Alghamdi Faisal A, Jawmin Basil A, Alghamdi Mohammed A, Almalki Meshari A, Sabbagh Yousef H, Aljemyie Ahmed A, Alotaibi Muath S, Alolayani Rayan A, Jawmin Muhannad A, Alghamdi Abdulaziz A, Althobaiti Turki A, Alqurashi Ahmed M, Hakami Khalid, Alnofaie Marwan F, Atalla Ayman A
Faculty of Medicine, Taif University, Taif, SAU.
Department of Emergency Medicine, King Faisal Medical Complex, Taif, SAU.
Cureus. 2024 Mar 8;16(3):e55801. doi: 10.7759/cureus.55801. eCollection 2024 Mar.
Introduction Dental surfaces have dense bacterial deposits, and poor oral hygiene can exacerbate bacterial infections, causing acute tonsillitis. The study aims to quantify acute tonsillitis prevalence and assess its association with oral hygiene practices. Methods A descriptive cross-sectional study aimed to assess the prevalence of acute tonsillitis and its association with oral hygiene was conducted among adults aged 20 and above in Taif City, Saudi Arabia. Illiterates and those unwilling to participate were excluded. We employed an Arabic online self-administered questionnaire that was disseminated conveniently via Google Forms to social media assessing oral hygiene such as last dental visit, age at starting dental care, number of toothbrushes per day, frequency of toothbrush change, and duration of brushing teeth, and acute tonsillitis characteristics of the participants. Results About 393 participated in the study. Of them, 54% were aged 20-30, 53% were males, and 70% had a university education. The prevalence of acute tonsillitis was 64%. Approximately 28% reported dental clinic visits within three months, and 21% initiated oral hygiene practices at age 20. Among participants, 43% brushed twice daily, with 33% spending one minute and 43% two minutes. About 31% replaced toothbrushes every three months, while 23% acknowledged having bad breath. Experiencing bad breath, changing toothbrushes every three months, and having dental visits within less than three months were associated with having acute tonsillitis (p<0.05). However, regression analysis revealed that experiencing bad breath (OR: 2.11, 95% CI: 1.23, 3.70) was associated with a higher risk of acute tonsillitis, while less frequent toothbrush changes correlated with a lower risk (OR: 0.54, 95% CI: 0.30, 0.94). Conclusion This study revealed a substantial prevalence of acute tonsillitis among adults in Taif City. Oral care practices need improvement. There are significant associations between oral hygiene practices, bad breath, and the occurrence of acute tonsillitis. Addressing oral hygiene practices could be a key focus for preventative measures.
引言
牙齿表面有密集的细菌沉积物，口腔卫生状况差会加剧细菌感染，引发急性扁桃体炎。本研究旨在量化急性扁桃体炎的患病率，并评估其与口腔卫生习惯的关联。
方法
在沙特阿拉伯塔伊夫市对20岁及以上成年人开展了一项描述性横断面研究，旨在评估急性扁桃体炎的患病率及其与口腔卫生的关联。文盲和不愿参与者被排除。我们采用了一份阿拉伯语在线自填问卷，通过谷歌表单方便地在社交媒体上分发，以评估口腔卫生情况，如上次看牙时间、开始口腔护理的年龄、每天牙刷数量、更换牙刷的频率、刷牙时长，以及参与者的急性扁桃体炎特征。
结果
约393人参与了研究。其中，54%的年龄在20至30岁之间，53%为男性，70%拥有大学学历。急性扁桃体炎的患病率为64%。约28%的人报告在三个月内看过牙科诊所，21%在20岁开始进行口腔卫生护理。参与者中，43%每天刷牙两次，33%每次刷牙一分钟，43%每次刷牙两分钟。约31%的人每三个月更换一次牙刷，23%承认有口臭。有口臭、每三个月更换一次牙刷以及在不到三个月内看牙与患有急性扁桃体炎有关（p<0.05）。然而，回归分析显示，有口臭（比值比：2.11，95%置信区间：1.23，3.70）与急性扁桃体炎风险较高相关，而更换牙刷频率较低与风险较低相关（比值比：0.54，95%置信区间：0.30，0.94）。
结论
本研究显示塔伊夫市成年人中急性扁桃体炎的患病率很高。口腔护理习惯需要改善。口腔卫生习惯、口臭与急性扁桃体炎的发生之间存在显著关联。关注口腔卫生习惯可能是预防措施的关键重点。
