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Stress may leave your mouth a mess

USA Today (Society for the Advancement of Education),  Feb, 2008  

There is a positive relationship between periodontal diseases and psychological factors such as stress, distress, anxiety, depression, and loneliness, according to the American Academy of Periodontology, Chicago. Researchers speculate that the hormone cortisol may play a role in the connection, as a study found that elevated levels of cortisol can lead to increased destruction of the gums and jaw bone due to perioodontal diseases. It is well-known that periodontal diseases, left untreated, ultimately can lead to bone or tooth loss.

"Individuals with high stress levels tend to increase their bad habits, which can be harmful to periodontal health. They are less attentive to their oral hygiene and may increase their use of nicotine, alcohol, or drugs," explains Preston D. Miller, Jr., president of AAP. "Patients should seek healthy ways to relieve stress through exercise, balanced eating, plenty of sleep, and maintaining a positive mental attitude."

Patients also should keep in mind their "pocket size guide" to periodontal health; periodontal probing depths of one to two millimeters with no bleeding are not a concern, but three to four millimeters may need a more in-depth cleaning called scaling and root planing. Probing depths in excess of five mm may require more advanced treatment and patients should talk to their dental specialist.

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