STRES DAN PENYEMBUHAN LUKA PERIODONTAL

Azizah Azizah, Adam Mardiana

Abstract


Introduction: A periodontal treatment includes surgical and nonsurgical therapy which the successful wound healing after periodontal treatment is influenced by many local and systemic factors. One systemic factor that influences healing is stress. Recent studies have shown that stress plays a role in predicting the severity of pain, periodontal disease, and can even inhibit wound healing. This article aims to review how stress inhibits periodontal wound healing. Review: Stress can occur as a result of stressors or external pressures in the form of household conflicts, financial problems, the death of the closest person referring to emotional and physiological reactions, exceeding one's ability to deal effectively with the situation. The process of healing periodontal tissue is divided into two processes, namely regeneration, and repair. Wound healing in periodontal tissue is the same process that occurs in other parts of the body. Research on the effects of stress on healing periodontal wounds has been carried out. Stress induces glucocorticoid production. Increased cortisol hormone can inhibit the formation of collagen, thinning capillary blood vessels and preventing the formation of new bone. Psychological stress is associated with increased interleukin IL-1β and IL-6 in the gingival crevicular fluid. Other studies have shown that increased stress causes the development of periodontal inflammation due to an increase in IL-1, IL-4, and IL-8 which results in greater periodontal damage. Conclusion: From this literature review it can be concluded that stress inhibits periodontal wound healing.


Keywords


Stres; periodontal healing; periodontal treatment

References


Zhao YJ, Li Q, Cheng BX, Zhang M, Chen YJ. Psychological stres delays periodontitis healing in rats: The involvement of basic fibroblast growth factor. Mediators Inflamm. 2012;p. 3 - 11.

Vettore M, Quintanilha RS, Monteiro Da Silva AM, Lamarca GA, Leão ATT. The influence of stres and anxiety on the response of non-surgical periodontal treatment. J Clin Periodontol. 2005;32(12):1226–35.

Prabhu P, Julius A, Elumalai M, Prabhu MN. Wound healing in periodontics. Biosci Biotechnol Res Asia. 2014;11(2):791–6.

Kloostra PW, Eber RM, Inglehart MR. Anxiety, Stres, Depression, and Patients Responses to Periodontal Treatment:Periodontists Knowledge and Professional Behavior. J Periodontol. 2007;78(1):64–71.

Boyapati L, Wang HL. The role of stres in periodontal disease and wound healing. Periodontol 2000. 2007;44(1):195–210.

Warren KR, Postolache TT, Groer ME, Pinjari O, Kelly DL, Reynolds MA. Role of chronic stres and depression in periodontal

diseases. Periodontol 2000. 2014;64(1):127–38.

Kloostra PW, Eber RM, Wang H-L, Inglehart MR. Surgical Versus Non-Surgical Periodontal Treatment: Psychosocial Factors

and Treatment Outcomes. J Periodontol. 2006;77(7):1253–60.

Bathla M, Chandna S. Stres and Periodontium: A Review of Concepts. J Oral Heal Community Dent. 2010;4(Spl):17–22.

Gouin JP, Kiecolt-Glaser JK. The Impact of Psychological Stres on Wound Healing: Methods and Mechanisms. Immunol Allergy Clin North Am [Internet]. 2011;31(1):81–93. Available from: http://dx.doi.org/10.1016/j.iac.2010.09.010

Cole-King A, Harding KG. Psychological factors and delayed healing in chronic wounds. Psychosom Med. 2001;63(2):216–20.

Sabbah W, Gomaa N, Gireesh A. Stres, allostatic load, and periodontal diseases. Periodontol 2000. 2018;78(1):154–61.

Larjava H. Oral Wound Healing: An Overview. Oral Wound Heal Cell Biol Clin Manag. 2013;1–10.

Pippi R. Post-surgical clinical monitoring of soft tissue wound healing in periodontal and implant surgery. Int J Med Sci. 2017;14(8):721–8.

Polimeni G, Xiropaidis A V., Wikesjö UME. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000. 2006;41(1):30–47.

Ebrecht M, Hextall J, Kirtley LG, Taylor A, Dyson M, Weinman J. Perceived stres and cortisol levels predict speed of wound healing in healthy male adults. Psychoneuroendocrinology. 2004;29(6):798–809.

Wimmer G, Köhldorfer G, Mischak I, Lorenzoni M, Kallus KW. Coping With Stres: Its Influence on Periodontal Therapy. J Periodontol. 2005;76(1):90–8.

Giannopoulou C, Kamma JJ, Mombelli A. Effect of inflammation, smoking and stres on gingival crevicular fluid cytokine level. J Clin Periodontol. 2003;30(2):145–53.

Nurul D. Peran stres terhadap kesehatan jaringan periodonsium. Juwono L, editor. Jakarta: EGC; 2010. 5-6,54-55 p.

Johannsen A, Rylander G, Söder B, Marie Å. Dental Plaque, Gingival Inflammation, and Elevated Levels of Interleukin-6 and

Cortisol in Gingival Crevicular Fluid From Women With Stres-Related Depression and Exhaustion. J Periodontol. 2006;77(8):1403–9.

Izat WOAM, Adam MA, Tahir H. The relationship between stres, depression, cortisol and chronic periodontitis : systematic review. Makassar Dent J. 2019;8(2):73–8.

Yang E V., Bane CM, MacCallum RC, Kiecolt-Glaser JK, Malarkey WB, Glaser R. Stres-related modulation of matrix metalloproteinase expression. J Neuroimmunol. 2002;133(1–2):144–50.




DOI: https://doi.org/10.33854/jbd.v8i2.890

DOI (PDF (Bahasa Indonesia)): https://doi.org/10.33854/jbd.v8i2.890.g352

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