Mental health and periodontal and peri-implant diseases.
Alzheimer disease
anxiety disorder
bipolar
depression
gut-brain axis
mental health
microbiome
mood (affective) disorder
peri-implant disease
periodontal disease
schizophrenia
stress
substance use disorder
Journal
Periodontology 2000
ISSN: 1600-0757
Titre abrégé: Periodontol 2000
Pays: Denmark
ID NLM: 9313276
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
pubmed:
2
8
2022
medline:
5
10
2022
entrez:
1
8
2022
Statut:
ppublish
Résumé
Mental health disorders, particularly depression and anxiety, affect a significant number of the global population. Several pathophysiological pathways for these disorders have been identified, including the hypothalamic-pituitary-adrenal axis, autonomic nervous system, and the immune system. In addition, life events, environmental factors, and lifestyle affect the onset, progression, and recurrence of mental health disorders. These may all overlap with periodontal and/or peri-implant disease. Mental health disorders are associated with more severe periodontal disease and, in some cases, poorer healing outcomes to nonsurgical periodontal therapy. They can result in behavior modification, such as poor oral hygiene practices, tobacco smoking, and alcohol abuse, which are also risk factors for periodontal disease and, therefore, may have a contributory effect. Stress has immunomodulatory effects regulating immune cell numbers and function, as well as proinflammatory cytokine production. Stress markers such as cortisol and catecholamines may modulate periodontal bacterial growth and the expression of virulence factors. Stress and some mental health disorders are accompanied by a low-grade chronic inflammation that may be involved in their relationship with periodontal disease and vice versa. Although the gut microbiome interacting with the central nervous system (gut-brain axis) is thought to play a significant role in mental illness, less is understood about the role of the oral microbiome. The evidence for mental health disorders on implant outcomes is lacking, but may mainly be through behaviourial changes. Through lack of compliance withoral hygiene and maintenance visits, peri-implant health can be affected. Increased smoking and risk of periodontal disease may also affect implant outcomes. Selective serotonin reuptake inhibitors have been linked with higher implant failure. They have an anabolic effect on bone, reducing turnover, which could account for the increased loss.
Identifiants
pubmed: 35913583
doi: 10.1111/prd.12452
pmc: PMC9804456
doi:
Substances chimiques
Anabolic Agents
0
Catecholamines
0
Cytokines
0
Dental Implants
0
Serotonin Uptake Inhibitors
0
Virulence Factors
0
Hydrocortisone
WI4X0X7BPJ
Types de publication
Journal Article
Review
Langues
eng
Pagination
106-124Informations de copyright
© 2022 The Authors. Periodontology 2000 published by John Wiley & Sons Ltd.
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