Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Periodontics, Preventive and Restorative Dentistry, University Medical Centre Hamburg-Eppendorf, 20246, Hamburg, Germany.
Clin Oral Investig. 2022 Mar;26(3):2421-2427. doi: 10.1007/s00784-021-04208-9. Epub 2021 Oct 7.
Positive and negative influences on oral health are attributed to coffee consumption. The aim of the current study is to evaluate the association between coffee consumption and periodontitis in the general population of Hamburg.
A total of 6,209 participants from the Hamburg City Health Study were included in this cross-sectional study. Information on coffee consumption was collected using a food frequency questionnaire. Periodontal examination included assessment of dental care ability via Plaque Index, measurement of pocket depth, gingival recession, and bleeding on probing. Classification was based on the criteria of Eke and Page. Ordinal logistic regression models were performed unadjusted and adjusted for confounding variables.
Periodontal cohort consists of 6,209 participants, presenting either none/mild (n = 1,453, 39.6% men, 2.4% strong coffee drinkers), moderate (n = 3,580, 49.3% men, 3.3% strong coffee drinkers), or severe (n = 1,176, 60.9% men, 5.0% strong coffee drinkers) periodontitis. There was a significant association between strong coffee consumption (≥ 7or more cups/day) and periodontitis (OR: 1.51; CI: 1.07, 2.12; p > 0.001), compared with low coffee consumption. Conversely, moderate coffee consumption was not associated with periodontitis, compared with low coffee consumption.
and clinical relevance. In this cross-sectional study of a northern German population, strong coffee consumption was significantly associated with periodontitis. Influence of changes in coffee consumption on periodontal disease etiology/progression should be investigated in future prospective study designs, in order to identify strong coffee consumption as a potential risk factor of periodontitis.
咖啡的摄入对口腔健康既有积极影响，也有消极影响。本研究旨在评估汉堡普通人群中咖啡摄入与牙周炎之间的关联。
本横断面研究纳入了汉堡城市健康研究中的 6209 名参与者。使用食物频率问卷收集咖啡摄入量信息。牙周检查包括通过菌斑指数评估口腔护理能力、测量牙周袋深度、牙龈退缩和探诊出血。分类基于 Eke 和 Page 的标准。未调整和调整混杂因素后，进行有序逻辑回归模型分析。
牙周队列包括 6209 名参与者，表现为无/轻度（n=1453，39.6%男性，2.4%重度咖啡饮用者）、中度（n=3580，49.3%男性，3.3%重度咖啡饮用者）或重度（n=1176，60.9%男性，5.0%重度咖啡饮用者）牙周炎。与低咖啡摄入量相比，大量（≥7 杯/天）咖啡摄入与牙周炎显著相关（OR：1.51；95%CI：1.07，2.12；p>0.001）。相比之下，与低咖啡摄入量相比，中度咖啡摄入量与牙周炎无关。
本研究表明，在德国北部人群的横断面研究中，大量咖啡摄入与牙周炎显著相关。在未来的前瞻性研究设计中，应研究咖啡摄入量变化对牙周病病因/进展的影响，以确定大量咖啡摄入可能是牙周炎的一个潜在危险因素。
