Relationship Between Oral Hygiene Habits, Depressive Symptomatology, and Clinical Attachment Loss
Published
Sep 29, 2020
Almetrics
Dimensions
Google Scholar
José Moral de la Rubia
https://orcid.org/0000-0003-1856-1458
Norma Idalia Rodríguez Franco
https://orcid.org/0000-0001-6664-3429
https://orcid.org/0000-0003-1856-1458
Norma Idalia Rodríguez Franco
https://orcid.org/0000-0001-6664-3429
##plugins.themes.bootstrap3.article.details##
Abstract
Background: It is not clear if depressive symptomatology has a significant effect on periodontitis or what its route of action is. Purpose: To test the direct relationship between oral hygiene habits and clinical attachment loss, as well as the effect of depressive symptomatology on clinical attachment loss, either directly or mediated by oral hygiene habits. Methods: Non-probability convenience sampling was used in three populations. The Beck Depression Inventory-II and the Oral Hygiene Habits Scale were administered, and clinical attachment loss was assessed in 35 dental patients with periodontitis, 26 mental health patients with depressive symptomatology, and 29 without people without these conditions. Results: Worse oral hygiene habits had a significant direct effect on a greater clinical attachment loss among those without the conditions. The effect of depression on clinical attachment loss was significant, direct, and not mediated by oral hygiene habits among dental patients and those without the conditions. Its effect was small and not significant among mental health patients. The sense of the prediction of greater depressive symptomatology was towards a greater clinical attachment loss in the general population and mental health patients according to the expectation, but its sense is the opposite in dental patients. Conclusions: The revised model in dental patients, with an inverse direction in the last path, shows the effect of positive expectations of recovering oral health.
Keywords
clinical attachment loss, dentistry, depression, depressive disorder, health-related psychological factors, mental health, oral hygiene, periodontal disease, periodontitis, psychology, psychosomatic medicinedepresión, enfermedad periodontal, factores psicológicos relacionados con la salud, higiene bucal, medicina psicosomática, odontología, pérdida de inserción clínica, periodontitis, psicología, salud mental, trastorno depresivodepressão, doença periodontal, fatores psicológicos relacionados à saúde, higiene bucal, medicina psicossomática, periodontite, psicologia, saúde mental, transtorno depressivo
References
1. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS. Periodontitis: Consensus report of Workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions, J Clin Periodontol. 2018 Jun; 45(20): S162-S170, http://doi.org/10.1111/jcpe.12946
2. Shiau HJ, Periodontal disease in women and men. Curr Oral Health Rep. 2018 Sep; 5(1): 250-254. http://doi.org/10.1007/s40496-018-0195-x
3. Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – a comprehensive review. J Clin Periodontol. 2017 Mar; 44(18): S94-S105. http://doi.org/10.1111/jcpe.12677
4. Secretaría de Salud. Resultados del Sistema de Vigilancia Epidemiológica de Patologías Bucales. SIVEPAB 2017. Ciudad de México, México: Secretaría de Salud; 2017.
5. Caton J, Armitage G, Berglundh T, Chapple I, Jepsen S, Kornman K, Mealy B, Papapanou P, Sanz M, Tonetti M. A new classification scheme for periodontal and periimplant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun; 45(20): S1-S8. http://doi.org/10.1111/jcpe.12935.
6. Zerón A. Editorial. Rev ADM. 2017 Abr; 74(2): 62.
7. Duque A. Prevalencia de periodontitis crónica en Iberoamérica. Rev Clin Periodoncia Implantol Rehabil Oral. 2016 Ago; 9(2): 208-215. http://doi.org/10.1016/j.piro.2016.07.005
8. Bhopal RS. Concepts of epidemiology: integrating the ideas, theories, principles, and methods of epidemiology. 3rd ed. Oxford, UK: Oxford UP; 2016.
9. Bouchard P, Carra MC, Boillot A, Mora F, Rangé H. Risk factors in periodontology: a conceptual framework. J Clin Periodontol. 2017 Feb; 44(1): 125-131. http://doi.org/10.1111/jcpe.12650
10. Lertpimonchai A, Rattanasiri S, Arj‐Ong Vallibhakara S, Attia J, Thakkinstian A. The association between oral hygiene and periodontitis: a systematic review and meta‐analysis. Int Dent J. 2017 Dec; 67(6): 332-343. http://doi.org/10.1111/idj.12317
11. De David SC, Mário TG, De Freitas GC, Kantorski KZ, Wikesjö UME, Moreira CHC. Correlation between plaque control and gingival health using short and extended oral hygiene intervals. Clin Oral Invest. 2018 Feb; 22(7): 2593-2597. http://doi.org/10.1007/s00784-018-2358-5
12. De Sá Junior RA, De Andrade AG, Andrade LH, Gorenstein C, Wang YP. Response pattern of depressive symptoms among college students: What lies behind items of the Beck Depression Inventory-II? J Affect Disord. 2018 Jul; 234(1): 124-130. http://doi.org/10.1016/j.jad.2018.02.064
13. Hashioka S, Inoue K, Hayashida M, Wake R, Oh-Nishi A, Miyaoka T. Implications of systemic inflammation and periodontitis for major depression. Front Neurosci. 2018 Jul; 12(1): 483. http://doi.org/10.3389/fnins.2018.00483
14. Nascimento GG, Gastal MT, Leite FRM, Quevedo LA, Peres KG, Peres MA, Horta BL, Barros FC, Demarco FF. Is there an association between depression and periodontitis? A birth cohort study. J Clin Periodontol. 2019 Jan; 46(1): 31-39. http://doi.org/10.1111/jcpe.13039
15. Araújo MM, Martins CC, Costa LC, Cota LO, Faria RL, Cunha FA, Costa FO. Association between depression and periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2016 Mar; 43(3): 216-228. http://doi.org/10.1111/jcpe.12510
16. Park HJ, Lee HJ, Cho SH. Influences of oral health behaviors, depression and stress on periodontal disease in pregnant women. J Korean Acad Nurs. 2016 Oct; 46(5): 653-662. http://doi.org/10.4040/jkan.2016.46.5.653
17. Warren KR, Postolache TT, Groer ME. Role of chronic stress and depression in periodontal diseases. Periodontol 2000. 2014 Feb; 64(1): 127-138. http://doi.org/10.1111/jcpe.13039
18. Bolton D, Gillett G. The biopsychosocial model of health and disease, New York: Palgrave Pivot; 2019. http://doi.org/10.1007/978-3-030-11899-0
19. Chávez EM, Wong LM, Subar P, Young DA, Wong A. Dental care for geriatric and special needs populations. Dent Clin North Am. 2018 Apr; 62(2): 245-267. http://doi.org10.1016/j.cden.2017.11.005
20. Beck AT, Steer RA, Brown GK. Manual for the BDI-II. San Antonio, TX: Psychological Corp; 1996.
21. Hiles SA, Baker AL, de Malmanche T, Attia J. Interleukin-6, C-reactive protein and interleukin-10 after antidepressant treatment in people with depression: a meta-analysis. Psychol Med. 2012 Oct; 42(10): 2015-2026. http://doi.org/10.1017/S0033291712000128
22. Román R, Zerón. A Risk factors associated with periodontal disease. Rev Mex Periodontol. 2015 May; 6(2): 62-66.
23. González DA, Reséndiz-Rodríguez A, Reyes-Lagunes I. Adaptation of the BDI-II in Mexico. Salud Ment. 2015 Sep; 38(4): 237-244. http://doi.org/10.17711/SM.0185-3325.2015.033
24. Moral J, Rodríguez NI. Estructura factorial y consistencia interna de la Escala de Hábitos de Higiene Bucal en muestras de población general y clínica odontológica. Ciencia UAT. 2017 Jun; 12(1): 36-51.
25. Secretaría de Salud. Decreto por el que se reforman, adicionan y derogan diversas disposiciones del Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Diario Oficial de la Federación. 2014 Abril 2: 1-6.
26. Bujang MA, Sapri FE. An application of the runs test to test for randomness of observations obtained from a clinical survey in an ordered population. Malays J Med Sci. 2018 Jul; 25(4): 146-151. http://doi.org/10.21315/mjms2018.25.4.15
27. Viladrich C, Angulo-Brunet A, Doval E. A journey around alpha and omega to estimate internal consistency reliability. Ann Psychol. 2017 Jul; 33(3): 755-782. http://doi.org/10.6018/analesps.33.3.268401
28. Özdemir HF, Toraman Ç, Kutlu Ö. The use of polychoric and Pearson correlation matrices in the determination of construct validity of Likert type scales, Turkish J Educ. 2019 Jul; 8(3): 180-195. http://doi.org/10.19128/turje.519235
29. Barendse MT, Oort FJ, Timmerman ME. Using exploratory factor analysis to determine the dimensionality of discrete responses. Structural Equation Modeling: A Multidisciplinary J. 2015 Aug; 22(1): 87-101. http://doi.org/10.1080/10705511.2014.934850
30. DeVellis F. Scale development: theory and applications. 4a ed. Los Angeles, CA: SAGE; 2016.
31. Fidelis I, Sunday OE. Application and relevance of path analysis in casual modeling. Global J Arts Hum Soc Sci. 2018 Oct; 6(10): 26-50.
32. Jackson DL Sample size and number of parameter estimates in maximum likelihood confirmatory factor analysis: A Monte Carlo investigation. Structural Equation Modeling: A Multidisciplinary J. 2001 Nov; 8(2): 205-223. http://doi.org/10.1207/S15328007SEM0802_3
33. Preacher KJ, Selig JP. Advantages of Monte Carlo confidence intervals for indirect effects. Communication Methods and Measures. 2012 Apr; 6(2): 77-98. http://doi.org/10.1080/19312458.2012.679848
34. Schoemann AM, Boulton AJ, Short SD. Determining power and sample size for simple and complex mediation models. Soc Psychol Personality Sci. 2017 Jun; 8(4): 379-386. http://doi.org/10.1177/1948550617715068
35. Byrne B. Structural equation modelling with AMOS: Basic concepts, applications, and programming. 3a ed. New York, USA: Routledge; 2016. http://doi.org/10.4324/9781315757421
36. Consejo Nacional de Población. La situación demográfica de México 2018. Ciudad de México, México: Secretaría de Gobernación y CONAPO; 2019.
37. Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry. 2017 Feb; 4(2): 146-158. http://doi.org/10.1016/S2215-0366(16)30263-2
38. Instituto Nacional de Estadística y Geografía. Censo de población y vivienda 2010. Principales resultados por localidad. Aguascalientes, México: INEGI; 2010.
39. Doshi T, Smalls BL, Williams JS, Wolfman TE, Egede LE. Socioeconomic status and cardiovascular risk control in adults with diabetes. Am J Med Sci. 2016 Jul; 352(1): 36-44. http://doi.org/10.1016/j.amjms.2016.03.020
40. Zang E, Bardo AR. Objective and subjective socioeconomic status, their discrepancy, and health: evidence from East Asia. Soc Indic Res. 2019 Sep; 143(3): 765-794. http://doi.org/10.1007/s11205-018-1991-3
41. Carasol M, Llodra JC, Fernández‐Meseguer A, Bravo M, García-Margallo MT, Calvo-Bonacho E, Sanz M, Herrera D. Periodontal conditions among employed adults in Spain. J Clin Periodontol. 2016 Jul; 43(7): 548-56. http://doi.org/10.1111/jcpe.12558
42. Ospina D, Herrera Y, Betancur J, Bayron-Agudelo H, Posada-López A. Higiene bucal en la población de San Francisco, Colombia, y sus factores relacionados. Rev Nac Odontol. 2016 Jan; 12(22): 23-30. http://doi.org/10.16925/od.v12i22.1203
43. Rodríguez N, Moral J. Validation of the oral hygiene habits scale: relationships with sociodemographic variables in the general and clinical population of Monterrey, Mexico. J Oral Res. 2016 Dic; 5(8): 314-319. http://doi.org/10.17126/joralres.2016.065
44. Rief W, Joormann J. Revisiting the cognitive model of depression: The role of expectations. Clin Psychol Europe. 2019 Mar; 1(1): e32605. http://doi.org/10.32872/cpe.v1i1.32605
45. Reddy BH, Madhuri GL, Chandrakala K, Rajesh N, Chandra RV, Nagarajan S. Limiting the placebo and Hawthorne effect in periodontal clinical trials: current concepts and future directions. J Res Adv Dent. 2018 Apr; 7(3): 137-145.
46. Eliav E. Editorial: Placebo analgesia in dentistry. Quintessence Int. 2018 Sep; 49(8): 605. http://doi.org/10.3290/j.qi.a40935
2. Shiau HJ, Periodontal disease in women and men. Curr Oral Health Rep. 2018 Sep; 5(1): 250-254. http://doi.org/10.1007/s40496-018-0195-x
3. Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – a comprehensive review. J Clin Periodontol. 2017 Mar; 44(18): S94-S105. http://doi.org/10.1111/jcpe.12677
4. Secretaría de Salud. Resultados del Sistema de Vigilancia Epidemiológica de Patologías Bucales. SIVEPAB 2017. Ciudad de México, México: Secretaría de Salud; 2017.
5. Caton J, Armitage G, Berglundh T, Chapple I, Jepsen S, Kornman K, Mealy B, Papapanou P, Sanz M, Tonetti M. A new classification scheme for periodontal and periimplant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun; 45(20): S1-S8. http://doi.org/10.1111/jcpe.12935.
6. Zerón A. Editorial. Rev ADM. 2017 Abr; 74(2): 62.
7. Duque A. Prevalencia de periodontitis crónica en Iberoamérica. Rev Clin Periodoncia Implantol Rehabil Oral. 2016 Ago; 9(2): 208-215. http://doi.org/10.1016/j.piro.2016.07.005
8. Bhopal RS. Concepts of epidemiology: integrating the ideas, theories, principles, and methods of epidemiology. 3rd ed. Oxford, UK: Oxford UP; 2016.
9. Bouchard P, Carra MC, Boillot A, Mora F, Rangé H. Risk factors in periodontology: a conceptual framework. J Clin Periodontol. 2017 Feb; 44(1): 125-131. http://doi.org/10.1111/jcpe.12650
10. Lertpimonchai A, Rattanasiri S, Arj‐Ong Vallibhakara S, Attia J, Thakkinstian A. The association between oral hygiene and periodontitis: a systematic review and meta‐analysis. Int Dent J. 2017 Dec; 67(6): 332-343. http://doi.org/10.1111/idj.12317
11. De David SC, Mário TG, De Freitas GC, Kantorski KZ, Wikesjö UME, Moreira CHC. Correlation between plaque control and gingival health using short and extended oral hygiene intervals. Clin Oral Invest. 2018 Feb; 22(7): 2593-2597. http://doi.org/10.1007/s00784-018-2358-5
12. De Sá Junior RA, De Andrade AG, Andrade LH, Gorenstein C, Wang YP. Response pattern of depressive symptoms among college students: What lies behind items of the Beck Depression Inventory-II? J Affect Disord. 2018 Jul; 234(1): 124-130. http://doi.org/10.1016/j.jad.2018.02.064
13. Hashioka S, Inoue K, Hayashida M, Wake R, Oh-Nishi A, Miyaoka T. Implications of systemic inflammation and periodontitis for major depression. Front Neurosci. 2018 Jul; 12(1): 483. http://doi.org/10.3389/fnins.2018.00483
14. Nascimento GG, Gastal MT, Leite FRM, Quevedo LA, Peres KG, Peres MA, Horta BL, Barros FC, Demarco FF. Is there an association between depression and periodontitis? A birth cohort study. J Clin Periodontol. 2019 Jan; 46(1): 31-39. http://doi.org/10.1111/jcpe.13039
15. Araújo MM, Martins CC, Costa LC, Cota LO, Faria RL, Cunha FA, Costa FO. Association between depression and periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 2016 Mar; 43(3): 216-228. http://doi.org/10.1111/jcpe.12510
16. Park HJ, Lee HJ, Cho SH. Influences of oral health behaviors, depression and stress on periodontal disease in pregnant women. J Korean Acad Nurs. 2016 Oct; 46(5): 653-662. http://doi.org/10.4040/jkan.2016.46.5.653
17. Warren KR, Postolache TT, Groer ME. Role of chronic stress and depression in periodontal diseases. Periodontol 2000. 2014 Feb; 64(1): 127-138. http://doi.org/10.1111/jcpe.13039
18. Bolton D, Gillett G. The biopsychosocial model of health and disease, New York: Palgrave Pivot; 2019. http://doi.org/10.1007/978-3-030-11899-0
19. Chávez EM, Wong LM, Subar P, Young DA, Wong A. Dental care for geriatric and special needs populations. Dent Clin North Am. 2018 Apr; 62(2): 245-267. http://doi.org10.1016/j.cden.2017.11.005
20. Beck AT, Steer RA, Brown GK. Manual for the BDI-II. San Antonio, TX: Psychological Corp; 1996.
21. Hiles SA, Baker AL, de Malmanche T, Attia J. Interleukin-6, C-reactive protein and interleukin-10 after antidepressant treatment in people with depression: a meta-analysis. Psychol Med. 2012 Oct; 42(10): 2015-2026. http://doi.org/10.1017/S0033291712000128
22. Román R, Zerón. A Risk factors associated with periodontal disease. Rev Mex Periodontol. 2015 May; 6(2): 62-66.
23. González DA, Reséndiz-Rodríguez A, Reyes-Lagunes I. Adaptation of the BDI-II in Mexico. Salud Ment. 2015 Sep; 38(4): 237-244. http://doi.org/10.17711/SM.0185-3325.2015.033
24. Moral J, Rodríguez NI. Estructura factorial y consistencia interna de la Escala de Hábitos de Higiene Bucal en muestras de población general y clínica odontológica. Ciencia UAT. 2017 Jun; 12(1): 36-51.
25. Secretaría de Salud. Decreto por el que se reforman, adicionan y derogan diversas disposiciones del Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Diario Oficial de la Federación. 2014 Abril 2: 1-6.
26. Bujang MA, Sapri FE. An application of the runs test to test for randomness of observations obtained from a clinical survey in an ordered population. Malays J Med Sci. 2018 Jul; 25(4): 146-151. http://doi.org/10.21315/mjms2018.25.4.15
27. Viladrich C, Angulo-Brunet A, Doval E. A journey around alpha and omega to estimate internal consistency reliability. Ann Psychol. 2017 Jul; 33(3): 755-782. http://doi.org/10.6018/analesps.33.3.268401
28. Özdemir HF, Toraman Ç, Kutlu Ö. The use of polychoric and Pearson correlation matrices in the determination of construct validity of Likert type scales, Turkish J Educ. 2019 Jul; 8(3): 180-195. http://doi.org/10.19128/turje.519235
29. Barendse MT, Oort FJ, Timmerman ME. Using exploratory factor analysis to determine the dimensionality of discrete responses. Structural Equation Modeling: A Multidisciplinary J. 2015 Aug; 22(1): 87-101. http://doi.org/10.1080/10705511.2014.934850
30. DeVellis F. Scale development: theory and applications. 4a ed. Los Angeles, CA: SAGE; 2016.
31. Fidelis I, Sunday OE. Application and relevance of path analysis in casual modeling. Global J Arts Hum Soc Sci. 2018 Oct; 6(10): 26-50.
32. Jackson DL Sample size and number of parameter estimates in maximum likelihood confirmatory factor analysis: A Monte Carlo investigation. Structural Equation Modeling: A Multidisciplinary J. 2001 Nov; 8(2): 205-223. http://doi.org/10.1207/S15328007SEM0802_3
33. Preacher KJ, Selig JP. Advantages of Monte Carlo confidence intervals for indirect effects. Communication Methods and Measures. 2012 Apr; 6(2): 77-98. http://doi.org/10.1080/19312458.2012.679848
34. Schoemann AM, Boulton AJ, Short SD. Determining power and sample size for simple and complex mediation models. Soc Psychol Personality Sci. 2017 Jun; 8(4): 379-386. http://doi.org/10.1177/1948550617715068
35. Byrne B. Structural equation modelling with AMOS: Basic concepts, applications, and programming. 3a ed. New York, USA: Routledge; 2016. http://doi.org/10.4324/9781315757421
36. Consejo Nacional de Población. La situación demográfica de México 2018. Ciudad de México, México: Secretaría de Gobernación y CONAPO; 2019.
37. Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry. 2017 Feb; 4(2): 146-158. http://doi.org/10.1016/S2215-0366(16)30263-2
38. Instituto Nacional de Estadística y Geografía. Censo de población y vivienda 2010. Principales resultados por localidad. Aguascalientes, México: INEGI; 2010.
39. Doshi T, Smalls BL, Williams JS, Wolfman TE, Egede LE. Socioeconomic status and cardiovascular risk control in adults with diabetes. Am J Med Sci. 2016 Jul; 352(1): 36-44. http://doi.org/10.1016/j.amjms.2016.03.020
40. Zang E, Bardo AR. Objective and subjective socioeconomic status, their discrepancy, and health: evidence from East Asia. Soc Indic Res. 2019 Sep; 143(3): 765-794. http://doi.org/10.1007/s11205-018-1991-3
41. Carasol M, Llodra JC, Fernández‐Meseguer A, Bravo M, García-Margallo MT, Calvo-Bonacho E, Sanz M, Herrera D. Periodontal conditions among employed adults in Spain. J Clin Periodontol. 2016 Jul; 43(7): 548-56. http://doi.org/10.1111/jcpe.12558
42. Ospina D, Herrera Y, Betancur J, Bayron-Agudelo H, Posada-López A. Higiene bucal en la población de San Francisco, Colombia, y sus factores relacionados. Rev Nac Odontol. 2016 Jan; 12(22): 23-30. http://doi.org/10.16925/od.v12i22.1203
43. Rodríguez N, Moral J. Validation of the oral hygiene habits scale: relationships with sociodemographic variables in the general and clinical population of Monterrey, Mexico. J Oral Res. 2016 Dic; 5(8): 314-319. http://doi.org/10.17126/joralres.2016.065
44. Rief W, Joormann J. Revisiting the cognitive model of depression: The role of expectations. Clin Psychol Europe. 2019 Mar; 1(1): e32605. http://doi.org/10.32872/cpe.v1i1.32605
45. Reddy BH, Madhuri GL, Chandrakala K, Rajesh N, Chandra RV, Nagarajan S. Limiting the placebo and Hawthorne effect in periodontal clinical trials: current concepts and future directions. J Res Adv Dent. 2018 Apr; 7(3): 137-145.
46. Eliav E. Editorial: Placebo analgesia in dentistry. Quintessence Int. 2018 Sep; 49(8): 605. http://doi.org/10.3290/j.qi.a40935
How to Cite
Moral de la Rubia, J., & Rodríguez Franco, N. I. (2020). Relationship Between Oral Hygiene Habits, Depressive Symptomatology, and Clinical Attachment Loss. Universitas Odontologica, 39. https://doi.org/10.11144/Javeriana.uo39.rhhb
Issue
Section
Clinical Practice
This work is licensed under a Creative Commons Attribution 4.0 International License.