Evidence for the association between psychological stress and peri-implant health among middle-aged and elderly adults: A systemic review.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Yen-Lan Chang, Gen-Min Lin, Shih-Ying Lin, Ren-Yeong Huang, Po-Jan Kuo, Nancy Nei-Shiuh Chang, Kun-Zhe Tsai
{"title":"Evidence for the association between psychological stress and peri-implant health among middle-aged and elderly adults: A systemic review.","authors":"Yen-Lan Chang, Gen-Min Lin, Shih-Ying Lin, Ren-Yeong Huang, Po-Jan Kuo, Nancy Nei-Shiuh Chang, Kun-Zhe Tsai","doi":"10.12998/wjcc.v13.i23.105762","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic psychological stress (CPS) is increasingly recognized for its detrimental effects on systemic and oral health, yet its impact on peri-implantitis remains underexplored.</p><p><strong>Aim: </strong>To evaluate the evidence linking CPS to peri-implantitis.</p><p><strong>Methods: </strong>This systematic review was conducted according to the PRISMA guidelines. Publications searching PubMed, EMBASE, MEDLINE, Cochrane Library, and ClinicalTrials.gov for human studies published in English from 1983 to December 2024. Additionally, quality assessment of selected full-text articles were performed using the modified Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>From an initial total of 3964 studies, 4 cross-sectional studies comprising 432 participants met the inclusion criteria and consistently demonstrated a positive association between CPS and peri-implantitis. However, the findings are compromised by small sample sizes, study design limitations, methodological heterogeneity, and inadequate adjustment for critical confounders such as smoking and prior periodontitis.</p><p><strong>Conclusion: </strong>Cortisol levels in peri-implant sulcus fluid were linearly correlated with probing depth, with evidence suggesting this relationship may be independent of hyperglycemia. Depression emerged as the most significant CPS subtype associated with peri-implantitis. Additionally, CPS may amplify peri-implantitis inflammation by modulating cytokine expression effects. Long-term studies with larger, more diverse patient populations and careful control of confounding variables are needed to establish causality and understand the underlying mechanisms. Including psychological evaluations and stress management techniques in peri-implant care protocols could improve treatment outcomes and patient health.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 23","pages":"105762"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188844/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Clinical Cases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12998/wjcc.v13.i23.105762","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Chronic psychological stress (CPS) is increasingly recognized for its detrimental effects on systemic and oral health, yet its impact on peri-implantitis remains underexplored.

Aim: To evaluate the evidence linking CPS to peri-implantitis.

Methods: This systematic review was conducted according to the PRISMA guidelines. Publications searching PubMed, EMBASE, MEDLINE, Cochrane Library, and ClinicalTrials.gov for human studies published in English from 1983 to December 2024. Additionally, quality assessment of selected full-text articles were performed using the modified Newcastle-Ottawa Scale.

Results: From an initial total of 3964 studies, 4 cross-sectional studies comprising 432 participants met the inclusion criteria and consistently demonstrated a positive association between CPS and peri-implantitis. However, the findings are compromised by small sample sizes, study design limitations, methodological heterogeneity, and inadequate adjustment for critical confounders such as smoking and prior periodontitis.

Conclusion: Cortisol levels in peri-implant sulcus fluid were linearly correlated with probing depth, with evidence suggesting this relationship may be independent of hyperglycemia. Depression emerged as the most significant CPS subtype associated with peri-implantitis. Additionally, CPS may amplify peri-implantitis inflammation by modulating cytokine expression effects. Long-term studies with larger, more diverse patient populations and careful control of confounding variables are needed to establish causality and understand the underlying mechanisms. Including psychological evaluations and stress management techniques in peri-implant care protocols could improve treatment outcomes and patient health.

中老年人心理压力与种植体周围健康关系的证据:一项系统综述。
背景:慢性心理应激(CPS)对全身和口腔健康的不利影响越来越被人们所认识,但其对种植体周围炎的影响仍未得到充分探讨。目的:评价CPS与种植体周围炎的关系。方法:本系统评价按照PRISMA指南进行。出版物搜索PubMed, EMBASE, MEDLINE, Cochrane Library和ClinicalTrials.gov从1983年到2024年12月发表的英文人类研究。此外,采用改进的纽卡斯尔-渥太华量表对选定的全文文章进行质量评估。结果:从最初总共3964项研究中,4项横断面研究包括432名参与者符合纳入标准,并一致证明CPS与种植体周围炎之间存在正相关。然而,研究结果受到样本量小、研究设计局限性、方法异质性以及对吸烟和既往牙周炎等关键混杂因素调整不足的影响。结论:植入体周围沟液中的皮质醇水平与探测深度呈线性相关,有证据表明这种关系可能与高血糖无关。抑郁症是与种植体周围炎相关的最显著的CPS亚型。此外,CPS可能通过调节细胞因子的表达效应来放大种植体周围的炎症。需要对更大、更多样化的患者群体进行长期研究,并仔细控制混杂变量,以确定因果关系并了解潜在机制。包括心理评估和压力管理技术在内的围种植期护理方案可以改善治疗效果和患者健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信