DOI:
10.37988/1811-153X_2024_4_12The effects of smoking on periodontal health among dental students at Basrah Dental College: Consumption patterns and risk factors
Downloads
Abstract
Cigarette smoking is a risk factor for several diseases, and recent evidence strongly suggests an adverse effect on periodontal health. Nevertheless, the nature of the relationship between smoking and periodontal disease is not clear. Smoking causes defects in neutrophil function, impairs inflammatory and immune responses to periodontal pathogens, and exerts both systemic and local effects. Aims. This study aimed to assess periodontal health of smoker and nonsmoker under graduated dental students and to determine the possible factor of smoking and its effect on periodontal health.Material and methods.
In this study, 118 dental student participants (males only) between 18—25 years from 450 male under graduated dental student fit to the criteria of our research, were divided in two groups,61 smoker student and 57 non-smoker students. Demographic data, smoking status, and clinical periodontal parameter including plaque index (PI), pocket depth (PD), tooth mobility and bleeding on probing (BOP) indices were determined for each participant.
Results.
Smokers had a slightly higher PI (0.803±0.483) than that of nonsmokers (0.609±0.397, p=0.018). BOP and pocket depth tend to be greater in smokers (BOP=0.14±0.10 and PD=0.97±1.90 mm) than nonsmoker (BOP=0.13±0.09 and PD=0.72±1.57 mm). The greater percentage of students had started smoking due to friends’ influence (72%). There is a positive correlation between PD and PI for smokers (p=0.046). Also there is a positive correlation between BOP and PD for non-smokers with statistically significant difference (p=0.01). Moreover, there is a positive correlation between BOP and PD and PI for smokers (p=0.026) and there is a positive correlation between PI and BOP and PD for non-smokers with high statistically significant difference (p=0.0001).
Conclusions.
The students having friends who are smoker are the most important factors associated with smoking, furthermore the percentage of bleeding is low since the fact that smoking effect the bleed vessel and cause vasoconstriction, finally Longitudinal trials need to be performed in order to obtain more conclusive result regarding the effect of smoking in periodontal disease.
Key words:
smoking, dental students, smoker, non-smokerFor Citation
[1]
Radhi R.A., Jebur H.J., Jabbar S.A. The effects of smoking on periodontal health among dental students at Basrah Dental College: Consumption patterns and risk factors. Clinical Dentistry (Russia). 2024; 27 (4): 12—15. DOI: 10.37988/1811-153X_2024_4_12
References
- Chapple I.L.C., et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018; 89 Suppl 1: S74-S84. PMID: 29926944
- Lang N.P., Bartold P.M. Periodontal health. J Periodontol. 2018; 89 Suppl 1: S9-S16. PMID: 29926938
- Beklen A., Sali N., Yavuz M.B. The impact of smoking on periodontal status and dental caries. Tob Induc Dis. 2022; 20: 72. PMID: 36118559
- Reibel J. Tobacco and oral diseases. Update on the evidence, with recommendations. Med Princ Pract. 2003; 12 Suppl 1: 22—32. PMID: 12707498
- Rad M., Kakoie S., Niliye Brojeni F., Pourdamghan N. Effect of long-term smoking on whole-mouth salivary flow rate and oral health. J Dent Res Dent Clin Dent Prospects. 2010; 4 (4): 110—4. PMID: 23346336
- Rao K., Babu S.G., Shetty U.A., Castelino R.L., Shetty S.R. Serum and salivary lactate dehydrogenase levels as biomarkers of tissue damage among cigarette smokers. A biochemical study. Stomatologija. 2017; 19 (3): 91—96. PMID: 29339672
- Sreedevi M., Ramesh A., Dwarakanath C. Periodontal status in smokers and nonsmokers: a clinical, microbiological, and histopathological study. Int J Dent. 2012; 2012: 571590. PMID: 22505904
- Kumar V., Faizuddin M. Effect of smoking on gingival microvasculature: A histological study. J Indian Soc Periodontol. 2011; 15 (4): 344—8. PMID: 22368357
- Bergström J. Tobacco smoking and chronic destructive periodontal disease. Odontology. 2004; 92 (1): 1—8. PMID: 15490298
- Chambrone L., Preshaw P.M., Rosa E.F., Heasman P.A., Romito G.A., Pannuti C.M., Tu Y.K. Effects of smoking cessation on the outcomes of non-surgical periodontal therapy: a systematic review and individual patient data meta-analysis. J Clin Periodontol. 2013; 40 (6): 607—15. PMID: 23590649
- Alexandridi F., Tsantila S., Pepelassi E. Smoking cessation and response to periodontal treatment. Aust Dent J. 2018; 63 (2): 140—149. PMID: 28921548
- Javed F., Al-Rasheed A., Almas K., Romanos G.E., Al-Hezaimi K. Effect of cigarette smoking on the clinical outcomes of periodontal surgical procedures. Am J Med Sci. 2012; 343 (1): 78—84. PMID: 21804361
- Patel R.A., Wilson R.F., Palmer R.M. The effect of smoking on periodontal bone regeneration: a systematic review and meta-analysis. J Periodontol. 2012; 83 (2): 143—55. PMID: 21627463
- Loe H., Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand. 1963; 21: 533—51. PMID: 14121956
- Müller H.P., Stadermann S., Heinecke A. Longitudinal association between plaque and gingival bleeding in smokers and non-smokers. J Clin Periodontol. 2002; 29 (4): 287—94. PMID: 11966925
- Barbieri E.J., Ciaccio E.I. Depression of drug metabolism in the mouse by a combination of Mycobacterium butyricum and anaesthetics. Br J Pharmacol. 1979; 65 (1): 111—5. PMID: 760885
- van der Weijden G.A., de Slegte C., Timmerman M.F., van der Velden U. Periodontitis in smokers and non-smokers: intra-oral distribution of pockets. J Clin Periodontol. 2001; 28 (10): 955—60. PMID: 11686814
- Dietrich T., Bernimoulin J.P., Glynn R.J. The effect of cigarette smoking on gingival bleeding. J Periodontol. 2004; 75 (1): 16—22. PMID: 15025212
- Calsina G., Ramón J.M., Echeverría J.J. Effects of smoking on periodontal tissues. J Clin Periodontol. 2002; 29 (8): 771—6. PMID: 12390575
- Gonzalez S., Cohen C.L., Galván M., Alonaizan F.A., Rich S.K., Slots J. Gingival bleeding on probing: relationship to change in periodontal pocket depth and effect of sodium hypochlorite oral rinse. J Periodontal Res. 2015; 50 (3): 397—402. PMID: 25040766
- Oliveira S.C., Slot D.E., Celeste R.K., Abegg C., Keijser B.J., Van der Weijden F.A. Correlations between two different methods to score bleeding and the relationship with plaque in systemically healthy young adults. J Clin Periodontol. 2015; 42 (10): 908—13. PMID: 26212602
- Müller H.P., Heinecke A., Eger T. Site-specific association between supragingival plaque and bleeding upon probing in young adults. Clin Oral Investig. 2000; 4 (4): 212—8. PMID: 11218491
- Luzzi L.I., Greghi S.L., Passanezi E., Sant’ana A.C., Lauris J.R., Cestari T.M. Evaluation of clinical periodontal conditions in smokers and non-smokers. J Appl Oral Sci. 2007; 15 (6): 512—7. PMID: 19089190
- Al-Essa H.S., Fadil A.G. The profile of oral lesions in patients attending oral diagnosis clinic at the College of Dentistry, University of Basra, Iraq. International Journal of Medical Research & Health Sciences. 2019; 8 (4): 23—29. https://tinyurl.com/3vx5hw2k
Downloads
Received
May 16, 2024
Accepted
September 16, 2024
Published on
December 17, 2024