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    Psychological Stress: A Predisposing and Exacerbating Factor in Periodontitis

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    Author
    Spector, Anna M.
    Postolache, Teodor T.
    Akram, Faisal
    Scott, Alison J.
    Wadhawan, Abhishek
    Reynolds, Mark A.
    Date
    2020-08-2020
    Journal
    Current Oral Health Reports
    Publisher
    Springer Science and Business Media B.V.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1007/s40496-020-00282-2
    Abstract
    Purpose of Review: This review focuses on recent advances in our understanding of the interactions between psychological stress, the immune system, and periodontitis, including the dynamic role of host stress responses in altering immune function, altering the oral microbiome and biofilm formation, and promoting local and systemic disease progression. Recent Findings: Within the context of periodontal health and disease, stress leads to an impairment of effective antimicrobial defense, shifts in oral microbiome profiles toward more pathogenic gene expression and taxa composition, increased translocation, and biofilm formation. The link between stress and periodontitis is multiform and includes hypothalamic–pituitary–adrenal (HPA) axis and catecholamine activation, production of immune mediators of inflammation and, clinically, syndromes of depression, bipolar disorder, anxiety disorders, and sleep-wake disorders. Summary: Psychological stress appears to be an important modifiable risk factor for the development and progression of periodontitis and other periodontal diseases. © 2020, The Author(s).
    Keyword
    Biofilm
    Inflammation
    Microbiome
    Periodontal disease
    Sleep
    Stress
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14742
    ae974a485f413a2113503eed53cd6c53
    10.1007/s40496-020-00282-2
    Scopus Count
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    UMB Open Access Articles 2020

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