Objective: Depression leads to behavioral and systemic changes making individuals more susceptible to inflammatory diseases. This study was conducted to assess the periodontal status of patients with clinically diagnosed mild and moderate depression. Subjects and Methods: This cross-sectional study included 135 participants. Test group 1 (n = 45) consisted of patients clinically diagnosed with mild depression, test group 2 (n = 45) included patients with moderate depression and the control group (n = 45) included non-depressive participants. Sociodemographic characteristics and periodontal parameters were recorded. Results: Plaque levels and gingival inflammation were significantly (p #x3c; 0.05) higher in mild and moderate depression patients than in controls. Significant greater number of sites with bleeding on probing, increasing probing pocket depth (PPD), sites with PPD 4–5 mm, ≥6 mm, attachment loss 3–4 mm, and high prevalence with grade C periodontitis were observed in moderate depression patients, compared to patients with mild depression and healthy controls. On applying partial correlation, periodontal parameters were positively correlated with depression, while a negative correlation was found with income status. On regression analysis, bleeding on probing as a dependent variable was also associated with depression. Conclusions: Patients with moderate depression showed high periodontal destruction and inflammation as compared to those with mild depression. Further, deep pockets were associated with depressive patients. Periodontal care is required in such patients so that the progression of periodontal diseases can be prevented at the earliest.


中文翻译：

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抑郁症患者牙周状况的评估：横断面研究

目的：抑郁症导致行为和全身改变，使个体更容易患上炎症性疾病。本研究旨在评估临床诊断为轻度和中度抑郁症患者的牙周状况。对象和方法：这项横断面研究包括 135 名参与者。测试组 1（ n = 45）由临床诊断为轻度抑郁症的患者组成，测试组 2（ n = 45）包括中度抑郁症患者，对照组（ n = 45）包括非抑郁症参与者。记录社会人口学特征和牙周参数。结果：菌斑水平和牙龈炎症显着（p #x3c; 0.05) 在轻​​度和中度抑郁症患者中高于对照组。在中度抑郁症患者中观察到探诊出血、探诊袋深度 (PPD) 增加、PPD 4-5 毫米、≥6 毫米、附着丧失 3-4 毫米以及 C 级牙周炎患病率高的部位数量显着增加，与轻度抑郁症患者和健康对照者相比。在应用偏相关时，牙周参数与抑郁症呈正相关，而与收入状况呈负相关。在回归分析中，作为因变量的探诊出血也与抑郁症相关。结论：与轻度抑郁症患者相比，中度抑郁症患者表现出较高的牙周破坏和炎症。此外，财大气粗与抑郁症患者有关。此类患者需要进行牙周护理，以尽早预防牙周病的发展。