Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Division of Periodontology, UConn Health, University of Connecticut School of Dental Medicine, Farmington, CT 06030, USA.
Int J Environ Res Public Health. 2019 Apr 9;16(7):1263. doi: 10.3390/ijerph16071263.
Electronic nicotine product use is increasing in the U.S., but few studies have addressed its effects on oral health. The goal of this work was to determine the association between electronic nicotine product use and periodontal disease. Population Assessment of Tobacco and Health adult survey data from 2013⁻2016 (waves 1, 2 and 3) was used for the analysis. Longitudinal electronic nicotine product users used electronic nicotine products regularly every day or somedays in all three waves. Participants with new cases of gum disease reported no history of gum disease in wave 1 but reported being diagnosed with gum disease in waves 2 or 3. Odds ratios (OR) were calculated to determine the association between electronic nicotine product use and new cases of gum disease after controlling for potential cofounders. Compared to never users, longitudinal electronic nicotine product users had increased odds of being diagnosed with gum disease (OR 1.76, 95% Confidence Interval (CI) 1.12⁻2.76) and bone loss around teeth (OR 1.67, 95% CI 1.06⁻2.63). These odds were higher for participants with a history of marijuana and a history of illicit or non-prescribed drug use. Our findings show that e-cigarettes may be harmful to oral health.
电子尼古丁产品在美国的使用正在增加，但很少有研究探讨其对口腔健康的影响。这项工作的目的是确定电子尼古丁产品使用与牙周病之间的关联。使用了 2013-2016 年（第 1、2 和 3 波）人口烟草和健康评估调查数据进行分析。纵向电子尼古丁产品使用者在所有 3 波中每天或有时定期使用电子尼古丁产品。有新的牙龈疾病病例的参与者在第 1 波中报告没有牙龈疾病史，但在第 2 或 3 波中报告被诊断患有牙龈疾病。计算了比值比 (OR)，以确定在控制潜在混杂因素后，电子尼古丁产品使用与新的牙龈疾病病例之间的关联。与从不使用者相比，纵向电子尼古丁产品使用者被诊断患有牙龈疾病的几率更高 (OR 1.76，95%置信区间 [CI] 1.12-2.76) 和牙齿周围骨骼损失的几率更高 (OR 1.67，95% CI 1.06-2.63)。对于有大麻史和非法或非处方药物使用史的参与者，这些几率更高。我们的研究结果表明，电子烟可能对口腔健康有害。
