Influence of psychological stress on periodontal wound healing and possible therapeutic approaches - an update

The current review aims at narrating the existing knowledge and understanding about psychological stress and periodontal wound healing. Periodontal disease is a complex multifactorial disease. Psychological stress is known to alter at both behaviour and physiological levels, influencing the disease course and the response to treatment. Many animal, in vitro and clinical studies have suggested the role of psychological stress on the periodontal treatment outcome. However the data regarding alternative approaches to manage periodontitis patients with psychological stress are sparse. The evidence is mounting regarding underlying complex pathways, but there is a further need for exploration in the management of stress along with routine mechanical debridement. This article summarises the possible adjunctive approaches to mechanical debridement among these patients.