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November <strong>28</strong> - December 4, 20<strong>18</strong> www.TheTownCommon.com Page 9<br />
Health & Wellness<br />
BY J. PETER ST. CLAIR, DMD<br />
Thanksgiving has come and<br />
gone and Christmas is right<br />
around the corner - Are you<br />
stressed out? This time of year<br />
always seems more stressful,<br />
but stress in general is hard to<br />
avoid. We worry about school,<br />
work, finances, illness, children,<br />
relationships, and more. Some<br />
even worry about how much<br />
they worry. Not to add to your<br />
stress, but you should be aware<br />
that all that worrying could<br />
have a negative impact on not<br />
only your general health but<br />
also your oral health.<br />
According to an article in the<br />
Journal of Periodontology, there<br />
is a strong relationship between<br />
stress and periodontal disease<br />
(gum disease). In addition<br />
to stress, other psychological<br />
factors, such as anxiety,<br />
depression, and loneliness, are<br />
linked to an increased likelihood<br />
of periodontal disease.<br />
So how does stressing out<br />
about your next car payment, for<br />
example, lead to gum disease?<br />
Researchers believe that the<br />
hormone cortisol may be a factor.<br />
Cortisol , also known as the<br />
“stress hormone,” is secreted by<br />
the adrenal glands and involved<br />
in many functions, including<br />
proper glucose metabolism,<br />
blood pressure regulation,<br />
insulin release for blood sugar<br />
maintenance, immune function,<br />
and inflammatory response.<br />
An earlier study published<br />
in the same journal the year<br />
before found that increased<br />
levels of cortisol can lead to<br />
more destruction of the gums<br />
and bone due to periodontal<br />
diseases.<br />
Behavioral factors also may<br />
come into play. People who are<br />
under extreme amounts of stress<br />
or suffering from depression<br />
may be more likely to disregard<br />
good oral hygiene. They may<br />
even take on new behaviors that<br />
could negatively impact their<br />
oral health, such as the use of<br />
nicotine, alcohol, or drugs, all<br />
of which can affect the teeth<br />
and gums.<br />
Brighter Smiles...<br />
Your gums are not the only<br />
victims of stress. Another oral<br />
side effect is teeth grinding<br />
or clenching, which often<br />
occurs during sleep. This may<br />
lead to headaches, earaches,<br />
or toothaches. Facial muscles<br />
can become sore and jaw<br />
joints tender. Besides causing<br />
discomfort, grinding and/or<br />
clenching can lead to severe<br />
tooth wear, loosening of teeth,<br />
and cracked or fractured teeth.<br />
It is important to find healthy<br />
things that help relieve stress.<br />
A regular exercise routine can<br />
do wonders for relieving stress,<br />
as well as having a balanced<br />
nutritious diet and getting<br />
enough sleep. You should be<br />
getting 7-8 hours of good sleep<br />
every night. If you are not<br />
getting that amount, you are<br />
depriving yourself of optimal<br />
performance.<br />
If you find it difficult to<br />
manage your stress, you should<br />
see your physician. You should<br />
also make your dentist aware<br />
of your stress level so that he/<br />
she can determine if there are<br />
any notable effects going on<br />
within your masticatory system<br />
and make recommendations to<br />
help.<br />
I’ll leave you this week with<br />
a quote from A. Cornelius<br />
Celsus’s DeMedicina. He was<br />
a Roman author and medical<br />
historian and wrote this about<br />
2000 years ago.<br />
Live in rooms full of light.<br />
Avoid Heavy food.<br />
Be moderate in the drinking of<br />
wine.<br />
Take massage, baths, exercise<br />
and gymnastics.<br />
Fight insomnia with gentle<br />
rocking or the sound of running<br />
water.<br />
Change surroundings and take<br />
long journeys.<br />
Strictly avoid frightening<br />
ideas.<br />
Indulge in cheerful conversation<br />
and amusements.<br />
Listen to music.<br />
Stress cannot be avoided,<br />
but it can be managed and<br />
minimized by change.<br />
Dr. St. Clair maintains a<br />
private dental practice in Rowley<br />
and Newburyport dedicated to<br />
health-centered family dentistry.<br />
If there are certain topics you<br />
would like to see written about<br />
or questions you have please<br />
The Stress Factor<br />
email them to him at jpstclair@<br />
stclairdmd.com. You can view<br />
all previously written columns at<br />
www.jpeterstclairdentistry.com/<br />
blog.<br />
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