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Relations of Psychosocial Factors and Cortisol with Periodontal and Bacterial Parameters: A Prospective Clinical Study in 30 Patients with Periodontitis Before and After Non-Surgical Treatment

Author

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  • Marie Dubar

    (Department of Periodontology, School of Dentistry, Lille University Hospital, 59000 Lille, France
    Stress Immunity Pathogens Unit (SIMPA), EA 7300, University of Lorraine, F-54000 Nancy, France)

  • Isabelle Clerc-Urmès

    (Department of Methodology, Promotion and Investigation, UMDS, University Hospital of Nancy, 54500 Vandoeuvre-lès-Nancy, France)

  • Cédric Baumann

    (Department of Methodology, Promotion and Investigation, UMDS, University Hospital of Nancy, 54500 Vandoeuvre-lès-Nancy, France)

  • Céline Clément

    (CHRU Nancy, Department of Public Health Dentistry, University Hospital, 54000 Nancy, France
    “Interpsy” Laboratory, University of Lorraine, EA 4432, CEDEX 54015 Nancy, France
    «Health Systemic Process» Laboratory, University Lyon 1, EA 4129, 69008 Lyon, France)

  • Corentine Alauzet

    (Stress Immunity Pathogens Unit (SIMPA), EA 7300, University of Lorraine, F-54000 Nancy, France
    CHRU Nancy, Microbiology Department, University Hospital, F-54000 Nancy, France)

  • Catherine Bisson

    (Stress Immunity Pathogens Unit (SIMPA), EA 7300, University of Lorraine, F-54000 Nancy, France
    Department of Periodontology, Nancy University Hospital, Lorraine University, 54500 Vandoeuvre-lès-Nancy, France)

Abstract

(1) Background: The progression of periodontitis, induced by polymicrobial dysbiosis, can be modified by systemic or environmental factors such as stress or anxiety affecting host response. The purpose of this study is to evaluate the potential associations between psychosocial factors scores or salivary cortisol levels with clinical periodontal parameters and bacterial environment in patients with periodontitis; (2) Methods: Subgingival microbiota was collected in two pathological and one healthy sites from thirty diseased patients (before/after scaling and root planing (SRP)) and from one healthy site from thirty control patients. Usual clinical periodontal parameters were recorded, and a saliva sample was harvested. Patients completed stress and anxiety self-assessment questionnaires. Cortisol concentrations were determined by ELISA and bacteria were identified by PCR; (3) Results: No correlation between salivary cortisol and the stress-anxiety self-declared was found ( p > 0.05), but high concentrations of this molecule were associated positively and linearly with periodontal pocket depth ( p = 0.04). It appeared that certain psychosocial stressors are associated with a modulation of the bacterial colonization of pockets of diseased group (before/after SRP), notably concerning Tannerella forsythia ( p = 0.02), Porphyromonas gingivalis ( p = 0.03), Fusobacterium nucleatum ( p = 0.049) and Campylobacter rectus ( p = 0.01). (4) Conclusion: This study reveals associations between bacteria colonization and psychosocial parameters in periodontitis that needs to be further investigated.

Suggested Citation

  • Marie Dubar & Isabelle Clerc-Urmès & Cédric Baumann & Céline Clément & Corentine Alauzet & Catherine Bisson, 2020. "Relations of Psychosocial Factors and Cortisol with Periodontal and Bacterial Parameters: A Prospective Clinical Study in 30 Patients with Periodontitis Before and After Non-Surgical Treatment," IJERPH, MDPI, vol. 17(20), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7651-:d:431828
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    References listed on IDEAS

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    1. Gökhan S. Hotamisligil, 2006. "Inflammation and metabolic disorders," Nature, Nature, vol. 444(7121), pages 860-867, December.
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    Cited by:

    1. Abdulkareem A. Alhumaidan & Khulud A. Al-Aali & Fahim Vohra & Fawad Javed & Tariq Abduljabbar, 2022. "Comparison of Whole Salivary Cortisol and Interleukin 1-Beta Levels in Light Cigarette-Smokers and Users of Electronic Nicotine Delivery Systems before and after Non-Surgical Periodontal Therapy," IJERPH, MDPI, vol. 19(18), pages 1-10, September.
    2. Takayuki Maruyama & Daisuke Ekuni & Masakazu Higuchi & Eiji Takayama & Shinichi Tokuno & Manabu Morita, 2022. "Relationship between Psychological Stress Determined by Voice Analysis and Periodontal Status: A Cohort Study," IJERPH, MDPI, vol. 19(15), pages 1-8, August.

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