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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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