Mizutani S, Ekuni D, Tomofuji T, Yamane M, Azuma T, Iwasaki Y, Morita M
Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Advanced Research Center for Oral and Craniofacial Sciences, Okayama University Dental School, Okayama, Japan.
J Periodontal Res. 2015 Aug;50(4):494-9. doi: 10.1111/jre.12233. Epub 2014 Sep 23.
Various studies have reported the relationship between alcohol consumption and gingival condition. However, they focus on the direct effects of alcohol consumption or alcohol sensitivity on gingival condition, and it is unclear how oral health behaviors relate these relationships. The aims of this study were to assess the inter-relationships between gingival condition, tooth-brushing behavior after drinking alcohol and alcohol sensitivity in university students who drink more than once per week on average.
A total of 808 students (541 males, 267 females) that habitually consume alcohol were analyzed. The disease activity of gingival condition was assessed as the percentage of bleeding on probing (%BOP). Additional information regarding alcohol sensitivity and oral health behaviors, including tooth-brushing behavior after drinking, were also collected.
Thirteen percent of the current participants reported neglecting tooth-brushing after drinking, and their alcohol consumption was higher than those who did not neglect tooth-brushing. Logistic regression analysis showed that high %BOP (%BOP ≥ 20) was associated with male (OR = 1.53; 95% CI, 1.01-2.33), neglect of tooth-brushing after drinking (OR = 2.60; 95% CI, 1.20-5.61) and debris index (OR = 8.38; 95% CI, 4.24-16.60) in participants with low alcohol sensitivity. In participants with high alcohol sensitivity, high %BOP was associated with debris index (OR = 7.60; 95% CI, 3.12-18.51), but not with any oral health behaviors.
The study revealed that alcohol consumption was indirectly related to gingival disease activity through the neglect of tooth-brushing after drinking alcohol in university students with low alcohol sensitivity.
多项研究报道了饮酒与牙龈状况之间的关系。然而，这些研究主要关注饮酒或酒精敏感性对牙龈状况的直接影响，尚不清楚口腔健康行为如何与这些关系相关联。本研究旨在评估平均每周饮酒一次以上的大学生牙龈状况、饮酒后刷牙行为和酒精敏感性之间的相互关系。
对总共808名习惯性饮酒的学生（541名男性，267名女性）进行了分析。牙龈状况的疾病活动度通过探诊出血百分比（%BOP）来评估。还收集了有关酒精敏感性和口腔健康行为的其他信息，包括饮酒后刷牙行为。
13%的参与者表示饮酒后会忽略刷牙，且他们的饮酒量高于未忽略刷牙的人。逻辑回归分析显示，在酒精敏感性较低的参与者中，高%BOP（%BOP≥20）与男性（OR = 1.53；95%CI，1.01 - 2.33）、饮酒后忽略刷牙（OR = 2.60；95%CI，1.20 - 5.61）和牙菌斑指数（OR = 8.38；95%CI，4.24 - 16.60）相关。在酒精敏感性较高的参与者中，高%BOP与牙菌斑指数（OR = 7.60；95%CI，3.12 - 18.51）相关，但与任何口腔健康行为均无关联。
该研究表明，在酒精敏感性较低的大学生中，饮酒通过饮酒后忽略刷牙与牙龈疾病活动度间接相关。
