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Stress, Allostatic load and periodontal diseases

Research output: Contribution to journalArticlepeer-review

Wael Sabbah, Noha Gomaa, Aswathikutty Gireesh

Original languageEnglish
Pages (from-to)154-161
Number of pages8
Issue number1
Early online date9 Sep 2018
Accepted/In press2 Feb 2018
E-pub ahead of print9 Sep 2018
PublishedOct 2018


King's Authors


Psychosocial stress plays an important role in periodontal disease through biological and behavioural pathways. In this paper we reviewed studies that examined the relationship between stress and periodontal diseases, and different measures used to assess stress. Self-reported measures such as Perceived Stress Scale (PSS) and Stress Appraisal Measure (SAM) have been traditionally used to assess stress. Frequent and repeated exposure to stressor lead to wear and tear of the body system resulting in what is known as Allostatic load. In recent years few studies examining the relationship between stress and periodontal diseases have used an aggregate variable including primary and secondary markers of Allostatic load as a biological marker of stress. While research on the relationship between Allostatic load and periodontal disease is still developing, as most of the studies used cross-sectional data, this line of research presents a good opportunity for establishing a composite biological indicator as a risk factors for periodontal disease. It is will also be potentially beneficial for personalised periodontics as it will help altering intervention to specific levels of risk, and will help in integrating oral and general health promotion policies.

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