European Journal of Molecular & Clinical Medicine

Abstract

Introduction. The severity and nature of periodontal disease depend on a number of factors. An
important place is occupied by the general condition of the body, the presence of systemic
diseases, environmental influences, and chronic stress and so on. A number of clinical studies
have examined the possible relationship between psychological stress and periodontal disease.
Objectives. To determine the influence of psychosomatic state on periodontal tissues of the
examined residents.
Material and methods. To conduct the study, a questionnaire of 350 residents of Kyiv and several
other cities of Ukraine was conducted. Diagnosis of anxiety self-assessment was performed by
determining the Spielberger-Khanin test of reactive and personal anxiety and DASS-21. The
subjects examined the oral cavity and assessed the condition of the periodontium.
Results. A higher level of systemic diseases was found in residents with insufficient living
conditions. It also affected the higher level of personal anxiety of residents. High levels of
personal anxiety affect the prevalence and structure of periodontal disease. Thus, the study of the
impact of psychoemotional stress on the course of periodontal disease and further development of
appropriate schemes of rational treatment of periodontal disease (periodontitis) in people with
psychoemotional stress.
Conclusions. Analysis of the levels of reactive anxiety in the subjects depending on the presence
and type of periodontal diseases showed that the subjects with the presence of chronic gingivitis,
the level of reactive anxiety was quite moderate. A slightly higher level of reactive anxiety was
found in patients with periodontitis. The level of personal anxiety is higher if the subjects have
periodontitis.