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Periodontal Treatment and Psychology

The Effect of Periodontal Treatment on Depression, Body Image, Self-Esteem and Anxiety in Depressed Patients: A Randomized Controlled Clinical Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03190512
Enrollment
184
Registered
2017-06-16
Start date
2015-05-04
Completion date
2016-09-01
Last updated
2017-06-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gum Disease

Keywords

Periodontal disease, depression, body image, self-esteem

Brief summary

There is a relationship between depression and periodontal disease. This relationship may be double-sided. A psychological state such as anxiety, depression, body image, and self-esteem may be affected from the symptoms of periodontal disease.

Detailed description

Background: Depression is a multi-factorial disease characterized by a variety of symptoms. Psychiatric disorders seem to be more prone to periodontitis compared to patients without psychiatric disorders. However periodontal disease and depression can be considered bidirectional risk factors. Periodontal disease can also be an effect on depression. The aim of this randomized controlled clinical study is to determine the effect of non-surgical mechanical periodontal treatment on psychological state. Material and methods: The study population consisted of 184 depressed patients with non-treated periodontal diseases. Two randomized group is formed from these patients. Immediately periodontal treatment (test group, n = 92) and delayed periodontal treatment (control group, n = 92). Clinical periodontal and psychological measures were performed at baseline and 6th weeks on control and test group.

Interventions

Four questionnaire tests for depression, body image, self-esteem, and anxiety was performed baseline and after 6 weeks.

Sponsors

Ozge Gokturk
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* the presence of periodontal diseases, * the presence of diagnosed minor depression * being under maintenance therapy regarding the depression

Exclusion criteria

* any hormonal condition such as pregnancy or lactation * received any periodontal treatment within six months

Design outcomes

Primary

MeasureTime frameDescription
Depression levelBaseline and after 6 weeksThe changes in depression level within 6 weeks. Depression level was determined using the Beck Depression Inventory.

Secondary

MeasureTime frameDescription
Anxiety levelBaseline and after 6 weeksThe changes in anxiety level within 6 weeks. Anxiety level was determined using the Beck Anxiety Inventory.
Self-esteem levelBaseline and after 6 weeksThe changes in self-esteem level within 6 weeks. Self-esteem level was determined using the Rosenberg Self-Esteem Scale.
Probing pocket depthBaseline and after 6 weeksThe changes in probing pocket depth after periodontal treatment.Probing pocket depth was measured for determining severity of disease and clinic outcome.
Body image levelBaseline and after 6 weeksThe changes in body image level within 6 weeks. Body image level was determined using the Body Cathexis Scale.
Gingival indexBaseline and after 6 weeksThe changes in gingival index level after periodontal treatment. Clinical attachment level was measured for determining severity of disease and clinic outcome.
Plaque indexBaseline and after 6 weeksThe changes in plaque index after periodontal treatment. Plaque index was recorded for determining and classifying oral hygiene status.
Bleeding on probingBaseline and after 6 weeksThe changes in bleeding on probing after periodontal treatment. Bleeding on probing was recorded for classifying and evaluating (apically) gingival inflammation.
Clinical attachment levelBaseline and after 6 weeksThe changes in clinical attachment level after periodontal treatment. Clinical attachment level was measured for determining severity of disease and clinic outcome.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026