Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis
Background: Chronic periodontitis (CP) is one of the most prevalent diseases of the oral cavity with various biological and behavioral risk factors. We aimed to evaluate the association between the salivary cortisol level (SCL) of unstimulated saliva and CP in patients referred to Isfahan Dental Fac...
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doaj-98e3bc3f05c3435dafe18202a5e465c82020-11-25T01:39:23ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552019-01-0116642142710.4103/1735-3327.270786Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitisNarges NaghshAhmad MogharehabedElahe KaramiJaber YaghiniBackground: Chronic periodontitis (CP) is one of the most prevalent diseases of the oral cavity with various biological and behavioral risk factors. We aimed to evaluate the association between the salivary cortisol level (SCL) of unstimulated saliva and CP in patients referred to Isfahan Dental Faculty. Materials and Methods: In this analytic cross-sectional study, 90 patients were selected based on the presence of periodontitis and were divided into two groups: with periodontitis and without periodontitis (n = 45). First, by evaluating the level of anxiety with Spielberger State-Trait Anxiety Inventory questionnaire, each group was divided into three subgroups, each containing 15 persons. To measure the SCL in all subgroups by the enzyme-linked immunosorbent assay method, saliva samples were collected with unstimulated spitting method between 9 and 11 AM. Periodontal evaluation was done using the mean probing depth (PD), plaque index, and bleeding on probing. The obtained data were analyzed using SPSS software (version 20, IBM Corp., Armonk, N.Y., USA) and analysis of variance, independent t-test, Chi-square, Mann–Whitney, Spearman correlation, and Pearson correlation coefficient tests (α = 0.05). Results: The mean level of salivary cortisol (P = 0.048) and PD (P = 0.009) in patients with periodontitis was significantly higher than those without periodontitis. There was a direct and meaningful correlation between PD and SCL (P < 0.001, r = 0.363). In both groups of participants with (P < 0.001) and without periodontitis (P < 0.001), the mean SCL in patients with high anxiety was significantly more than patients with medium and low anxiety. Conclusion: Our results showed that there is an increased level of salivary cortisol (as anxiety index) in patients with CP. Therefore, it seems that the probability of the occurrence of periodontitis is higher in those with increased cortisol level.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2019;volume=16;issue=6;spage=421;epage=427;aulast=Naghshanxietychronic periodontitisglucocorticoidperiodontal indexsaliva |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Narges Naghsh Ahmad Mogharehabed Elahe Karami Jaber Yaghini |
spellingShingle |
Narges Naghsh Ahmad Mogharehabed Elahe Karami Jaber Yaghini Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis Dental Research Journal anxiety chronic periodontitis glucocorticoid periodontal index saliva |
author_facet |
Narges Naghsh Ahmad Mogharehabed Elahe Karami Jaber Yaghini |
author_sort |
Narges Naghsh |
title |
Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
title_short |
Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
title_full |
Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
title_fullStr |
Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
title_full_unstemmed |
Comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
title_sort |
comparative evaluation of the cortisol level of unstimulated saliva in patients with and without chronic periodontitis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Dental Research Journal |
issn |
1735-3327 2008-0255 |
publishDate |
2019-01-01 |
description |
Background: Chronic periodontitis (CP) is one of the most prevalent diseases of the oral cavity with various biological and behavioral risk factors. We aimed to evaluate the association between the salivary cortisol level (SCL) of unstimulated saliva and CP in patients referred to Isfahan Dental Faculty.
Materials and Methods: In this analytic cross-sectional study, 90 patients were selected based on the presence of periodontitis and were divided into two groups: with periodontitis and without periodontitis (n = 45). First, by evaluating the level of anxiety with Spielberger State-Trait Anxiety Inventory questionnaire, each group was divided into three subgroups, each containing 15 persons. To measure the SCL in all subgroups by the enzyme-linked immunosorbent assay method, saliva samples were collected with unstimulated spitting method between 9 and 11 AM. Periodontal evaluation was done using the mean probing depth (PD), plaque index, and bleeding on probing. The obtained data were analyzed using SPSS software (version 20, IBM Corp., Armonk, N.Y., USA) and analysis of variance, independent t-test, Chi-square, Mann–Whitney, Spearman correlation, and Pearson correlation coefficient tests (α = 0.05).
Results: The mean level of salivary cortisol (P = 0.048) and PD (P = 0.009) in patients with periodontitis was significantly higher than those without periodontitis. There was a direct and meaningful correlation between PD and SCL (P < 0.001, r = 0.363). In both groups of participants with (P < 0.001) and without periodontitis (P < 0.001), the mean SCL in patients with high anxiety was significantly more than patients with medium and low anxiety.
Conclusion: Our results showed that there is an increased level of salivary cortisol (as anxiety index) in patients with CP. Therefore, it seems that the probability of the occurrence of periodontitis is higher in those with increased cortisol level. |
topic |
anxiety chronic periodontitis glucocorticoid periodontal index saliva |
url |
http://www.drjjournal.net/article.asp?issn=1735-3327;year=2019;volume=16;issue=6;spage=421;epage=427;aulast=Naghsh |
work_keys_str_mv |
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