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Stress

Stress is a well-known factor in the development of all sorts of ailments. When we are stressed our bodies are not operating to their full potential and we find that we are more susceptible to minor ailments such as colds and flu and we can also suffer from headaches, back pain, indigestion, IBS etc. In addition, when we are stressed, our resistance goes down and bacteria can get the upper hand. Thus it is not uncommon for people who have gum disease to suddenly notice that they have areas in their mouths which are tender and swollen and in severe cases, forming abscesses.

Increasingly it is recognised that it is not stress which causes health problems, but the way we cope with it. Recent research has highlighted the differences between the ways people cope with stress and ‘Stress Coping Behaviour’ has become more important in relation to our health than absence or presence of stress itself.

Common stressors which are associated with flare-ups of conditions such as gum disease are predominantly work and family related. A lack of effective coping skills can lead to changes in our behaviour, so much so that people who may be eating healthily and looking after their mouths, start snacking instead of eating properly, don't take so much care and attention in cleaning their teeth properly and put off their normally regular dental check-ups. These factors allow gum disease to take hold, and other changes to take place, such as changes in the amount of saliva and its contents. The natural washing processes that saliva creates dries up, leading to food stagnation and plaque build-up.

Although stress is not a direct cause of gum disease, social and behavioural habits such as smoking and teeth grinding can also aggravate the condition and affect oral health.

Further Reading
1. WaschulB, Herforth A,Stiller-Winkler R, Idel H, Granrath N, Deinzer R
J Clin Periodontol.2003 Mar;30(3);238-48

2. Giannopoulou C, Kamma JJ, Mombelli A
J Clin Periodontol 2003 Feb;30(2) 145-53

3. Mengel R, Bacher M, Flores-De-Jacoby L
J Clin Periodontol 2002 Nov;29(11);1012-22

4. Deinzer R, Hilpert D, Bach K, Schawacht M, Herforth A
J Clin Periodontol 2001 May;28(5);459-64

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