreea Didilescu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2019-09-01
Series:Romanian Journal of Stomatology
Subjects:
Online Access:https://rjs.com.ro/articles/2019.3/RJS_2019_3_Art-08.pdf
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author Radu Costea
Alexandra Totan
Daniela Miricescu
Maria Greabu
Cristian Scheau
Andreea Didilescu
author_facet Radu Costea
Alexandra Totan
Daniela Miricescu
Maria Greabu
Cristian Scheau
Andreea Didilescu
author_sort Radu Costea
collection DOAJ
description Objectives. The aim of our study was to evaluate salivary cortisol levels and the scores of nicotinic social dependence, as markers of stress, in a group of patients with moderate and profound chronic periodontitis but systemically healthy. Material and method. Our study, of pretreatment cross-sectional design, included 28 adult patients with moderate and severe chronic marginal periodontitis and no systemic diseases. They were recruited from a particular clinic in Bucharest. The questionnaire used gathered questions from the Kano test to assess nicotine dependence. The salivary cortisol was determined using a DSNOV20 kit (NovaTec Immundiagnostica GmbH). Results and discussions. The average Kano total score was 13.28 (+ 4.38; range 4-23). The smoker group recorded an average of 16.2 (range 11-23). There were no statistically significant differences between the scores of the three groups. From the 28 patients who completed the questionnaires, 22 were evaluated for salivary cortisol levels. Of these, 3 were smokers, 6 were former smokers and 13 were non-smokers. The mean salivary cortisol level was 6.65 ng/ml (+ 1.47; range 4.12-9.38). The mean salivary cortisol level was higher in smokers compared to non-smokers and ex-smokers (p> 0.05). Conclusions. Stress, expressed by the average level of salivary cortisol, was higher among smokers compared to the other groups, the highest variability being registered among ex-smokers. In patients with moderate and severe chronic marginal periodontitis, there was a positive, albeit insignificant, association between salivary cortisol levels and nicotinic psychological dependence.
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spelling doaj.art-839a1516f9254195bcaab1c121a6c0da2022-12-22T03:51:23ZengAmaltea Medical Publishing HouseRomanian Journal of Stomatology1843-08052069-60782019-09-0165328328710.37897/RJS.2019.3.8Chronic marginal stress and periodontitisRadu Costea0Alexandra Totan1Daniela Miricescu2Maria Greabu3Cristian Scheau4Andreea Didilescu5Disciplina Embriologie, Facultatea de Medicină Dentară, UMF „Carol Davila“, Bucureşti, România Disciplina Biochimie, Facultatea de Medicină Dentară, UMF „Carol Davila“, Bucureşti, România Disciplina Biochimie, Facultatea de Medicină Dentară, UMF „Carol Davila“, Bucureşti, RomâniaDisciplina Biochimie, Facultatea de Medicină Dentară, UMF „Carol Davila“, Bucureşti, RomâniaDisciplina Fiziologie I, Facultatea de Medicină, UMF „Carol Davila“, Bucureşti, RomâniaDisciplina Embriologie, Facultatea de Medicină Dentară, UMF „Carol Davila“, Bucureşti, RomâniaObjectives. The aim of our study was to evaluate salivary cortisol levels and the scores of nicotinic social dependence, as markers of stress, in a group of patients with moderate and profound chronic periodontitis but systemically healthy. Material and method. Our study, of pretreatment cross-sectional design, included 28 adult patients with moderate and severe chronic marginal periodontitis and no systemic diseases. They were recruited from a particular clinic in Bucharest. The questionnaire used gathered questions from the Kano test to assess nicotine dependence. The salivary cortisol was determined using a DSNOV20 kit (NovaTec Immundiagnostica GmbH). Results and discussions. The average Kano total score was 13.28 (+ 4.38; range 4-23). The smoker group recorded an average of 16.2 (range 11-23). There were no statistically significant differences between the scores of the three groups. From the 28 patients who completed the questionnaires, 22 were evaluated for salivary cortisol levels. Of these, 3 were smokers, 6 were former smokers and 13 were non-smokers. The mean salivary cortisol level was 6.65 ng/ml (+ 1.47; range 4.12-9.38). The mean salivary cortisol level was higher in smokers compared to non-smokers and ex-smokers (p> 0.05). Conclusions. Stress, expressed by the average level of salivary cortisol, was higher among smokers compared to the other groups, the highest variability being registered among ex-smokers. In patients with moderate and severe chronic marginal periodontitis, there was a positive, albeit insignificant, association between salivary cortisol levels and nicotinic psychological dependence.https://rjs.com.ro/articles/2019.3/RJS_2019_3_Art-08.pdfcortisolnicotinic social dependencechronic marginal periodontitis
spellingShingle Radu Costea
Alexandra Totan
Daniela Miricescu
Maria Greabu
Cristian Scheau
Andreea Didilescu
Chronic marginal stress and periodontitis
Romanian Journal of Stomatology
cortisol
nicotinic social dependence
chronic marginal periodontitis
title Chronic marginal stress and periodontitis
title_full Chronic marginal stress and periodontitis
title_fullStr Chronic marginal stress and periodontitis
title_full_unstemmed Chronic marginal stress and periodontitis
title_short Chronic marginal stress and periodontitis
title_sort chronic marginal stress and periodontitis
topic cortisol
nicotinic social dependence
chronic marginal periodontitis
url https://rjs.com.ro/articles/2019.3/RJS_2019_3_Art-08.pdf
work_keys_str_mv AT raducostea chronicmarginalstressandperiodontitis
AT alexandratotan chronicmarginalstressandperiodontitis
AT danielamiricescu chronicmarginalstressandperiodontitis
AT mariagreabu chronicmarginalstressandperiodontitis
AT cristianscheau chronicmarginalstressandperiodontitis
AT andreeadidilescu chronicmarginalstressandperiodontitis