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The association of periodontal health with mental health, stress, and resilience
Secondary Supervisor(s): Dr Renate Reniers
University of Registration: University of Birmingham
BBSRC Research Themes: Understanding the Rules of Life (Neuroscience and Behaviour)
Project Outline
The mouth is a complex niche in the body: it is inhabited by many microbes and regularly surveyed by the immune system. The microbes accumulate on the teeth and are removed by regular tooth brushing. If not removed effectively they can cause inflammation in the mouth. The simplest form is called gingivitis and affects many people on a day-to-day basis. The effects of gingivitis are easily reversed by reinstatement of regular cleaning. If microbes are left in the mouth for a long period of time there is the risk that the inflammation will become more long term and cause irreversible damage, such as loss of bone and eventually lead to tooth loss. This is called periodontitis. In its severest form periodontitis is a problem for 10% of the global population, however, in over 65-year-olds periodontitis of any form affects 50% of people and so is one of the most common diseases of humans. We have recently developed a saliva test to detect inflammation (either gingivitis or periodontitis) in saliva by measuring a small number of proteins (Grant et al., 2022).
Extensive research has shown that brain inflammation is connected to mental illnesses such as mood disorders and psychosis (e.g. Lalousis et al., 2023). What poses an interesting question is if there is also a connection between inflammation detected in saliva and mental health, stress, and resilience. Research in this area is lacking and this project offers the exciting opportunity to investigate the association between inflammation detected in saliva and self-reported measures of oral health, mental health, stress, and resilience.
References
Grant MM, Taylor JJ, Jaedicke K, Creese A, Gowland C, Burke B, Doudin K, Patel U, Weston P, Milward M, Bissett SM, Cooper HJ, Kooijman G, Rmaile A, de Jager M, Preshaw PM, Chapple ILC. Discovery, validation, and diagnostic ability of multiple protein-based biomarkers in saliva and gingival crevicular fluid to distinguish between health and periodontal diseases. J Clin Periodontol. 2022 Jul;49(7):622-632. doi: 10.1111/jcpe.13630. Epub 2022 Apr 29. PMID: 35451104; PMCID: PMC9324935.
Alexandros Lalousis P, Schmaal L, Wood SJ, Reniers RLEP, Cropley VL, Watson A, Pantelis C, Suckling J, Barnes NM, Pariante C, Jones PB, Joyce E, Barnes TRE, Lawrie SM, Husain N, Dazzan P, Deakin B, Shannon Weickert C, Upthegrove R. Inflammatory subgroups of schizophrenia and their association with brain structure: A semi-supervised machine learning examination of heterogeneity. Brain Behav Immun. 2023 Oct;113:166-175. doi: 10.1016/j.bbi.2023.06.023. Epub 2023 Jul 7. PMID: 37423513.