Effect Of Yoga And Meditation On Stress Related Oral Ulcers Amongst Dental Undergraduates Of A Private Dental Teaching Institution In Sangareddy District
Abstract
Background: Undergraduate dentistry students often endure significant levels of clinical and academic stress, which can lead to stress-related mouth problems, particularly recurrent aphthous ulcers. Yoga, and particularly pranayama (yogic breathing), is a well-studied non-pharmacological strategy for lowering stress and improving mental health.
Objective: To investigate how undergraduate dental students' perceptions of stress and the prevalence of stress-related mouth ulcers are affected by yoga and pranayama.
Methods: A cross-sectional interventional study was carried out at MNR Dental College and Hospital in Sangareddy. Two groups of 400 students each were created: Group B served as the control group and received materials, while Group A (intervention) received 15 days of supervised Pranayama training. Stress was measured using the Perceived Stress Scale (PSS-10). To find ulcers linked to stress, clinical oral examinations were performed. SPSS v25 was used to analyse the data, and chi-square and t-tests were used to assess statistical significance (p < 0.05). Clinical oral examinations were conducted to identify stress-related ulcers.
Results: Prior to the intervention, 25% of students had high levels of stress, and 32.5% of students had clinical mouth ulcers. After the intervention, Group A showed a significant reduction in both high stress levels (from 25% to 2.5%) and ulcer prevalence (from 70 to 15 instances; ↓78.6%). According to chi-square analysis, there is a strong relationship between stress and mouth ulcers (χ² = 28.67, p 0.001), and yoga significantly reduces the incidence of both stress and ulcers.
Conclusion: Pranayama significantly reduces the incidence of stress-related mouth ulcers and dental undergraduates' feelings of stress. Students' oral health and mental resilience may be enhanced by incorporating yoga into the dental curriculum
Downloads
Metrics
References
Okoh M, Nwokolo CO. Awareness and prevalence of stress induced oral ulcers among clinical medical and dental students in university of Benin: a cross-sectional study. Psychosom Med Res. 2023;5(1):6.
Ajmal M, Ibrahim L, Mohammed N, Al-Qarni H. Prevalence and psychological stress in recurrent aphthous stomatitis among female dental students in Saudi Arabia. Clujul medical. 2018;91(2):216.
Shaw W, Smith S, Burg M, Hostinar C, Alen N, Tinburg M. Stress effects on the body. Am Psy Assoc: 2018.
Thiruvalluvan A, Sekizhar V, Ramanathan M, Bhavanani AB, Chakravathy D, Reddy JR. Effect of Pranayama Techniques with Marmanasthanam Kriya as Yogic Relaxation on Biopsychosocial Parameters Prior to Endodontic Therapy: A Cross Sectional Study Design. International Journal of Yoga. 2021 May 1;14(2):146-51.
Shankarapillai R, Nair MA, George R. The effect of yoga in stress reduction for dental students performing their first periodontal surgery: A randomized controlled study. International Journal of Yoga. 2012 Jan 1;5(1):48-51.
Marya CM, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in Faridabad, India. West Indian Med J. 2012;61:187–90. [PubMed] [Google Scholar]
Vijayalakshmi P, Surendiran A. Effect of slow and fast pranayams on reaction time and cardiorespiratory variables. Indian J Physiol Pharmacol. 2005;49:313–8. [PubMed] [Google Scholar]
Auriane PE, Ramanathan M, Bhavanani AB. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. 2011;12:58–62. [PMC free article] [PubMed] [Google Scholar]
Ankad RB, Herur A, Patil S, Shashikala GV, Chinagudi S. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. 2011;12:58–62. [PMC free article] [PubMed] [Google Scholar]
Shohani M, Badfar G, Nasirkandy MP, Kaikhavani S, Rahmati S, Modmeli Y, et al. The effect of yoga on stress, anxiety, and depression in women. Int J Prev Med. 2018;9:21. [PMC free article] [PubMed] [Google Scholar]
Shankarapillai R, Nair MA, George R. The effect of yoga in stress reduction for dental students performing their first periodontal surgery: A randomized controlled study. International Journal of Yoga. 2012 Jan 1; 5(1):48-51.
Marya CM, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in Faridabad, India. West Indian Med J. 2012; 61:187–90. [PubMed] [Google Scholar]
Vijayalakshmi P, Surendiran A. Effect of slow and fast pranayams on reaction time and cardiorespiratory variables. Indian J Physiol Pharmacol. 2005; 49:313–8. [PubMed] [Google Scholar]
Auriane PE, Ramanathan M, Bhavanani AB. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. 2011; 12:58–62. [PMC free article] [PubMed] [Google Scholar]
Ankad RB, Herur A, Patil S, Shashikala GV, Chinagudi S. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views. 2011; 12:58–62. [PMC free article] [PubMed] [Google Scholar]
Shohani M, Badfar G, Nasirkandy MP, Kaikhavani S, Rahmati S, Modmeli Y, et al. The effect of yoga on stress, anxiety, and depression in women. Int J Prev Med. 2018; 9:21. [PMC free article] [PubMed] [Google Scholar]
Desai N, Bhuyan L, Nezam S, et al. Yoga and dentistry. J Clin Diagn Res. 2023; 17(8):ZE16–ZE20.
Effect of yoga on dental care: Pranayama techniques or rhythmic breathing exercises on oral hygiene and gingival bleeding. Int J Appl Dent Sci. 2017; 3:91–95.
The precedence and viability of yoga in the lives of D3‑dental students, dental practitioners, and dental patients. J Family Med Prim Care. 2019; 8(12):3808–13.
Secondary Effects of Yoga and Pranayama in Dentistry: A Narrative Review. J Clin Diagn Res. 2023.
Benefits of yoga in dentistry. Int J Appl Dent Sci. 2023; 9(3):151–153.
Yoga and Dental Health: A Review. Int Healthc Res J. 2021; 10:RV1–4.
Relevance of yoga in dental education. Yomi Dent J. 2018.
Effect of fast and slow pranayama on perceived stress and cardiovascular parameters in young health‑care students. Int J Yoga. 2013; 6(2):104.
Impact of yoga on periodontal disease and stress management. Int J Yoga. 2017; 10(3):121–127.
Yoga in Modern Dental Practice – an oro‑skeletal health through inner holistic balance. Afr J Biomed Res. 2024; 27(4S).
Yoga helps to calm the body and controls pro‑inflammatory cytokines, decreasing gingival bleeding and oral dryness. Rama Univ J. 2020.
Benefits of yoga in dentistry – oxidative status improvement. Oral J. 2023.
Can Yoga Bridge the Link Between Stress and Periodontal Disease? Today’s RDH. 2020.
Elements of yogic practice: Perceptions of students in healthcare programs. Int J Yoga. 2016; 9(2):121.
Effect of yoga in stress reduction for dental students performing their first periodontal surgery: A randomized controlled study. Int J Yoga. 2012; 5(1):48–51.
Yoga‑based myofunctional therapy for orofacial development. Yomi Dent J. 2015.
Stress‑related oral manifestations in patients from Constanța County. Romanian J Oral Rehabil. 2024.
Health impacts of Yoga and Pranayama: a state‑of‑the‑art review. Int J Prev Med. 2012; 3(7):444–458.
Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga. 2011; 4(2):49–54.
Psychological interventions and wound healing. Psychoneuroendocrinology. 2017; 76:13‑22.
Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity. Front Hum Neurosci. 2018; 12:397.
Effect of yoga on Myofascial Pain Syndrome of neck. Int J Yoga. 2014; 7(1):54–59.
Management of myofascial pain dysfunction syndrome with meditation and yoga. Natl J Maxillofac Surg. 2018; 9(2):155–159.
Painless tooth extraction by Jalandhara Bandha Yoga. J Ayurveda Integr Med Sci. 2016; 1(3):113–116.
Perceived stress and bruxism in university students. BMC Res Notes. 2016; 9:514.
Oral manifestations of stress‑related disorders in the general population of Ludhiana. J Indian Acad Oral Med Radiol. 2016; 28:262–269
Modulation of immune responses in stress by Yoga. Int J Yoga. 2008; 1(2):45–55.
Yoga-based guided relaxation reduces sympathetic activity. Psychological Reports. 2002; 90:487–94.
Effect of Yoga Nidra on physiological variables in menstrual disturbances. Indian J Physiol Pharmacol. 2012; 56(2):161–167.
Effect of yoga on academic performance in relation to stress. Int J Yoga. 2009; 2(1):39.
Yoga as an Alternative and Complementary Approach for Stress Management: A Systematic Review. J Evid Based Complement Altern Med. 2014; 19(1):59‑67.
Effectiveness and safety of yoga to treat chronic and acute pain: A rapid review. BMJ Open. 2021; 11(12).
A multicenter study of physician mindfulness and healthcare quality. Ann FAM Med. 2013; 11(5):421–428.
Yoga anatomy. Camden: North Atlantic Books; 2007.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ramesh Kunusoth, Sunitha J.D, Shaik Mobeen, Chandana Dasari, Guggilla Shivani, Ande Jahnavi, Asma Khanam

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.