Oral hygiene practice and its relation with stress among the adult patient visiting the National Guard Hospital and Military Hospital in Madinah
واصفات البياناتعرض سجل المادة الكامل
Stress is increasing day by day in everyone’s life and it is likely to contribute to the progressive long term development of oral diseases. It can motivate individuals to cope in unhealthy ways that foster oral diseases. Chronic stress also contributes to high allostatic load that can lead to the dysfunction of physiological systems critical to homeostasis, and thus affect the underlying mechanisms of diseases progression, more generally. Methods: It was ahospital based cross sectional study which is completed in the period of 4 months. Total 511 patient were included in the study. A pretested questionnaire was used for data collection. The questionnaire included socio-demographic status, oral health practice. Stress was measured by using modified dental anxiety stress scale questionnaire having score 0 to 3 from never to severe stress. Three questions were reversed due to positive answer. Total score of stress was calculated by combing each score of every question. Total score is divided into three scale, low stress (0-14), Moderate stress (15-30) and severe stress (31- 45). Ethical permission was obtained from the ethical committee of Taibah University College of Dentistry. The statistical analysis was performed by the Statistical Package for Social Science (SPSS) version 21 (SPSS Inc., Chicago, IL, USA). The significant value was obtained by using Chi Square test and P < 0.05 is set to be significant. Results: Total study participants were 511 among them males 258 and females 253. Females (65%) were having severe stress as compared to males (35%) and there was no significant relation with gender (P = 0.170). Mostly younger age group (20-30 years) were under high stress (52%). Fifty eight percent of participants suffering from severe stress were smokers (P< 0.000) and 68% of the participants were having bleeding gum who suffered from severe stress (P = 0.009). Thirty nine percent of severe stress participants were cleaning their teeth only occassionally (P = 0.044) and among them 13% never cleaned their teeth (P <0.000). Regarding brushing of teeth maximum number of participants from all level of stress were using brush and toothpaste for cleaning of their teeth that was 66%, 77% and 68% respectively (P = 0.014). Only 10% of severe stress participants used nothing to clean interdental space (P = 0.469). Conclusion: It was observed that female and younger participants had severe stress. Among them more than fifty percent were smoker and having complain of bleeding gum. Number of severe stress participants were cleaning their mouth occasionally and some were not using interdental cleaning aids.