periodontologyПародонтологияParodontologiya1683-37591726-7269Russian Periodontal Association (RPA)10.33925/1683-3759-2021-26-1-28-32periodontology-425Research ArticleИССЛЕДОВАНИЕRESEARCHВлияние стресса на клинические исходы безоперационной пародонтальной терапии у пациентов с тяжелым генерализованным пародонтитомImpact of stress on clinical outcomes of non-surgical periodontal therapy in patients with severe generalized periodontitishttps://orcid.org/0000-0003-4622-028XБебарсА.BebarsA.

Bebars Ahmad, д.м.н., кафедра хирургических наук, C.I.R. стоматологическая школа, отделение пародонтологии

Турин

Bebars, Ahmad, DSc, Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology

Turin

ahmad_bebars@hotmail.comhttps://orcid.org/0000-0002-5172-299XРоманоФ.RomanoF.

Romano Federica, д.м.н., кафедра хирургических наук, C.I.R. стоматологическая школа, отделение пародонтологии

Турин

Romano, Federica, DSc, Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology

Turin

federica.romano@unito.ithttps://orcid.org/0000-0003-4553-7234ДжираудиМ.GiraudiM.

Giraudi Marta, д.м.н., кафедра хирургических наук, C.I.R.стоматологическая школа, отделение пародонтологии

Турин

Giraudi, Marta, DSc, Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology

Turin

marta.giraudi@gmail.comhttps://orcid.org/0000-0002-4217-8208ОртуВ.OrtuV.

Ortu Valentina, психолог, частная практика

Турин

Ortu, Valentina, Phycologist, Private Practice

Turin

val.ortu@gmail.comhttps://orcid.org/0000-0003-0354-6095СеккаИ.SekkaI.

Sekka Imane, д.м.н., частная практика

Турин

Sekka, Imane, DSc, Private Practice

Turin

https://orcid.org/0000-0001-8861-045XМассаноЕ.MassanoE.

Massano Erica, гигиенист стоматологический, частная практика

Турин

Massano, Erica, Dental Hygienist, Private Practice

Turin

massanoerica@gmail.comhttps://orcid.org/0000-0002-5740-698XМарианиГ. М.MarianiG. M.

Mariani Giulia Maria, д.м.н., кафедра хирургических наук, C.I.R. стоматологическая школа, отделение пародонтологии

Турин

Mariani, Giulia Maria, DSc, Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology

Turin

giuliamaria.mariani@unito.ithttps://orcid.org/0000-0003-0657-0787АйметтиМ.AimettiM.

Aimetti Mario, д.м.н., кафедра хирургических наук, C.I.R. стоматологическая школа, отделение пародонтологии

Турин

Aimetti, Mario, MD, DSc, Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology

Turin

mario.aimetti@unito.itСтоматологическая школа Туринского университетаИталияDental School of the University of TurinItaly2021040320212612832Copyright © Бебарс А., Романо Ф., Джирауди М., Орту В., Секка И., Массано Е., Мариани Г.М., Айметти М., 20212021Бебарс А., Романо Ф., Джирауди М., Орту В., Секка И., Массано Е., Мариани Г.М., Айметти М.Bebars A., Romano F., Giraudi M., Ortu V., Sekka I., Massano E., Mariani G.M., Aimetti M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.parodont.ru/jour/article/view/425

Актуальность. Цель исследования– оценить влияние психоэмоционального стресса на клинические результаты безоперационной пародонтальной терапии у пациентов, страдающих генерализованным пародонтитом тяжелой степени тяжести.Материалы и методы. Пациенты получили два психологических опросника для оценки уровня стресса, при этом клинические параметры записывались за одну неделю до и через шесть недель после безоперационной пародонтальной терапии.Результаты. 55 пациентов были последовательно включены в исследование и разделены на две группы в зависимости от уровня стресса (низкий уровень n = 22 и средний / высокий уровень n = 33). Исходно группы были однородными по клиническим параметрам. В то время как снижение показателя кровотечения изо рта было больше в группе с низким уровнем стресса в конце безоперационной пародонтальной терапии, улучшение других клинических параметров было сопоставимым между группами с равным контролем неудовлетворительной индивидуальной гигиены полости рта.Заключение. Психосоциальный стресс отрицательно влияет на результаты безоперационной пародонтальной терапии, и пациенты с высоким уровнем стресса могут представлять категорию риска для прогрессирования заболевания.

Relevance. Aim – to assess the impact of psychosocial stress on the clinical outcomes in severe periodontitis patients treated with Nonsurgical Periodontal Therapy (NPT).Materials and methods. Patients received 2 psychological questionnaires to score their stress levels, while clinical data were obtained 1 week before and six weeks after the completion of NPT.Results. A total of 55 patients were consecutively included in the study and subsequently categorized into different stress levels (low stress level n = 22 and moderate/high stress level n = 33). All clinical parameters were found to be comparable at baseline between groups. While reduction in full-mouth bleeding scores was found to be statistically significantly lower in group with higher stress levels, a similar improvement in the other clinical parameters was observed at the completion of NPT.Conclusion. Psychosocial stress seems to influence negatively the results of NPT and highly stressed patients may represent a risk category for disease progression.

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The authors declare that there are no conflicts of interest present.