Department of Paediatric Dentistry, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
Acta Odontol Scand. 2011 May;69(3):158-64. doi: 10.3109/00016357.2010.547516. Epub 2011 Jan 13.
To study oral health in young adults with long-term, controlled asthma.
Twenty 18- to 24-year-olds with a mean duration of asthma of 13.5 [standard deviation (SD) 5.4] years and 20 matched healthy controls were included. A clinical examination was performed and the prevalences of caries, erosions, gingival inflammation, cervicular fluid and periodontal pockets and the plaque formation rate were registered. The salivary flow rate and the numbers of mutans Streptococci and Lactobacilli in saliva were determined. Plaque pH was measured after a sucrose rinse for up to 40 min at two approximal sites. The participants were interviewed regarding dietary and oral hygiene habits.
The mean (SD) DFS, including manifest and initial caries, was 8.6 (10.6) in the asthma group and 4.0 (5.2) in the control group (P = 0.09). Initial caries lesions were more common in the asthma group than in the control group: 6.0 (8.1) and 1.3 (2.0), respectively (P = 0.02). The asthma group had more gingivitis (P = 0.01) and a lower stimulated salivary secretion rate than the controls (P = 0.01). The asthmatics also had a somewhat, although not statistically significant, lower initial pH value in plaque and a more pronounced pH drop compared with the controls. In the asthma group, 65% reported frequent mouthbreathing, compared with 10% of the controls (P = 0.01). No differences were found in tooth-brushing or dietary habits between the groups.
Young adults with long-term, controlled asthma had more initial caries, more gingival inflammation and a lower stimulated salivary secretion rate than individuals without asthma.
研究长期控制哮喘的年轻成年人的口腔健康状况。
共纳入 20 名 18-24 岁的患者，哮喘平均病程为 13.5 年（标准差 5.4 年），并选择 20 名匹配的健康对照者。进行临床检查，记录龋齿、侵蚀、牙龈炎症、颈液和牙周袋的患病率以及菌斑形成率。测量唾液流率和唾液中变形链球菌和乳杆菌的数量。在两个近中部位用蔗糖漱口后，测量菌斑 pH 值，最长可达 40 分钟。对参与者进行关于饮食和口腔卫生习惯的访谈。
哮喘组的平均（标准差）DFS，包括明显和初始龋齿，为 8.6（10.6），对照组为 4.0（5.2）（P = 0.09）。哮喘组的初始龋齿病变比对照组更常见：分别为 6.0（8.1）和 1.3（2.0）（P = 0.02）。哮喘组的牙龈炎比对照组更严重（P = 0.01），刺激唾液分泌率也低于对照组（P = 0.01）。哮喘组的菌斑初始 pH 值略低，虽然无统计学意义，但与对照组相比，pH 值下降更为明显。在哮喘组中，65%的人报告经常口呼吸，而对照组中只有 10%（P = 0.01）。两组之间在刷牙或饮食习惯方面无差异。
与无哮喘的个体相比，长期控制哮喘的年轻成年人有更多的初始龋齿、更严重的牙龈炎和较低的刺激唾液分泌率。
