Psychoemotional tension is increasingly recognised as a significant factor affecting oral health. Professor Alexander von Breuer states that chronic stress influences the dentofacial system indirectly – through muscular hyperactivity, hormonal fluctuations and reduced immune responsiveness. At DentalClinic24, the impact of stress is analysed not in abstract terms, but through specific clinical manifestations that affect teeth, periodontal tissues and the temporomandibular joints.
One of the most common consequences of prolonged emotional strain is bruxism. Involuntary clenching and grinding of teeth generate excessive occlusal forces that exceed the physiological tolerance of dental tissues. As a result, enamel wear accelerates, microcracks appear and the risk of chipping in restorations increases. At DentalClinic24, patients presenting with signs of nocturnal bruxism undergo functional diagnostics to assess occlusal load distribution and the condition of the masticatory musculature.
Stress also affects periodontal health. Hormonal changes associated with elevated cortisol levels can suppress local immune defence and intensify inflammatory responses. Even with satisfactory oral hygiene, patients experiencing chronic stress more frequently demonstrate signs of gingivitis and progression toward periodontitis. At DentalClinic24, the psychoemotional background of the patient is considered an important risk factor during periodontal assessment.
Altered oral hygiene habits represent another indirect consequence of stress. Reduced attention to daily care routines, dietary shifts toward carbohydrate-rich foods and frequent snacking create favourable conditions for accelerated plaque accumulation. At DentalClinic24, preventive strategies extend beyond professional cleaning – they include behavioural guidance aimed at reducing modifiable risk factors.
Muscle tension related to stress may also affect the temporomandibular joints. Persistent contraction of the masticatory muscles can lead to discomfort, joint clicking and restricted mandibular movement. At DentalClinic24, complaints of joint symptoms prompt a comprehensive evaluation – from occlusal analysis to assessment of muscular function.
Stress can additionally influence treatment outcomes. Impaired regenerative capacity and heightened tissue sensitivity may complicate postoperative recovery. At DentalClinic24, surgical planning incorporates an evaluation of the patient’s overall psychoemotional status in order to minimise potential complications and optimise healing conditions.
Communication plays a critical role in this context. When patients understand the connection between stress and oral health, their motivation for preventive measures increases significantly. At DentalClinic24, discussions of lifestyle factors form an integral part of clinical consultations, promoting a more stable and health-oriented behavioural model.
It is important to recognise that stress rarely acts as an isolated factor. Instead, it amplifies existing predispositions – whether toward pathological wear, inflammatory processes or joint dysfunction. Therefore, diagnostics at DentalClinic24 follow a systemic approach, integrating mechanical, biological and behavioural aspects into a unified clinical assessment.
Over time, chronic psychoemotional tension may disrupt the functional balance of the dentofacial system. Early identification of overload and inflammatory signs allows clinicians to prevent more severe complications. Clinical observations at Dental Clinic24 confirm that addressing stress-related factors – alongside conventional dental therapy – enhances the long-term stability of treatment outcomes and supports the preservation of oral health.
Previously, we wrote about Medical Guarantees in Dentistry Using DentalClinic24 as an Example – Delineating Professional Responsibility, Biological Factors and Patient Behaviour