Al-Habashneh R, Al-Omari M A O, Taani D Q
Department of Preventive, Faculty of Dentistry, Jordan University of Science & Technology, Irbid, Jordan.
Int J Dent Hyg. 2009 Feb;7(1):55-61. doi: 10.1111/j.1601-5037.2008.00349.x.
The aim of this study was to assess the relationships between aggressive periodontitis (AgP), caries and smoking.
A cross-sectional study was conducted among patients who were specifically referred to the Dental Teaching Clinic in Irbid, Jordan for periodontal treatment. Self-administered questionnaire related to socio-demographic data and smoking habits was completed. The oral hygiene, gingival status, periodontal health and dental status of the participants was determined by using the plaque index of Silness and Loe [Acta Odontol Scand, 22 (1964), 121], the gingival index of Loe and Silness [Acta Odontol Scand, 21 (1963), 233], clinical attachment level (CAL) and decayed, missing and filled teeth (DMFT) index respectively.
The prevalence of smoking was greater in chronic periodontitis (CP) group (44.2%) than in either chronic gingivitis (CG) (27.4%) or AgP (29.9%) group. Self-reported perio-diseases in the close family was more prevalent (77%) among subjects diagnosed with AgP. The mean plaque scores were significantly higher for smoker than non-smoker in AgP group only (P = 0.04), with significantly greater plaque and gingival scores in CG and CP groups than AgP group (P = 0.012, 0.004). A significantly greater mean gingival scores were noted among CG and CP groups than AgP group (P = 0.004). The mean CAL was higher in smokers than in non-smokers in the three groups, with statistically significant differences in CP and AgP groups (P = 0.04, 0.01 respectively).The mean number of DMFT was significantly higher in smoker than in non-smoker of all age groups (P = 0.016, 0.043 and 0.01). However, mean DMFT was significantly greater in CP and CG than AgP groups.
It was concluded that (i) higher plaque and gingival index among smokers in all groups; (ii) significant difference in the CAL between smoker and non-smoke in CP and AgP groups; (iii) significant increase in caries risk among smokers in all groups; (iv) smokers and non-smokers of AgP group had significantly lower mean DMFT scores than those of CG or CP groups.
本研究旨在评估侵袭性牙周炎（AgP）、龋齿与吸烟之间的关系。
对专门转诊至约旦伊尔比德牙科教学诊所接受牙周治疗的患者进行了一项横断面研究。完成了与社会人口统计学数据和吸烟习惯相关的自填式问卷。通过使用西尔斯和勒的菌斑指数[《斯堪的纳维亚口腔医学杂志》，22（1964年），121]、勒和西尔斯的牙龈指数[《斯堪的纳维亚口腔医学杂志》，21（1963年），233]、临床附着水平（CAL）以及龋失补牙（DMFT）指数分别确定参与者的口腔卫生、牙龈状况、牙周健康和牙齿状况。
慢性牙周炎（CP）组的吸烟患病率（44.2%）高于慢性牙龈炎（CG）组（27.4%）或AgP组（29.9%）。在被诊断为AgP的受试者中，近亲中自我报告的牙周疾病更为普遍（77%）。仅在AgP组中，吸烟者的平均菌斑评分显著高于非吸烟者（P = 0.04），CG组和CP组的菌斑和牙龈评分显著高于AgP组（P = 0.012，0.004）。CG组和CP组的平均牙龈评分显著高于AgP组（P = 0.004）。三组中吸烟者的平均CAL均高于非吸烟者，CP组和AgP组存在统计学显著差异（分别为P = 0.04，0.01）。所有年龄组中吸烟者的平均DMFT数量均显著高于非吸烟者（P = 0.016，0.043和0.01）。然而，CP组和CG组的平均DMFT显著高于AgP组。
得出以下结论：（i）所有组中吸烟者的菌斑和牙龈指数较高；（ii）CP组和AgP组中吸烟者与非吸烟者的CAL存在显著差异；（iii）所有组中吸烟者的龋齿风险显著增加；（iv）AgP组的吸烟者和非吸烟者的平均DMFT评分显著低于CG组或CP组。
