Influence of anxiety and depressive symptoms on recurrence of wisdom tooth pericoronitis
SHI Hui1, XIE Yesi2, SUN Qiang2
1. Department of clinical psychology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China; 2. Center of Dental Medicine, China-Japan Friendship Hospital, Beijing 100029, China
Abstract:Objective To explore the effect of anxiety and depressive symptoms on the recurrence of wisdom teeth pericoronitis after nonsurgical treatment.Methods Patients in the first episode of pericoronitis with nonsurgical therapy who were admitted into the center of dental medicine of China-Japan Friendship Hospital were recruited in the study. The following information was collected by electronic questionnaires: demographic information, mental health assessed by the Patient Health Questionnaire (PHQ-9) and the generalized anxiety disorder (GAD-7). The recurrence of wisdom tooth pericoronitis in follow-up patients was analyzed after half a year. The relationship between the recurrence of wisdom tooth pericoronitis and the emotional state of the patients at the onset of the disease was analyzed by multivariate logistic regression.Results A total of 568 valid questionnaires were collected, of which 7.0% showed anxiety symptom (GAD-7≥10) and 13.7% showed depressive symptom (PHQ-9≥10). The recurrence rate of pericoronitis in wisdom teeth was 11.4% at half a year follow-up. Men had a lower risk of recurrent pericoronitis than women (OR=0.416,P<0.05). Anxiety symptom was a risk factor for recurrence (OR=1.124,P<0.05).Conclusions More attention needs to be placed on the anxiety and depressive symptoms of pericoronitis patients, which can help in the prevention and treatment of pericoronitis of wisdom teeth.
Duarte-Rodrigues L, Miranda E P, Souza T O,et al. Third molar removal and its impact on quality of life: systematic review and meta-analysis[J]. Qual Life Res, 2018,27(10):2477-2489.
[6]
Adeyemo W L, James O, Ogunlewe M O,et al. Indications for extraction of third molars: a review of 1763 cases[J].Niger Postgrad Med J, 2008,15(1):42-46.
[7]
Sun L, Wong H M, McGrath C J. The factors that influence oral health-related quality of life in young adults[J]. Health Qual Life Outcomes,2018,16(1):187.
Castro M M L, Ferreira R O, Fagundes N C F,et al. Association between Psychological Stress and Periodontitis: a Systematic Review[J]. Eur J Dent,2020,14(1):171-179.
[11]
Dhopte A, Naidu G, Singh-Makkad R, et al. Psychometric analysis of stress, anxiety and depression in patients with recurrent aphthous Stomatitis-A cross-sectional survey based study[J]. J Clin Exp Dent,2018,10(11):e1109-e1114.
[12]
Wang J, He L. Comparison of the psychological condition of chinese patients with or without halitosis complaints[J]. Chin J Dent Res,2018,21(1):69-76.
[13]
Warren K R,Postolache T T,Groer M E,et al.Role of chronic stress and depression in periodontal diseases[J].Periodontology,2014,64(1):127-138.
Branco-de-Almeida L S, Franco G C, Castro M L, et al. Fluoxetine inhibits inflammatory response and bone loss in a rat model of ligature-induced periodontitis[J]. J Periodontol, 2012,83(5):664-671.