习惯性嚼古特卡者与嚼鼻烟者牙周炎症参数的比较：一项半口回顾性临床研究。

Comparison of periodontal inflammatory parameters among habitual gutka-chewers and naswar-dippers: a split-mouth retrospective clinical study.

作者信息

Akram Zohaib, Abduljabbar Tariq, Hosain Mervyn, Al-Sowygh Zeyad H, Al-Hamoudi Nawwaf, Vohra Fahim, Javed Fawad

机构信息

a Department of Periodontology, Faculty of Dentistry , Ziauddin University , Karachi , Pakistan.

b Department of Prosthetic Dental Sciences, College of Dentistry , King Saud University , Riyadh , Saudi Arabia.

出版信息

Acta Odontol Scand. 2018 Mar;76(2):141-147. doi: 10.1080/00016357.2017.1394489. Epub 2017 Oct 26.

DOI:10.1080/00016357.2017.1394489

PMID:29069977

Abstract

OBJECTIVE

The aim of the present split-mouth retrospective study was to compare the clinical periodontal parameters among gutka-chewers and naswar-dippers.

METHODS

A structured questionnaire was used to record demographic information. Jaw quadrant in which, gutka or naswar were placed were defined as "test-sites". The remaining jaw quadrants were designated as "control-sites". Clinical [plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment loss (CAL)] and radiographic [alveolar bone loss (ABL)] parameters were compared among gutka-chewers and naswar-dippers in the test- and control sites. Data were analysed using non-parametric Wilcoxon signed rank test followed by post hoc analyses with the Bonferroni correction. p < .05 were considered statistically significant.

RESULTS

Seventy-five gutka-chewers and 72 naswar-dippers with mean ages of 45.2 ± 0.8 years and 47.3 ± 2.8 years, respectively were included. Gutka-chewers and naswar-dippers were consuming their respective smokeless tobacco product 10.2 times and 8.5 times daily for 15.1 ± 2.7 and 12.3 ± 3.4 years, respectively. Among gutka-chewers and naswar-dippers, scores of PI, BOP, PPD ≥4 mm, CAL and ABL were significantly higher in the test-sites compared with their respective control-sites (p < .01).

CONCLUSIONS

Periodontal inflammatory parameters were poorer in the test-sites among gutka-chewers and naswar-dippers compared with the control-sites.

摘要

目的

本裂口对照回顾性研究旨在比较嚼古特卡者和吸纳斯瓦尔者的临床牙周参数。

方法

使用结构化问卷记录人口统计学信息。放置古特卡或纳斯瓦尔的颌象限被定义为“试验部位”。其余颌象限被指定为“对照部位”。比较嚼古特卡者和吸纳斯瓦尔者在试验部位和对照部位的临床[菌斑指数（PI）、探诊出血（BOP）、探诊袋深度（PPD）和临床附着丧失（CAL）]及影像学[牙槽骨丧失（ABL）]参数。数据采用非参数Wilcoxon符号秩检验进行分析，随后进行Bonferroni校正的事后分析。p < 0.05被认为具有统计学意义。

结果

纳入75名嚼古特卡者和72名吸纳斯瓦尔者，平均年龄分别为45.2 ± 0.8岁和47.3 ± 2.8岁。嚼古特卡者和吸纳斯瓦尔者每天分别食用各自的无烟烟草制品10.2次和8.5次，持续时间分别为15.1 ± 2.7年和12.3 ± 3.4年。在嚼古特卡者和吸纳斯瓦尔者中，试验部位的PI、BOP、PPD≥4 mm、CAL和ABL评分显著高于各自的对照部位（p < 0.01）。