Costa Fernando-Oliveira, Cortelli José-Roberto, Costa Adriana-Moreira, Lima Rafael-Paschoal-Esteves, Corteli Sheila-Cavalca, Cota Otávio-Miranda
Department of Dental Clinics, Oral Pathology, and Oral Surgery, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
School of Dentistry, Department of Periodontology, Federal University of Minas Gerais, Brazil.
J Clin Exp Dent. 2020 Feb 1;12(2):e139-e147. doi: 10.4317/jced.56166. eCollection 2020 Feb.
This study followed individuals in periodontal maintenance therapy (PMT) over 6 years and longitudinally evaluated the effects of the frequency of alcohol consumption on the recurrence of periodontitis (RP).
From a 6-year follow-up cohort study with 268 individuals under PMT, 142 patients who attended at least one PMT visit within 12 months were determined to be eligible. Based on their alcohol consumption, participants were categorized into 3 groups: none or occasional alcohol use (NA; n=88), moderate alcohol use (MA; n=26) and intense alcohol use (IA; n=24). Complete periodontal examination and alcohol consumption were evaluated at 2 times, T1 (after active periodontal therapy) and T2 (6 years).
The frequencies of RP in the NA, MA and IA groups were 46.5%, 57.6%, and 79.1%, respectively. The following variables were significantly associated with RP in final multivariate logistic regression model: age >50 years old (OR = 1.79; 95%CI 1.42-2.91; p=0.002), current smoking (OR = 2.42; 95%CI 1.33-4.31; =0.001), and intensive alcohol use (OR = 1.96; 95%CI: 1.37-2.64; =0.024). Interaction between intensive alcohol use and smoking showed a high OR estimate of 3.15 (95%CI 1.29-6.32) for RP.
IA individuals undergoing PMT presented worse periodontal condition, higher rates of RP and tooth loss when compared to NA individuals. Additionally, the interaction between intensive alcohol use and smoking significantly increased the risk for RP. Periodontitis, alcohol consumption, maintenance, epidemiology.
本研究对接受牙周维护治疗（PMT）的个体进行了6年随访，并纵向评估了饮酒频率对牙周炎复发（RP）的影响。
在一项对268名接受PMT个体的6年随访队列研究中，确定142名在12个月内至少参加过一次PMT就诊的患者符合条件。根据饮酒情况，参与者被分为3组：不饮酒或偶尔饮酒（NA；n = 88）、适度饮酒（MA；n = 26）和大量饮酒（IA；n = 24）。在两个时间点进行全面的牙周检查和饮酒情况评估，T1（积极牙周治疗后）和T2（6年）。
NA、MA和IA组的RP发生率分别为46.5%、57.6%和79.1%。在最终的多变量逻辑回归模型中，以下变量与RP显著相关：年龄>50岁（OR = 1.79；95%CI 1.42 - 2.91；p = 0.002）、当前吸烟（OR = 2.42；95%CI 1.33 - 4.31；p = 0.001）和大量饮酒（OR = 1.96；95%CI：1.37 - 2.64；p = 0.024）。大量饮酒与吸烟之间的相互作用显示RP的OR估计值较高，为3.15（95%CI 1.29 - 6.32）。
与NA个体相比，接受PMT的IA个体牙周状况更差，RP和牙齿脱落率更高。此外，大量饮酒与吸烟之间的相互作用显著增加了RP的风险。牙周炎、饮酒、维护、流行病学。
