How can stress affect the outcome of periodontal treatment?

Stress has a direct effect on the immune system, which can influence healing after periodontal treatment. When someone is stressed, the body produces stress hormones such as cortisol, which can worsen inflammatory processes. This can lead to delayed wound healing and an increased risk of infection after procedures such as scaling or surgery. In addition, stressed patients may pay less attention to oral hygiene, which increases the bacterial load. Emotional stress can also lead to tooth grinding (bruxism), which puts pressure on the gums and teeth. The combination of physical and emotional stress factors sometimes makes periodontal treatment less effective. Applying stress management, such as mindfulness or relaxation techniques, can improve the outcome. The periodontist can advise patients on reducing stress during the recovery period. Being open about stress and oral health helps in drawing up a personalised treatment plan. By addressing both physical and psychological factors, the chance of a successful recovery increases.