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Psychological Stress and Its Relation with Oral Health Status among Tobacco Users and Non-users
Bharat K Garla1, Rajeev Mahajan2, Rushabh Dagli3, Jitender Solanki3, Geetika Arora Bhateja4, Dhaman Gupta5
1 Professor and Head, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India
2 Post- Graduate Student, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India
3 Associate Professor, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India
4 Assistant Professor, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India
5 Post- Graduate Student, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur
Correspondence Address:
Rajeev Mahajan
Post- Graduate Student, Department of Public Health Dentistry, Vyas Dental College & Hospital, Jodhpur, Rajasthan, India
 Source of Support: None, Conflict of Interest: None  | Check |
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Background: The objective of the study was to assess the relationship between psychological stress and its relation with oral health among tobacco user and non-user.
Materials and Methods: A hospital based study was conducted for 3 months among 1184 subjects visiting the outpatient department of Vyas Hospital in India. After obtaining institutional ethical clearance, a pretested proforma was used for data collection. Informed consent was taken from study subjects. Stress was measured by using modified Dental Anxiety Stress Scale (DASS). Frequency, percentage, and multinomial logistic regression analysis were performed using SPSS (version 16.0, Chicago, IL, USA). The level of significance was set at P ≤ 0.05.
Results: Subjects, who were having low income (28%) and low education (18.2%) status, were under high psychological stress as compared to other groups. It was also found that as the stress level was increasing dental caries (82.4%), gingival inflammation (88.4%), and periodontal disease (88.4%) were also increasing. From multiple logistic regression model, it was found that age, gender, income, and psychological stress had a significant effect on periodontal status and dental caries status among tobacco users.
Conclusion: Stressful life events are often presumed to be associated with dental disease progression hence it is important for clinician to recognize patients who are in stress and guide them about detrimental effects of stress on oral health along with routine dental treatment. |
