Influence of Depression and Anxiety on Non-Surgical Periodontal Treatment Outcomes: A 6-Month Prospective Study

Catherine Petit, Victor Anadon-Rosinach, Nicolas Tuzin, Jean-Luc Davideau and Olivier Huck
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Catherine Petit: Faculté de Chirurgie Dentaire, Periodontology, Université de Strasbourg, 67000 Strasbourg, France
Victor Anadon-Rosinach: Faculté de Chirurgie Dentaire, Periodontology, Université de Strasbourg, 67000 Strasbourg, France
Nicolas Tuzin: Groupe Méthode en Recherche Clinique, Service de Santé Publique, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France
Jean-Luc Davideau: Faculté de Chirurgie Dentaire, Periodontology, Université de Strasbourg, 67000 Strasbourg, France
Olivier Huck: Faculté de Chirurgie Dentaire, Periodontology, Université de Strasbourg, 67000 Strasbourg, France

IJERPH, 2021, vol. 18, issue 17, 1-10

Abstract: Periodontal treatment could be worsened by risk factors. Depression and anxiety have been suggested as potentially influencing periodontal treatment outcomes. The aim of this study was to determine their association with non-surgical periodontal treatment outcomes in patients with generalized severe periodontitis (stage III/IV generalized periodontitis) at 6 months. A total of 68 patients diagnosed with generalized severe periodontitis were treated with scaling and root planing (SRP) and were followed at 3 and 6 months. The data of the 54 patients that followed the entire protocol were considered for analysis. Depression and anxiety levels were determined at baseline by the Beck Depression Inventory (BDI) and State-Trait Inventory (STAI) questionnaires. The association between psychological scores and periodontal parameters was evaluated by multivariate analysis. At 3 and 6 months, SRP induced an improvement for all periodontal parameters (plaque index (PI), bleeding on probing (BOP), periodontal probing depth (PPD) and clinical attachment loss (CAL)). BDI and STAI scores were associated with the evolution of PI, BOP, mean PPD and number of sites with PPD > 3 mm and with CAL > 3 mm. Depression and anxiety should be considered as risk factors for SRP and the identification of at-risk patients should be performed using well-established tools.

Keywords: periodontitis; depression; anxiety; periodontal treatment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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