J Periodontal Res:吸烟是否影响牙龈出血与龈上菌斑之间的相关性?

2020-04-30 网络 网络

本研究的目的是研究吸烟对牙龈探诊出血和龈上菌斑之间的位点特异性的影响,并评估其在不同牙位是否不同。

本研究的目的是研究吸烟对牙龈探诊出血和龈上菌斑之间的位点特异性的影响,并评估其在不同牙位是否不同。

实验收集了挪威北部1911名成年人(20-79岁)的代表性样本数据,并进行分析。牙周检查包括全口牙周探诊深度(PD)、探诊出血(BOP)和龈上菌斑。吸烟状况和背景特征以问卷调查的方式进行自我报告。通过随机逻辑回归模型,对菌斑和BOP之间的关联性进行三个水平上(受试者、牙齿和位点)的评估,并对PD、吸烟状况、社会经济因素和身体质量指数进行调整。在另一个模型中,评估龈上菌斑与BOP之间的关联在不同牙位是否存在差异。、探诊牙龈出血、多层次分析、

结果发现,在无菌斑位点,吸烟者的出血倾向比不吸烟者低,比值比(OR)为0.773,95%的置信区间为0.678-0.881(OR:1;ref. P <0.001)。非吸烟者在菌斑覆盖位点发生BOP的几率增加了2倍(OR:2.117;2.059-2.177)。尽管吸烟者菌斑覆盖位点的出血倾向略有增加,但与非吸烟者相比,出血倾向明显降低(OR:1.459;1.282-1.662,P <0.001)。吸烟≥20包/年的吸烟者进一步减弱了这种关联。在吸烟者中,所有牙位的BOP几率均降低(P < .001)。在青年人(20-34岁)中,吸烟对菌斑与BOP之间的相关性仅有轻微影响。在有无菌斑的位点,ORs的差异没有统计学意义(P = .221和P = .235)。

因此,吸烟会大大减弱牙菌斑和BOP之间的位点特异性,其影响与吸烟量相关。吸烟的影响在不同的牙位之间没有差异。

原文出处:

Gro Eirin Holde, To what extent does smoking affect gingival bleeding response to supragingival plaque? Site‐specific analyses in a population‐based study, journal of periodontal research, 2020, doi:10.1111/jre.12713

 

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    2021-01-04 wrj0131
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    2020-05-30 feather89
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