Depressive disorders associated with the recurrence of periodontitis in periodontal maintenance

Authors: Fernando Oliveira Costa, José Roberto Cortelli, Rafael Paschoal Esteves Lima, Amanda Almeida Costa, Sheila Cavalca Cortelli and Luís Otávio Miranda Cota

Abstract

Objective: The aim of this study was to evaluate the association between depressive disorders and periodontal condition and the recurrence of periodontitis, during periodontal maintenance therapy (PMT). Methods: From a 6-year prospective cohort study with 268 individuals under PMT, 124 individuals had complete periodontal clinical data recorded between T1 (baseline) and T2 (final data at the last PMT appointment). Individuals were divided into two groups, being 35 individuals with depressive disorders (DD) and 89 individuals without DD (NDD). Full-mouth periodontal examination was evaluated at T1 and T2. Results: The periodontal status of NDD was significantly better then DD at T2. In the NDD group, the recurrence of periodontitis was 50.6% whereas in the DD group was 62.8%. Moreover, the following variables were significantly associated with recurrence of periodontitis in final multivariate logistic regression model: DD, age, co-habitation status without companion, smoking and the interaction between DD and smoking. Conclusion: Individuals with DD undergoing PMT presented higher rates of recurrence of periodontitis and tooth loss when compared to individuals without DD. Additionally, the interaction between DD and smoking significantly increased the risk for the recurrence of periodontitis. Keywords: Antidepressants; depressive disorders; epidemiology; maintenance; periodontitis.

Download Article

Other articles in this issue

Article
Depressive disorders associated with the recurrence of periodontitis in periodontal maintenance Fernando Oliveira Costa, José Roberto Cortelli, Rafael Paschoal Esteves Lima, Amanda Almeida Costa, Sheila Cavalca Cortelli and Luís Otávio Miranda Cota Download
Evaluation of periodontal parameters on Removable Partial Denture abutment teeth with direct and indirect retainers: A 48-month follow-up Mariana Linhares Almeida, Éric Pereira Silva de Oliveira, Ana Clara Soares de Paiva Tôrres, Patrícia dos Santos Calderon, Adriana da Fonte Porto Carreiro and Bruno César de Vasconcelos Gurgel Download
Probiotic Lactobacillus Rhamnosus GG Protects Against P. Gingivalis And F. Nucleatum Gut Dysbiosis Simona M Gatej, Richard Bright, Laura S Weyrich, Victor Marino, Claus T Christophersen, Rachel J Gibson, Neville Gully, Peter Zilm and P Mark Bartold Download
Evaluation of the Efficacy of Porous Titanium Granules in the Treatment of Periodontal Intrabony Defects: A Preliminary Report Vasudevalu Sujatha, Karthikeyan Bangalore Varadhan*, Prabhuji Munivenkatappa Lakshmaiah Venkatesh, Pragathi Modi and Ashwin Parakkaje Subramanya Download
Proposal of a Clinical Endpoint for Periodontal Trials: The Treat-to-Target Approach Magda Feres, Belen Retamal-Valdes, Marcelo Faveri, Poliana Duarte, Jamil Shibli, Geisla Mary Silva Soares, Tamires Miranda, Flavia Teles, Max Goodson, Hatice Hasturk, Thomas Van Dyke, Benjamin Ehmke, Peter Eickholz, Ulrich Schlagenhauf, Joerg Meyle, Rapha Download