Department of Periodontology and Oral Implantology, College of Dental Surgery, B.P Koirala Institute of Health and Sciences, Dharan, 56700, Nepal.
School of Public Health and Community Medicine, B.P Koirala Institute of Health and Sciences, Dharan, 56700, Nepal.
BMC Oral Health. 2021 Feb 12;21(1):66. doi: 10.1186/s12903-021-01416-3.
Tobacco products are considered significant, but preventable factors related to initiation and progression of periodontal diseases. We assessed the prevalence of periodontitis and evaluated its association with tobacco use and other factors amongst the adult population of Sunsari district in eastern Nepal.
A community-based, cross-sectional study was conducted in rural municipalities in the province one of eastern Nepal. A total of 440 adults were interviewed with a set of a pre-tested semi-structured questionnaire. Data on social demographics, adverse oral habits followed by periodontal clinical examination were recorded. Prevalence of periodontitis was assessed by a case definition provided by CDC-AAP. Univariate and multivariate logistic regression analysis was done to measure the association between tobacco use and other factors with periodontitis.
The overall prevalence of periodontitis was found to be 71.6%. Majority (85.4%) of tobacco users had periodontitis and they were significantly associated with the disease and its severity. The study identified age groups, 45-65 years (AOR = 7.58, 95% CI 3.93-14.61), plaque accumulation (AOR = 1.01, 95% CI 1.00-1.02), smoking (AOR = 3.14, 95% CI 1.36-7.27), khaini users (smokeless tobacco, AOR = 2.27, 95% CI 1.12-4.61) and teeth loss (AOR = 2.02, 95% CI 1.21-3.38) as the significant factors associated with periodontitis.
The prevalence of periodontitis is high in the surveyed rural adult population. Cigarette smoking along with the use of smokeless tobacco in the form of khaini were identified as significant factors associated with periodontitis.
烟草制品被认为是引发和加重牙周病的重要但可预防的因素。我们评估了牙周炎的流行情况，并在尼泊尔东部桑萨里地区的成年人群中评估了其与烟草使用和其他因素的关系。
在尼泊尔东部的一个省的农村市政进行了一项基于社区的横断面研究。共对 440 名成年人进行了访谈，使用了一套预先测试的半结构化问卷。记录了社会人口统计学数据、不良口腔习惯以及牙周临床检查数据。使用疾病预防控制中心-美国牙周病学会提供的病例定义评估牙周炎的患病率。进行单变量和多变量逻辑回归分析，以衡量烟草使用与其他因素与牙周炎之间的关联。
牙周炎的总体患病率为 71.6%。大多数（85.4%）的烟草使用者患有牙周炎，且他们与该疾病及其严重程度显著相关。该研究确定了年龄组（45-65 岁）（AOR=7.58，95%CI 3.93-14.61）、牙菌斑堆积（AOR=1.01，95%CI 1.00-1.02）、吸烟（AOR=3.14，95%CI 1.36-7.27）、khaini 使用者（无烟烟草，AOR=2.27，95%CI 1.12-4.61）和牙齿缺失（AOR=2.02，95%CI 1.21-3.38）是与牙周炎相关的显著因素。
在所调查的农村成年人群中，牙周炎的患病率较高。吸烟以及以 khaini 形式使用无烟烟草被确定为与牙周炎相关的重要因素。
