The Assessment of Stress Indicators of Mobile Brigades Using the Periodontal Parameter and Cortisol Titer

When dispatched to conflict areas, stress is a problem for mobile brigades. The hormonal assessment of stress and changes in oral biology can provide clues to clarify the questionnaire stress evaluation. This study evaluated the periodontal index and cortisol titers of the police mobile brigade corps as the parameter of stress assessment that brought to the conflict zone in Indonesia. The stress was assessed by Police stress questionnaire (PSQ), saliva collected and periodontal index assessment, blood and saliva cortisol by ELISA, and periodontal bacterial identified by qRTPCR. Categories stress of subjects were identified, little stress (18:46%), mild stress (6:15%), moderate stress (13:33%), and severe stress (2: 5% ). All of subject contained normal cortisol levels (saliva) below 2.16g/dL and (serum) below 27.23g/dL. Plaque index in 39 subjects, good (63%) and moderate (37%), calculus index is good (24%), and moderate (76%). Periodontal bacteria were Treponema denticola (54%), Tannerella forsythia (25%), and Porphyromonas gingivalis (21%). Serum cortisol levels and oral biological status were positively associated with the PSQ. It linked positively with Tannerella forsynthia, plaque index, calculus index, and PSQ but negatively with T Treponema denticola and PSQ. The PSQ-stress values correlated with periodontal index, periodontal bacteria, and serum cortisol levels.