Hornecker Else, Ehrenreich Hannelore, Muuss Thorsten, Mausberg Rainer F
Abt. Zahnerhaltung, Präventive Zahnheilkunde und Parodontologie, Zentrum Zahn-, Mund- und Kieferheilkunde, Georg-August-Universität, Göttingen.
Schweiz Monatsschr Zahnmed. 2003;113(12):1281-8.
The aim of this study was to investigate the oral situation of long-term severely alcohol-addicted persons in a case-control-study. 28 controlled abstinent alcoholics and 30 control persons without any drinking history but who were smokers participated in the study. The mean age of the patients was 46 years, the alcohol addiction had existed for 17 years on average; the majority were heavy smokers with an average of two packs of cigarettes per day. The mean age of the control persons was 43 years, each of them smoked about one pack of cigarettes per day. The oral examination included the DMF-T and the different components, the QHI, the PBI and the CPI. Significant differences between the two groups were found for the following parameters: M-T (p < 0.0002), DMF-T and D-T (p < 0.002), PBI (p = 0.05). F-T and QHI revealed no differences. The periodontal examination showed that in 69% of the alcoholics and in 40% of the controls severe pocketing could be found (CPI 4). 4% of the patients and 20% of the controls had no periodontal pockets (CPI 0, 1 or 2). These results indicate that long-term severely alcohol-addicted persons have a high risk of periodontal breakdown and tooth loss. They also support the assumption that excessive consumption of alcohol may promote the progression of chronic periodontal disease.
本研究旨在通过病例对照研究调查长期重度酒精成瘾者的口腔状况。28名戒酒的对照酒精成瘾者和30名无饮酒史但吸烟的对照者参与了研究。患者的平均年龄为46岁，酒精成瘾平均已存在17年；大多数为重度吸烟者，平均每天吸两包烟。对照者的平均年龄为43岁，每人每天吸约一包烟。口腔检查包括DMF-T及其不同组成部分、QHI、PBI和CPI。两组在以下参数上存在显著差异：M-T（p < 0.0002）、DMF-T和D-T（p < 0.002）、PBI（p = 0.05）。F-T和QHI无差异。牙周检查显示，69%的酒精成瘾者和40%的对照者存在重度牙周袋（CPI 4）。4%的患者和20%的对照者无牙周袋（CPI 0、1或2）。这些结果表明，长期重度酒精成瘾者有较高的牙周破坏和牙齿丧失风险。它们还支持过量饮酒可能促进慢性牙周病进展这一假设。
