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Peer-reviewedCC BYDentistry journal

Stress and Periodontal Disease: Reflections on the Integration of Stress and Lifestyle Management into Routine Periodontal Disease Prevention.

  • Blerina Zeza1
  • Jorida Shahinas2
  • Erdita Cenameri2
  • Klodiana Spahiu3
  • Doris Mingomataj4
  • Valbona Disha4
  • Evisa Isufaj5
5 affiliations
  1. 1Department of Periodontology, Faculty of Dentistry, Albanian University, 1001 Tirana, Albania.
  2. 2Department of Medical and Health Sciences, Faculty of Medical Sciences, Barleti University, 1022 Tirana, Albania.
  3. 3Independent Researcher, 1001 Tirana, Albania.
  4. 4Department of Dentistry, Albanian University, 1001 Tirana, Albania.
  5. 5Faculty of Medical Sciences, Albanian University, 1001 Tirana, Albania.
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Abstract

This narrative review examines the role of psychological stress in periodontal disease and evaluates the evidence supporting stress-informed lifestyle and behavioural interventions within a proposed theoretical framework for stress reduction/regulation. The framework includes slow diaphragmatic breathing, positive psychological approaches, mindfulness and meditation, physical activity and stretching, appropriate daylight or sun exposure, and nutrition. For each domain, evidence is considered in relation to stress regulation, mechanistic relevance to periodontal health, and, where available, direct periodontal outcomes. The available evidence varies considerably across domains and is frequently indirect. The proposed framework represents a structured approach to stress management in periodontal care and requires prospective clinical testing to determine its feasibility, effectiveness, and potential impact on periodontal treatment outcomes.

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Cite

BibTeXRIS
BibTeX
@article{zeza2026stress,
  title = {{Stress and Periodontal Disease: Reflections on the Integration of Stress and Lifestyle Management into Routine Periodontal Disease Prevention.}},
  author = {Blerina Zeza and Jorida Shahinas and Erdita Cenameri and Klodiana Spahiu and Doris Mingomataj and Valbona Disha and Evisa Isufaj},
  journal = {Dentistry journal},
  year = {2026},
  month = oct,
  doi = {10.3390/dj14100630},
  url = {https://europepmc.org/article/MED/42930396},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Stress and Periodontal Disease: Reflections on the Integration of Stress and Lifestyle Management into Routine Periodontal Disease Prevention.
AU  - Blerina Zeza
AU  - Jorida Shahinas
AU  - Erdita Cenameri
AU  - Klodiana Spahiu
AU  - Doris Mingomataj
AU  - Valbona Disha
AU  - Evisa Isufaj
PY  - 2026
DA  - 2026/10/02
JO  - Dentistry journal
DO  - 10.3390/dj14100630
UR  - https://europepmc.org/article/MED/42930396
AB  - This narrative review examines the role of psychological stress in periodontal disease and evaluates the evidence supporting stress-informed lifestyle and behavioural interventions within a proposed theoretical framework for stress reduction/regulation. The framework includes slow diaphragmatic breathing, positive psychological approaches, mindfulness and meditation, physical activity and stretching, appropriate daylight or sun exposure, and nutrition. For each domain, evidence is considered in relation to stress regulation, mechanistic relevance to periodontal health, and, where available, direct periodontal outcomes. The available evidence varies considerably across domains and is frequently indirect. The proposed framework represents a structured approach to stress management in periodontal care and requires prospective clinical testing to determine its feasibility, effectiveness, and potential impact on periodontal treatment outcomes.
SN  - 2304-6767
ER  -