Stress and its effect on oral health
Chronicle Editor @ Nov 09, 2009
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http://timesofindia.indiatimes.com/life/health-fitness/health/Stress-and-its-effect-on-oral-health/articleshow/5274936.cms

NORBERT REGO27 November 2009, 12:59pm IST

There is mounting evidence that there’s a strong link between stress and gum disease.

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Researchers have found a connection between gum disease and stress and related psychological symptoms like anxiety, depression, and loneliness. Although it’s difficult to pinpoint the negative effects of stress on your gums, the studies suggest that elevated levels of the stress hormone cortisol may be involved. In addition, stress may make people more lax about their oral health habits.

According to Harvard University research, if you get angry, your gums will suffer. Stress can lead to bruxism (gnashing of teeth), dry mouth, burning mouth syndrome and lichen planus (skin disorder). “Individuals with high stress levels tend to increase their bad habits, which can be harmful to periodontal health. They are less attentive to their oral hygiene and may increase their use of nicotine, alcohol or drugs.” Patients should seek healthy ways to relieve stress through exercise, balanced eating, plenty of sleep and maintaining a positive mental attitude. Patients who minimise stress may be at less risk for periodontal diseases.

If untreated, stress-related gum disease can lead to loss of teeth as well as bone in the jaw. Symptoms include bleeding gums, swollen gums, bad breath, and loose teeth.

Stress-related gum disease falls in the list of diseases caused by stress, along with a million other disorders. This is because, according to research, stress makes it more difficult for the body to fight infection.

Self-diagnosis tips

• Persistent bad breath

• Swollen gums

• Bleeding, tender gum tissue

• Painful chewing

• Loose teeth

• Sensitive teeth

Prevention tips

* Brush twice a day for at least three minutes each time and floss daily. If you're not sure whether you're brushing or flossing properly, your dentist or dental hygienist can show you the best techniques.

* Always brush with toothpaste that contains fluoride.

* Use a toothbrush with soft, polished bristles, as these are less likely to irritate or injure gum tissue. Be sure to replace your toothbrush at least every three to four months -- a worn-out toothbrush can injure your gums. (Some toothbrush brands contain colour indicators on the bristles to remind you to replace them when they become worn.)

* Eat a healthy diet. Avoid snacks and junk foods packed with sugar that plaque-causing bacteria love to feed on.

* Don't smoke! Cigarettes and chewing tobacco cause mouth irritation and are very unhealthy for gums and teeth.

* Regular dental care is extremely important in helping to keep your mouth healthy. Visit your dentist for routine care, especially cleaning, at least twice a year. Your dentist can remove hardened plaque and tartar.

* Rinse thoroughly after every meal.

Try these healthy snacks

* Celery and carrot snacks with hommous or avocado dip

* Vegemite crackers with cheese

* Plain yoghurt, fresh fruit and nuts

(Inputs from Dr Shantanu Jaradi, Mumbai-based aesthetic dentist)

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