Improve Periodontal Disease with Yoga

 

By John M. de Castro, Ph.D.

 

“By stimulating saliva production through yoga practice, we can aid our bodies in reducing the growth of bacteria in our mouth and mitigating the spread of toxins through our bloodstream and in our digestive system. . . By reducing stress, improving posture, and stimulating saliva production, we can help prevent a number of dental health issues, from plaque buildup to enamel erosion and tooth decay. Using yoga practice for dental health combined with good oral hygiene practices . . . is an effective way to promote healthy teeth and gums.” – Carefree Dental 

 

If you asked most people what’s one of the most common health problems that people have, probably the last thing that they would come up with us oral health. Yet, about half of all American adults, around 65 million, have mild, moderate or severe periodontitis, the more advanced form of periodontal disease. In adults 65 and older, prevalence rates increase to over 70 percent. Periodontitis means “inflammation around the tooth” – it is a serious gum infection that damages the soft tissue and bone that supports the tooth. If it is not treated periodontitis will eventually lead to tooth loss, and increases the risk of stroke, heart attack and other health problems.

 

Treatment for periodontitis is straightforward including professional plaque removal and general at home oral hygiene. If severe, surgical procedures are called for. But, like many infections, periodontitis is exacerbated by stress. So, practices like mindfulness and yoga training, that reduce stress, may well help with periodontitis. In addition, mindfulness practices have been found to reduce the inflammatory response which would in turn reduce the inflammation of the gums.  So, it would make sense to investigate the effects of yoga practice on periodontal disease.

 

In today’s Research News article “Impact of yoga on periodontal disease and stress management.” See summary below or view the full text of the study at: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2017;volume=10;issue=3;spage=121;epage=127;aulast=Sudhanshu, Sudhanshu and colleagues recruited adult patients with periodontal disease and randomly assigned them to either receive treatment as usual or to receive treatment as usual plus 3 months of yoga practice. The yoga intervention was practiced for 1 hour per day for 6 days per week and consisted of postures, breathing exercises, meditation, and relaxation. Before, during (every month), and after treatment the patients were measured for perceived stress and periodontal health, including measures of plaque, pocket depth, clinical attachment loss, and bleeding.

 

They found that after treatment the yoga practice group, in comparison to baseline and the treatment as usual group, had significant improvements in plaque, pocket depth, clinical attachment loss, bleeding, and perceived stress. They also found that for the treatment as usual group the greater the stress, the greater the plaque index and pocket depth, indicating a strong positive relationship between periodontal disease and stress. On the other hand, for the yoga group, who had reduced stress, the relationships between periodontal disease and stress were greatly weakened.

 

These results are very significant. This suggests that the yoga treatment produced a reduction of stress which, in turn, produced a reduction of the symptoms of periodontal disease. In a previous study, yoga practitioners were found to have less and less severe periodontal disease. This study is particularly significant as it demonstrates in a randomized controlled trial that yoga practice causes the improvement in gum health.

 

So, improve periodontal disease with yoga.

 

“A healthier mouth typically is not the first thing that comes to people’s minds when they think about the benefits of doing yoga. However, yoga is very effective for alleviating stress, which can cause dental problems. It can also help prevent TMJ disorder by improving posture. Furthermore, yoga can help reduce inflammation, which is another problem that can affect oral health.” – Bohle Family

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Sudhanshu A, Sharma U, Vadiraja H S, Rana RK, Singhal R. Impact of yoga on periodontal disease and stress management. Int J Yoga 2017;10:121-7

 

Abstract

Background: Yoga is considered to be one of the most important, effective, and valuable tools available for man to overcome various physical and psychological problems. Stress contributes significantly to the pathogenesis of periodontal diseases; hence, it becomes important to reduce the level of stress for prevention and management of diseases. Aims and Objectives: The present study was aimed: (1) To understand and analyze the possibilities of employing yogic practices in the treatment of periodontal disease along with conventional dental therapy, (2) to understand the effect of stress on periodontal treatment outcome, (3) to evaluate the efficacy of yoga in the management of periodontal disease with reference to stress. Materials and Methods: An outpatient department-based parallel group randomized study was performed with standard treatment for periodontal disease yoga therapy as Group II and only standard treatment as Group I. Periodontal health status was recorded using indices of modified plaque index (PI), bleeding on probing (BOP), probing depth, and clinical attachment loss (CAL). The Cohen’s perceived stress questionnaire was also used to determine stress severity. The yogic intervention consists of lectures and practical sessions on asanas, pranayama, kriyas, and meditation. Results: Repeated measure analysis of variance revealed a significant difference (P < 0.001) in all the outcome variables with respect to time in both groups. It was observed that mean PI score reduced by 1.35 in Group II as compared to 0.54 in Group I, mean probing pocket depth reduced by 1.60 in Group II as compared to only 0.68 in Group I, and mean CAL score reduced by 1.60 in Group II as compared to 0.68 in Group I. Similarly, Cohen’s perceived stress scale score also reduced by 18.76 points in Group II as compared to only 2.58 points in Group I, BOP also shows better improvement in Group II with a reduction of 0.68 as compared to reduction of only 0.08 in Group I. The results obtained ascertained the role of yoga in stress reduction in periodontal disease. Conclusion: Although yoga does not play a direct role in improving periodontal disease, it accelerates the treatment outcomes by combating the stress which is a major factor affecting the treatment of periodontal disease.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2017;volume=10;issue=3;spage=121;epage=127;aulast=Sudhanshu

By John M. de Castro, Ph.D.

 

“Is yoga the key to dental health? It may not fight cavities, but the ancient great exercise regimen can improve a person’s oral health in a number of other important areas. Most of the oral health benefits of yoga come from stress relief. Eliminating stress has benefits for areas of health throughout the body, but it is particularly important when it comes to dental well-being.” – Irene McKinney

 

If you asked most people what’s one of the most common health problems that people have, probably the last thing that they would come up with us oral health. Yet, about half of all American adults, around 65 million, have mild, moderate or severe periodontitis, the more advanced form of periodontal disease. In adults 65 and older, prevalence rates increase to over 70 percent.

 

“Periodontitis means “inflammation around the tooth” – it is a serious gum infection that damages the soft tissue and bone that supports the tooth. All periodontal diseases, including periodontitis, are infections which affect the periodontium. The periodontium are the tissues around a tooth, tissues that support the tooth. With periodontitis, the alveolar bone around the teeth is slowly and progressively lost. Microorganisms, such as bacteria, stick to the surface of the tooth and multiply – an overactive immune system reacts with inflammation.” These bacterial plaques are sticky, colorless membranes that develop over the surface of the teeth and are the most common cause of periodontal disease. If it is not treated periodontitis will eventually lead to tooth loss, and increases the risk of stroke, heart attack and other health problems.

 

Treatment for periodontitis is straightforward including professional plaque removal and general at home oral hygiene. If severe, surgical procedures are called for. But, like many infections, periodontitis is exacerbated by stress. So, practices like mindfulness and yoga training, that reduce stress, may well help with periodontitis. In addition, mindfulness practices have been found to reduce the inflammatory response which would in turn reduce the inflammation of the gums.  So, it would make sense to investigate the effects of yoga practice on periodontal disease.

 

In today’s Research News article “.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1255680397789217/?type=3&theater

or below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784068/

Katuri and colleagues compared patients diagnosed with chronic periodontitis who practiced yoga for at least 5 years, to patients who demonstrated anxiety and depression, and those who neither practiced yoga or were anxious or depressed. They found that the yoga practitioners had less severe periodontitis as indicated by a plaque index and attachment level. In addition, the yoga practitioners had significantly lower plasma cortisol levels, an indicator of stress. Hence, the yoga practitioners were found to have less severe periodontal disease and less stress.

 

This study, however, simply compared groups who practiced yoga and didn’t. There could be systematic differences between the groups other than yoga practice that could be responsible for the results. For example, yoga practitioners may generally have healthier lifestyles including better diets and more rigorous home oral hygiene practices. It remains for future research to actively assign groups of patients diagnosed with chronic periodontitis to practice yoga to observe the causal effects of yoga practice on the disease.

 

The results, however, make sense. Yoga practice by reducing the psychological and physical responses to stress can reduce inflammatory responses and improve periodontitis. These intriguing findings deserve to be followed-up with more rigorous studies to ascertain if you can improve oral health with yoga.

 

“Studies have shown that yoga practiced regularly can decrease blood pressure, reduce your heart rate, and lessen stress.  That is important to your oral health because stress diminishes resistance to infections including gum disease and abscesses, and can make you more likely to develop canker sores and cold sores. So don’t be surprised at your next dental visit when our hygienist tells you to brush, floss and sign up for a yoga class!” – Jill Smith

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Katuri, K. K., Dasari, A. B., Kurapati, S., Vinnakota, N. R., Bollepalli, A. C., & Dhulipalla, R. (2016). Association of yoga practice and serum cortisol levels in chronic periodontitis patients with stress-related anxiety and depression. Journal of International Society of Preventive & Community Dentistry, 6(1), 7–14. http://doi.org/10.4103/2231-0762.175404

 

Abstract

Aim:

Reducing the psychosocial stress by various methods can improve overall health, and yoga is now considered as an easily available alternative method. The present cross-sectional pilot study was conducted mainly to find the association of yoga practice with periodontal disease by measuring serum cortisol levels.

Materials and Methods:

A total of 70 subjects with age range of 35–60 years suffering with chronic periodontitis were divided into group I (with stress), group II (without stress), and group III (practicing yoga). Psychological evaluation was carried out using Hamilton Anxiety Rating Scale (HAM-A) and Zung Self-rating Depression Scale (ZSDS). Periodontal parameters like plaque index (PI), probing pocket depth (PPD), and clinical attachment level (CAL) at 5–8 mm and >8 mm were recorded. Blood samples were collected and serum cortisol levels were measured.

Results:

Mean age, plaque scores, and number of teeth with PPD and CAL at 5–8 mm and >8 mm were similar in all the groups, except between group I and group III where a multiple comparison with Tukey’s post-hoc test showed significant difference in plaque index (P < 0.038) and the number of teeth with CAL 5–8 mm (P < 0.016). Serum cortisol levels and HAM-A scale and ZSDS scores showed highly significant value (P < 0.001) in group I subjects when compared with group II and group III subjects.

Conclusion:

Cross-sectional observation done among three groups showed that individuals practicing yoga regularly had low serum cortisol levels, HAM-A scale and ZSDS scores, and better periodontal health.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784068/