Association between anxiety and sleep quality in periodontally healthy, gingivitis, and periodontitis patients

Authors

  • Padam Singh
  • Amitabh Varshney
  • Ravindra kumar Singh
  • Geetanjali Gupta
  • kumari Annu Tripathy
  • Akanksha Singh

Keywords:

Periodontitis, Pittsburgh Sleep Quality Index, sleep quality

Abstract

Background:Periodontitis, a chronic inflammatory condition, can progressively damage the tissues that support teeth, leading to tooth loss. The present study was conducted to assess association between anxiety and sleep quality in periodontally healthy, gingivitis, and periodontitis patients.

Materials & Methods:70 patients of both genderswere divided into 2 groups of 35 each. Group I was gingivitis and group II was periodontitis group. Healthy controls (35) were put in group III. The sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI).

Results:Group I had 16 males and 19 females, group II had 18 males and 17 females. The mean sleep quality score in group I was 5.3±1.5, in group II was 6.8±2.3 and in group III was 2.1±1.0. The difference was significant (P< 0.05). Sleep quality score in age >35 years was 4.1±1.8 and in age <35 years was 5.4± 1.3. Among daily tooth brushing habit subjects was 4.5± 1.1 and occasional was 4.1± 0.7. Among males was 4.7± 2.8 and in females was 4.9± 1.7. The difference was non- significant (P> 0.05).

Conclusion: The sleep quality of periodontal patientswas significantly lower than that of healthy individuals.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Gunaratnam K, Taylor B, Curtis B, Cistulli P. Obstructive sleep apnoea and periodontitis: a novel association? Sleep Breath. 2009; 13: 233-239.

Irwin MR. Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev Psychol. 2015; 66: 143-172.

Wolk R, Gami AS, Garcia-Touchard A, Somers VK, Rahimtoola SH. Sleep and cardiovascular disease. Curr ProblCardiol. 2005; 30: 625-662.

Irwin MR, Carrillo C, Olmstead R. Sleep loss activates cellular markers of inflammation: sex differences. Brain Behav Immun. 2010; 24: 54-57.

Frey DJ, Fleshner M, Wright KP Jr. The effects of 40 hours of total sleep deprivation on inflammatory markers in healthy young adults. Brain Behav Immun. 2007; 21: 1050-1057.

Velázquez-Moctezum J, Esqueda-León E, Ibarra-Coronado E. Reciprocal relationship between sleep and the immune response: a survey. Open Neuroendocrinology J. 2010; 3: 215-220.

Karaaslan F, Dikilitaş A. The association between stagegrade of periodontitis and sleep quality and oral health related quality of life. J Periodontol. 2019; 90: 1133-1141.

Islam MM, Ekuni D, Toyama N, Taniguchi-Tabata A, Kataoka K, Uchida-Fukuhara Y, et al. Association between Sleep Quality and Duration and Periodontal Disease among University Students: A Cross-Sectional Study. Int J Environ Res Public Health. 2020;17: 3034.

Muniz FWMG, Pola NM, Silva CFE, Silva FGD, Casarin M. Are periodontal diseases associated with sleep duration or sleep quality? A systematic review. Arch Oral Biol. 2021; 129: 105184.

Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018; 89: 1475.

Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and metaanalysis. Sleep Med Rev. 2016; 25: 52-73.

Kolte AP, Kolte RA, Verma AS, Rathi PR, Ghoderao D. Association between anxiety and sleep quality in periodontally healthy, gingivitis, and periodontitis patients: A cross-sectional study. Journal of Indian Society of Periodontology. 2024 Nov 1;28(6):680-4.

KamalianMehrizi F, Hosseini Yekani A, Rashidi Maybodi F. Association between Sleep Quality and Periodontal Status: A Case-Control Study. J Dent Shiraz Univ Med Sci. March 2025; 26(1): 69-75.

Bao Y, Qin L, Hao M, Jiang Z, Wang Y, Pu R. Association between severe periodontitis and sleep quality: Results from the NHANES, 2009–2014. Journal of Medicine, Surgery, and Public Health. 2024 Aug 1;3:100114.

Downloads

Published

2025-04-21

How to Cite

1.
Singh P, Varshney A, Singh R kumar, Gupta G, Tripathy kumari A, Singh A. Association between anxiety and sleep quality in periodontally healthy, gingivitis, and periodontitis patients. J Neonatal Surg [Internet]. 2025Apr.21 [cited 2025Oct.7];14(16S):259-62. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/4239