Principles of Dental Hygiene II
Stress, dieting and periodontal disease and to compromised systemic health.
Stress, dieting, cultural diversity, foundation of health and periodontal disease: The average person would never think that all four of these topics would coincide with one another. They do, each affecting the other as stepping stones towards periodontal disease. Periodontal disease, including periodontitis and gingivitis, are chronic, bacterial infections and inflammatory diseases affecting the periodontium (tissues that support the teeth). Periodontal diseases are the most prevalent chronic diseases affecting children, adolescents, adults, and the elderly. The periodontium is a complex, highly specialized, shock-absorbing and pressure-sensing system consisting of four interrelated tissues supporting the teeth: cementum, periodontal ligament, alveolar bone and junctional and sulcular epithelia (1). Periodontal disease can affect one or many teeth. It can also lead to progressive bone loss around teeth, which can lead to loosening and possible loss of the teeth if left untreated. There are many factors to periodontal disease that have been proven to be directly related to this growing disease, in certain populations and cultures that have been proven to stand out more than others. Through research and advanced studies with guidelines of evaluation, stress and dieting has been shown to be associated with periodontal disease(2). These additional factors involve diet, lifestyle, cultures, also including collective types of strains in ones everyday life.
Periodontal disease is an infection of the tissues that support the teeth. These infections are associated with specific pathogenic bacteria that colonize the subgingival area. When the teeth are being supported by the gingiva; the gingiva does not attach to the tooth firmly as one might think. Part of the tooth’s anatomy consists of a shallow v-shaped gaped called the sulcus which exists between the tooth and the gingiva. Periodontal disease affects this gap causing the tissue supporting the tooth to break down. Periodontal disease transitions through different levels to become what it is.
Research studies indicate that a specific set of guidelines during evaluation of the association of stress and periodontal disease are important. When proposing experimental approaches, specifically in psychosocial stress and periodontal disease; present studies and future experiments show the next six factors to be very useful. Periodontal disease is measured as unique disease outcome and should not be included in a composite index with other oral diseases(3). Validated instruments are assessed for stress, distress, and copying behaviors. These helpful instruments, validated by prior studies, also on the population for each applied for research. Indications of compliance with oral health organization system should measure at-risk behaviors. Including oral health behaviors such as preventive dental visits, regulations of oral hygiene regimens, and an assessment of plaque, gingivitis, and other existing disease. By rigorously establishing psychosocial factors such as stress distress, and coping behaviors are true risk factors for periodontal disease case studies and case-control series generate hypotheses (4). These hypotheses are over large cross-sectional and longitudinal epidemiological studies. Studies in which mechanisms of psychosocial stress or distress show the application of periodontal disease The necessity to show relationship and correlation of applying different assessments such as biochemical mediators of stress, immune functions, or neurological and endocrine alterations as well as behavioral changes are significant in these cases(5). Lastly are randomized controlled trial methodology, the intervention of studies using stress management to establish efficacy of modification of...