Work Stress and Oral Conditions: a Systematic Review of Observational Studies

Overview

Journal BMJ Open

Specialty General Medicine

Date 2021 May 29

PMID 34049917

Citations 3

Authors

Yukihiro Sato

Yasuaki Saijo

Eiji Yoshioka

Affiliations

Soon will be listed here.

Abstract

Objectives: Although psychological stress is a risk factor for oral diseases, there seems to be no review on work stress. This study aimed to review the evidence on the association between work stress and oral conditions, including dental caries, periodontal status and tooth loss.

Design: A systematic review of published observational studies.

Data Sources: A systematic literature search was conducted in PubMed and Scopus databases on 12 August 2020.

Study Selection: Articles were screened based on the following inclusion criteria: published after 1966; in English only; epidemiological studies on humans (except case studies, reviews, letters, commentaries and editorials); and examined the association of work stress with dental caries, periodontal status and tooth loss.

Data Extraction: Data were extracted from eligible studies. A quality assessment was conducted using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.

Results: Of 402 articles identified, 11 met the inclusion criteria, and 1 study assessed the association of work stress with dental caries and periodontal status. Of 11 studies, 1 reported a non-significant association between work stress and dental caries; 8 of 9 studies reported a significant association between work stress and worse periodontal status; and 1 of 2 studies reported a significant association between work stress and tooth loss. Nine of 11 studies were cross-sectional, while the remaining 2 studies had unclear methodology. Only two studies were sufficiently adjusted for potential confounders. Eight studies assessed work stress but did not use the current major measures. Three studies were rated as fair, while eight studies had poor quality.

Conclusions: There is a lack of evidence on the association of work stress with dental caries and tooth loss. Eight studies suggested potential associations between periodontal status and work stress. Cohort studies using the major work stress measures and adjusting for the potential confounders are needed.

Citing Articles

Associations of decayed teeth and localized periodontitis with mental stress in young adults: CHIEF oral health study.

Tsai K, Tsai S, Lin K, Chang Y, Lin Y, Lin G Sci Rep. 2022; 12(1):19139.

PMID: 36352004 PMC: 9646768. DOI: 10.1038/s41598-022-23958-4.

Oral health outcomes and shift working among male workers: A cross-sectional survey.

Ghasemi H, Darmohammadi R, Namdari M, Ghorbani Z PLoS One. 2022; 17(10):e0275924.

PMID: 36251662 PMC: 9576084. DOI: 10.1371/journal.pone.0275924.

Cross-sectional associations between effort-reward imbalance at work and oral diseases in Japan.

Sato Y, Yoshioka E, Takekawa M, Saijo Y PeerJ. 2022; 10:e13792.

PMID: 35891644 PMC: 9308962. DOI: 10.7717/peerj.13792.

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