CIGARETTE-SMOKING IN A PERIODONTAL PRACTICE
CIGARETTE-SMOKING IN A PERIODONTAL PRACTICE
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DOI：
10.1902/jop.1992.63.2.100
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发表时间：
1992-02-01
影响因子：
4.3
通讯作者：
KENT, RL
中科院分区：
文献类型：
--
作者：
HABER, J;KENT, RL
本病例对照研究比较了牙周病患者（病例组）与普通牙科患者（对照组）吸烟的流行情况。吸烟史的患者（年龄大于或等于25岁）在牙周的做法和五个一般牙科的做法，通过问卷调查。从一般的做法，只有病人报告牙周炎的负面历史进行了研究。牙周实践患者的牙周状况是基于全口放射学调查和龈袋深度的骨丢失。患者按年龄（25至40岁、41至55岁和> 55岁）和性别分层。在所有年龄和性别类别中，196例中度或晚期牙周炎的牙周实践患者（M-A牙周组）报告的当前或以前吸烟的综合频率高于209例一般牙科实践患者（Gen PRAC组）报告的吸烟频率。M-A期受试者相对于一般受试者的阳性吸烟史的年龄和性别校正的汇总比值比为2.6（P < 0.001）。两组中目前吸烟与从不吸烟的单独相应比值比（年龄和性别校正）为3.3（P < 0.001），既往吸烟与从不吸烟的比值比为2.1（P < 0.004）。在目前吸烟者中，M-A期组患者报告重度吸烟（> 10支/天）的频率相对高于对照组（调整的R.O. = 5.7; P < 0.001）。在M-A期组中，当前吸烟的频率随着疾病的严重程度而增加。这些关联增加了越来越多的证据，表明目前和以前的吸烟者患牙周炎的风险增加，吸烟是牙周炎的主要危险因素。
THIS CASE-CONTROL STUDY COMPARES the prevalence of cigarette smoking among patients in a periodontal practice (cases) with that of patients in referring general dental practices (controls). Smoking histories of patients (age greater-than-or-equal-to 25 years) in a periodontal practice and five general dental practices were obtained by questionnaire. From the general practices, only patients reporting negative histories for periodontitis were studied. Periodontal status of the periodontal practice patients was based on bone loss from full mouth radiographic surveys and gingival pocket depths. Patients were stratified by age (25 to 40, 41 to 55, and > 55 years) and sex. The combined frequency of current or former cigarette smoking reported by 196 periodontal practice patients with moderate or advanced periodontitis (M-A perio group) was higher than that reported by 209 general dental practice patients (gen prac group) in all age and sex catagories. The age and sex adjusted summary odds ratio for a positive smoking history among M-A perio subjects relative to gen prac subjects was 2.6 (P < 0.001). Separate corresponding odds ratios (age and sex adjusted) for current smoking versus never smoking in the two groups were 3.3 (P < 0.001) and for former smoking versus never smoking 2.1 (P < 0.004). Among current smokers, patients in the M-A perio group reported heavy smoking (> 10 cigarettes/day) relatively more often than control subjects (adjusted R.O. = 5.7; P < 0.001). In the M-A perio group the frequency of current smoking increased with disease severity. These associations add to the accumulating evidence suggesting that both current and former smokers are at increased risk for periodontitis, and that cigarette smoking is a major risk factor for periodontitis.