Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.
J Periodontol. 2020 Dec;91(12):1621-1631. doi: 10.1002/JPER.19-0602. Epub 2020 May 28.
This study investigates whether alcohol use predicts the periodontal pocket development over an 11-year follow-up period.
The study participants' periodontal condition was examined both in the Health 2000 and 2011 Surveys (BRIF8901). Participants were aged 30 to 65 years, dentate, periodontally healthy, and did not have diabetes or rheumatoid arthritis in 2000. Periodontal outcome measures in 2011 were the number of teeth with deepened (≥4 mm) periodontal pockets and the presence of deepened periodontal pockets. The exposure in 2000 was alcohol use (amount [g/week], frequency [any alcohol or different beverages]). Incidence rate ratios (IRRs) with 95% confidence intervals (CI) were estimated using negative binomial regression model and Poisson regression model with a robust variance estimator.
Overall, the amount of alcohol use or use over the risk limit in 2000 was inconsistently associated with the development of periodontal pockets (IRRs varied from 0.6 to 1.0). The frequency of alcohol use (any alcohol or different beverages) had an inconsistent association with the presence of periodontal pockets (IRRs varied from 0.5 to 1.2) while there was an inverse association with the number of teeth with periodontal pockets. Among smokers, there were no clear associations between any of the exposures and either of the outcomes. The same was found among non-smokers except an inverse association was found between frequency of alcohol use and the number of teeth with periodontal pockets.
Alcohol use was not consistently associated with the periodontal pocket development over a period of 11 years.
本研究旨在探讨在 11 年的随访期间，饮酒是否会预测牙周袋的发展。
本研究的参与者在 2000 年和 2011 年的健康调查（BRIF8901）中接受了牙周状况检查。参与者年龄在 30 至 65 岁之间，有牙齿，牙周健康，且在 2000 年时没有糖尿病或类风湿关节炎。2011 年的牙周结局指标为深度加深（≥4mm）牙周袋的牙齿数量和深度加深牙周袋的存在。2000 年的暴露因素为饮酒量（克/周）和饮酒频率（是否饮酒或饮用不同的饮料）。使用负二项式回归模型和泊松回归模型（具有稳健方差估计器）估计发病率比（IRR）及其 95%置信区间（CI）。
总体而言，2000 年的饮酒量或超过风险限制的饮酒频率与牙周袋的发展不一致相关（IRR 从 0.6 到 1.0 不等）。饮酒频率（是否饮酒或饮用不同的饮料）与牙周袋的存在不一致相关（IRR 从 0.5 到 1.2 不等），而与牙周袋牙齿数量呈负相关。在吸烟者中，任何暴露因素与任何结局之间均无明确关联。在不吸烟者中也是如此，除了饮酒频率与牙周袋牙齿数量之间呈负相关。
在 11 年的时间里，饮酒与牙周袋的发展没有一致的关联。
