Page 180 - FINAL COMPENDIUM 2020-2021 27.2.2022

IMPACT OF PSYCHOLOGICAL STATES ON PERIODONTITIS SEVERITY AND ORAL HEALTH-
RELATED QUALITY OF LIFE
Goh V, Hassan FW, Baharin B, Rosli TI

Objective: This cross-sectional study aimed to identify impacts of depression, anxiety and
stress on periodontitis severity and oral health-related quality of life (OHRQoL). Materials
and methods: A total of 141 periodontitis patients were recruited. Psychological states
were assessed using the Malay short-form Depression, Anxiety and Stress Scales (MDASS-
21). Subjects were grouped as positive for depression, anxiety or stress (DAS) (positive-
DAS), without DAS (non-DAS), stress-only and anxiety-only. OHRQoL was evaluated using
the Malay short-form Oral Health Impact Profile (S-OHIP[M]). Results: OHRQoL was
associated with MDASS-21, probing pocket depths, recession, clinical attachment levels,
number of teeth present and number of teeth with mobility. S-OHIP(M) of positive-DAS
subjects was associated with clinical attachment levels, number of teeth present and
presence of anxiety. Anxiety-only subjects reported higher S-OHIP(M) scores compared
to the non-DAS group. Conclusions: OHRQoL of all subjects was negatively impacted by
periodontitis severity and tooth loss. Combinations of depression, anxiety or stress led to
worse periodontal status and OHRQoL. Subjects with anxiety only experienced poorer
OHRQoL compared to those without depression, anxiety and stress regardless of
periodontitis severity. Possible impacts of psychological states on periodontitis and
OHRQoL highlights the importance of assessing and improving psychological factors as
part of periodontal therapy and to enhance OHRQoL.

Keywords: Depression, Anxiety, periodontitis, Oral health, Quality of life.

Published in Journal of Oral Science. 2022 Jan;64(1):1-5. [Advanced publication] Released 2021, Oct; doi:
10.2334/josnusd.21-0267
Presented at National Oral Health Research Conference 2019 on 24-25 April 2019

Dr Farah Wahida Hassan
Periodontic Specialist Unit
Rembia Dental Clinic
Alor Gajah, Melaka

Dr Victor Goh
AP Dr Badiah Baharin
AP Dr Tanti Irawati Rosli
Faculty of Dentistry
Universiti Kebangsan Malaysia
Kuala Lumpur

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