School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom.
Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia; Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom.
J Dent. 2022 Jul;122:104164. doi: 10.1016/j.jdent.2022.104164. Epub 2022 May 14.
Many studies have been conducted to understand the association between e-cigarette use and different periodontal parameters, but the effect of conventional smoking in explaining this association remain to be elucidated. This study aimed to assess the association between e-cigarettes and self-reported periodontal disease, and whether smoking status explains this association.
This cross-sectional study was based on secondary data analysis of 8,129 participants of the National Health and Nutrition Survey (NHANES) 2015 -2018. E-cigarette use and smoking status were collected through questionnaires. Self-reported periodontal diseases and bone loss were derived from the 8-item CDC/AAP questionnaire. The associations between e-cigarette use and self-reported periodontal diseases were tested in logistic regression models adjusting for demographic factors, socioeconomic indicators, smoking status, diabetes and dental visits. Additionally, to test the effect of smoking on the relationship, three fully adjusted logistic regression models stratified by smoking status were constructed.
E-cigarettes ever users and current users had higher odds of self-reported periodontal disease (OR = 1.43, 95% CI: 1.18, 1.73) and bone loss (OR = 1.80, 95% CI: 1.30, 2.49) respectively compared to non-users after adjusting for smoking and potential confounders. In the regression models stratified by smoking status, e-cigarette was only significantly associated with self-reported periodontal disease variables among current smokers, but not among previous or never smokers.
E-cigarette use is associated with self-reported periodontal disease. However, smoking status appears to explain the relationship between e-cigarette use and periodontal disease.
This population-based cross-sectional study shows that e-cigarette use is associated with self-reported periodontal disease. Smoking status appears to explain the association. Dental professionals should consider the effect of conventional smoking and comprehend the risks of e-cigarette on oral health and its benefits when used as a smoking cessation aid.
许多研究旨在了解电子烟使用与不同牙周参数之间的关联，但常规吸烟对这种关联的解释作用仍有待阐明。本研究旨在评估电子烟与自我报告的牙周疾病之间的关联，以及吸烟状况是否解释了这种关联。
这是一项基于 2015-2018 年全国健康与营养调查（NHANES）二次数据分析的横断面研究。电子烟使用情况和吸烟状况通过问卷调查收集。自我报告的牙周疾病和骨丢失由 8 项 CDC/AAP 问卷得出。在调整人口统计学因素、社会经济指标、吸烟状况、糖尿病和牙科就诊情况后，使用逻辑回归模型检验电子烟使用与自我报告的牙周疾病之间的关联。此外，为了检验吸烟对这种关系的影响，根据吸烟状况构建了三个完全调整的逻辑回归模型。
与非使用者相比，电子烟既往使用者和当前使用者分别报告牙周疾病（OR=1.43，95%CI：1.18，1.73）和骨丢失（OR=1.80，95%CI：1.30，2.49）的可能性更高，在调整吸烟和潜在混杂因素后。在根据吸烟状况分层的回归模型中，电子烟仅与当前吸烟者的自我报告牙周疾病变量显著相关，而与既往吸烟者或从不吸烟者无关。
电子烟使用与自我报告的牙周疾病相关。然而，吸烟状况似乎解释了电子烟使用与牙周疾病之间的关系。
这项基于人群的横断面研究表明，电子烟使用与自我报告的牙周疾病相关。吸烟状况似乎解释了这种关联。牙科专业人员在考虑常规吸烟的影响时，应了解电子烟对口腔健康的风险及其作为戒烟辅助手段的益处。
