Department of Periodontology, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia.
Department of Periodontology, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
J Periodontol. 2017 Jan;88(1):34-49. doi: 10.1902/jop.2016.160201. Epub 2016 Aug 4.
The rate of periodontitis in the US population has been estimated to be close to 50%. Patients with periodontitis, especially those who smoke, suffer from a high rate of tooth loss. The purpose of this analysis is to evaluate predictors of poor oral health and oral health habits among smokers and determine if trying to quit smoking is associated with better oral health or oral health habits in smokers in the United States.
Data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) were used in the analysis. After limiting the dataset to smokers, the designated exposure was respondent's report of trying to quit smoking (yes/no). Two logistic regression models were developed. One model identified factors associated with having a most recent dental visit longer than 1 year before the survey. The second model identified factors associated with loss of six or more teeth. Both models were controlled for confounding factors.
After controlling for confounding, among smokers in the 2014 BRFSS, trying to quit was associated with significantly lower odds of respondents having their most recent dental visit longer than a year before the survey (odds ratio [OR]: 0.93; 95% confidence interval [CI]: 0.90 to 0.97) and was a significant risk factor for having lost six or more teeth (OR: 1.06; 95% CI: 1.02 to 1.10).
Among smokers in the United States, trying to quit is associated with compliance with yearly dental visits and higher odds of lost teeth. Future research should investigate optimal approaches for providing smoking cessation services in the dental setting.
据估计，美国人群中牙周炎的发病率接近 50%。患有牙周炎的患者，尤其是那些吸烟的患者，牙齿脱落率较高。本分析的目的是评估吸烟者口腔健康不良和口腔健康习惯的预测因素，并确定试图戒烟是否与美国吸烟者的口腔健康或口腔健康习惯的改善相关。
本分析使用了 2014 年行为风险因素监测系统（BRFSS）的数据。在将数据集限制为吸烟者后，将受访者报告的试图戒烟（是/否）指定为暴露因素。建立了两个 logistic 回归模型。一个模型确定了与最近一次牙科就诊距离调查时间超过 1 年相关的因素。第二个模型确定了与失去 6 颗或更多牙齿相关的因素。两个模型都控制了混杂因素。
在控制了混杂因素后，在 2014 年 BRFSS 的吸烟者中，试图戒烟与受访者最近一次牙科就诊距离调查时间超过 1 年的可能性显著降低相关（比值比 [OR]：0.93；95%置信区间 [CI]：0.90 至 0.97），并且是失去 6 颗或更多牙齿的显著危险因素（OR：1.06；95% CI：1.02 至 1.10）。
在美国吸烟者中，试图戒烟与遵守每年一次的牙科就诊和牙齿脱落的可能性更高相关。未来的研究应调查在牙科环境中提供戒烟服务的最佳方法。
