Role of Stress Reduction Protocol on Outcome of Periodontal Therapy
NCT ID: NCT02487862
Last Updated: 2015-11-24
Study Results
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Basic Information
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UNKNOWN
PHASE4
60 participants
INTERVENTIONAL
2015-02-28
2015-12-31
Brief Summary
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Detailed Description
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With respect to other possible factors influencing chronic periodontitis, more direct evidence has emerged that stress, depression and anxiety contribute to the development of periodontitis in odds ratio of 1:2. Further, it has been shown that subjects with stress are more prone to develop periodontal disease than subjects without stress. It is speculated that chronic stress contribute to the development of periodontitis by having a net negative effect on the immunological response of body or by health related risk behaviors such as smoking, over eating and lessen compliance with the preventive behavior or even both. In addition, it has been found that patients experiencing stress were slower in recovery from periodontal treatment compared to subjects who are not experiencing stress.
Interestingly, the impact of stress on the pathogenesis and periodontal treatment outcomes depends upon the individuals coping ability. Literature evidence shows that emotional-focused coping individuals (defensive coping, resigned coping, distractive coping which are advantageous in the short term) have more advanced disease and poor response to non-surgical periodontal treatment when compared to problem focused coping (i.e. active coping). Hence, assessment of a patient's stress level, their coping ability and stress management might be of value in understanding psychological effects on periodontal health and its disease process, which will be helpful in future preventive care. Considering these facts, we hypothesize that if stress is causally related to the worsening of parameters in a chronic periodontitis patient, its alleviation might result in an additive response to the conventional periodontal therapy. However, till date, there are no intervention studies on possibility of employing psychological intervention (stress reduction therapy) as adjunctive measure in the treatment of periodontitis subjects with unfavorable psychological background. Hence, considering this hypothesis, the present study is conducted which is first of its kind, to explore and evaluate, if intervention focused on stress management enhancement training may serve as adjunctive role in non-surgical treatment of periodontal diseases by monitoring the improvements in periodontal condition through clinical parameters and correlating with stress marker like salivary cortisol levels and Derogatis stress profile (DSP) scores.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
DOUBLE
Study Groups
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Screening
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No interventions assigned to this group
catagerizing the study population
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Stress Reduction Protocol
Stress Reduction Protocol
Stress Reduction Protocol
Participants were evaluated for the outcome of the intervention.
No interventions assigned to this group
Interventions
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Stress Reduction Protocol
Stress Reduction Protocol
Eligibility Criteria
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Inclusion Criteria
* systemically healthy stressed \& unstressed individuals with chronic periodontitis and
* who were co-operative and willing to attend follow up visits
Exclusion Criteria
* who had received any periodontal therapy,
* surgical or non- surgical within the past six months of baseline examination,
* Smokers,
* no prior history of non-surgical periodontal therapy within 6 months,
* with less than 20 permanent teeth remaining,
* history of psychiatric treatment within past 6 months,
* known systemic diseases and conditions.
30 Years
55 Years
MALE
Yes
Sponsors
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Krishnadevaraya College of Dental Sciences & Hospital
OTHER
Responsible Party
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Principal Investigators
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Karthikeyan BV, MDS
Role: STUDY_DIRECTOR
Krishnadevaraya College of Dental Sciences
Locations
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Krishnadevaraya College of dental sciences
Banglore, Karnataka, India
Countries
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Central Contacts
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Facility Contacts
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References
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Kiecolt-Glaser JK, Preacher KJ, MacCallum RC, Atkinson C, Malarkey WB, Glaser R. Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proc Natl Acad Sci U S A. 2003 Jul 22;100(15):9090-5. doi: 10.1073/pnas.1531903100. Epub 2003 Jul 2.
Related Links
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Reference Article
Other Identifiers
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KCDS
Identifier Type: -
Identifier Source: org_study_id