Relation of smoking and periodontal status among 30s-50s Adults in Metropolitan Area

수도권지역 성인에서 홉연과치주상태의 관련성

Han, Gyeong-Soon;Kim, Yoon-Shin;Kang, Jae-Kyoung;Hwang, Yoon-Sook;Han, Dong-Hun;Bae, Kwang-Hak
한경순;김윤신;강재경;황윤숙;한동헌;배광학

  • Published : 2008.06.01

Abstract

Objectives: Smoking is well known risk factor of various disease and cause of periodontal disease. So the aim of this study was to investigate the relationship between smoking and periodontal status. Methods: This study conducted a survey for the 151 adults aged 30 to 59 from Oct. 1, 2006 to Mar. 30, 2007 and the 1st examination through a clinical periodontal index and a radiograph to analyze the periodontal status in smoking status. For the inspection of periodontal status, t-test and one-way analysis of variance was conducted. Results: In terms of the number of quadrants possessing periodontal pocket, the groups of smokers(3.34) and former smokers(3.38) were higher than the non-smokers group(2.72) and the amount of loss for interproximal bone was noticeably more abundant in the groups of smokers(67.23) and former smokers(81.97) than in the non-smoker group(49.44). There were no differences in smoking characteristics between the smoking terms, but there were statistically significant differences in the amount of smoking between the group who smoked less than 20 cigarettes(56.24) and that smoked more than 21 cigarettes(97.45) and the group who smoked less than 10 cigarettes(49.44) while drinking alcohol and that smoked more than 11 cigarettes(87.56) while drinking. Conclusions: Smoking is not related to O'Leary Plaque Index, Lὅe & Silness index and number of missing teeth; however, it has been found that the impact of smoking was conspicuous in the improvement effects of periodontal status as well as the number of quadrants possessing periodontal pocket, amount of loss for interproximal bone.

Keywords

References

  1. 김영준. 전남대학교 교직원들의 치주상태 및 자각증상에 대한 조사. 대한구강보건학회지 1995;19(1):123-140
  2. 박기철, 김완규. 행동요법과 약품을 활용한 흡연중지 치료 (下). 대한치과의사협회지 2002;40(12):860-967
  3. Holm G. Smoking as an additional risk for tooth loss. J Periodontol 1994; 65(11):996-1001 https://doi.org/10.1902/jop.1994.65.11.996
  4. Bcrgsrrom J , Persson L, Preber H. Influence of cigarette smoking on vascular reaction during experimental gingivitis. Eur J Oral Sci 1988;96(1):34-39 https://doi.org/10.1111/j.1600-0722.1988.tb01405.x
  5. Harber J , Kent RL. Cigarette smoking in periodontal practice. J Periodontol 1992;63(2):100-106 https://doi.org/10.1902/jop.1992.63.2.100
  6. Martinez-Canut P, Lorca A, Margan R. Smoking and periodontal disease severity. J Clin Periodontol 1995;22(10):743-749 https://doi.org/10.1111/j.1600-051X.1995.tb00256.x
  7. 조규성, 이정태, 최성호, 이승원, 채중규, 김종관. 흡연이 치주 판막술후 치유에 미치는 영향. 대한치주과학회지 1999; 29(1):103-114
  8. 박주희, 김영남, 유자혜, 김민영, 김백일, 권호근. 한국 성인에서 흡연과 치주낭 형성의 관련성. 대한구강보건학회지 2005;29(3):293-301
  9. 성동경. 청소년 흡연이 구강질환에 미치는 영향[석사학위논문]. 서울:연세대학교 보건대학원;2000
  10. 양진영. 흡연이 구강환경에 미치는 영향[석사학위논문]. 서울:중앙대학교 사회개발대학원;2001
  11. 장기완. 치주병 예방 및 치주관리환자를 위한 잇솔질 교습법-Toothpick Method. 대한치과의사협회지 1998;36(10):666-669
  12. O'Leary TJ, Drake RB, Naylor JE. The plaque control record . J Periodontol 1972;43(1):38 https://doi.org/10.1902/jop.1972.43.1.38
  13. Ah MKB, Johnson GK, Kaldahl WB, Patil KD, Kalkwarf KL. The effect of smoking on the response to periodontal therapy. J Clin Periodontol 1994;21(2):91-97 https://doi.org/10.1111/j.1600-051X.1994.tb00285.x
  14. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21(6): 533-551 https://doi.org/10.3109/00016356309011240
  15. 장기완, 김진범. 세계보건기구가 권장하는 구강건장조사법. 서울:고문사;2000:45-48
  16. 임성빈. 치주질환 진단의 방사선학적 방법. 대한치과의사협회지 1999;37(3):188-191
  17. 유형근. 치주질환의 최신 진단기법-치주질환 진단의 최근 현황과 앞으로의 방향. 대한치과의사협회지 1999;37(3):192-195
  18. Prichard JF. Role of the roentgenograph in the diagnosis and prognosis of periodontal disease . Oral Surg Oral Med Oral Pathol 1961;14(2):182-196 https://doi.org/10.1016/0030-4220(61)90362-0
  19. Alexander AG. The relationship between tobacco smoking, calculus and plaque accumulation and gingivitis. Dental Health 1970;9(1):6-9
  20. Bastian RJ, Waite IM. Effects of tobacco smoking on plaque development and gingivitis. J Periodontol 1978;49(9) :480-482 https://doi.org/10.1902/jop.1978.49.9.480
  21. Preber H, Kan T, Bergstrom J. Cigarette smoking , oral hygiene and periodontal health in Swedish army conscrips. J Clin Periodontol 1980;7(2):106-113 https://doi.org/10.1111/j.1600-051X.1980.tb01953.x
  22. Ismail Al, Burt BA, Edlund SA. Epidemiologic patterns of smoking and periodontal disease in the United States. J Am Dent Assoc 1983;106(5):617-621 https://doi.org/10.14219/jada.archive.1983.0137
  23. 장문택. 흡연이 치주수술을 포함한 치주치료의 결과에 미치는 영향. 대한치주과학회지 2003;33(3):395-404
  24. 김지화, 이정화. 공업계 남자 고등학생들의 구강보건행태와 흡연이 구강에 미치는 영향. 한국위생과학회지 2004;10(2):51-60
  25. Feldmen RS, Bravacos CL. Association between smoking different tobacco product s and periodontal disease indexes. J Periodontol 1983;54(6):481-488 https://doi.org/10.1902/jop.1983.54.8.481
  26. 황영혜. 흡연이 치태 및 치은염에 미치는 영향[석사학위논문]. 부산:부산대학교 대학원;1998
  27. Loe H, Theilade E, Jensen SB, Schiott CR. Experimental gingivitis in man . J Periodont Res 1967;2(4):282-289 https://doi.org/10.1111/j.1600-0765.1967.tb01901.x
  28. we H. The gingival index, the plaque index system. J Periodontol 1967;38(6):610-616 https://doi.org/10.1902/jop.1967.38.6_part2.610
  29. Greenste in G. Histologic characteristics associated with bleeding after probing and visua l signs of inflammation . J Periodontol 1981;52(8):420-425 https://doi.org/10.1902/jop.1981.52.8.420
  30. Thomas E, Arthur H, Alice K, Klaus HR. Correlations among papilla bleeding index, other clinical indices and histologically determined inflammation of gingival papilla. J Clin Periodontol 1983;10(6):579-589 https://doi.org/10.1111/j.1600-051X.1983.tb01296.x
  31. Abbas F, Van der Velden U. Bleeding/plaque ratio and the development of gingival inflammation. J Clin Periodontol 1986;13(8):774-782 https://doi.org/10.1111/j.1600-051X.1986.tb00881.x
  32. Hedin CA, Ronquist G, Forsberg O. Cyclic nucleotide content of gingival tissue of smokers and nonsmokers. J Periodont Res 1981;16(3):337-343 https://doi.org/10.1111/j.1600-0765.1981.tb00983.x
  33. Danielsen B, Manji F, Nagelkerke N, Fejerskov O, Baelum V. Transition dynamics in experimental gingivitis in human. J Periodont Res 1989;24(4):254-260 https://doi.org/10.1111/j.1600-0765.1989.tb01790.x
  34. Preber H, Kant T. Effect of tobacco smoking on periodontal tissue of 15-year-old school children. J Periodont Res 1973;8(5):278-283 https://doi.org/10.1111/j.1600-0765.1973.tb01116.x
  35. Summers CJ, Obeman A. Association of oral disease with 12 selected variables: I. Periodontal disease. J Dent Res 1968 ;47(3):457-462 https://doi.org/10.1177/00220345680470031901
  36. Page RC, Beck JD . Risk assessment for periodontal diseases. Int Dent J 1997;47(2):61-87 https://doi.org/10.1111/j.1875-595X.1997.tb00680.x
  37. Bergstrom J. Cigarette smoking as risk factor in chronic periodontal disease. Community Dent Oral Epidemiol 1989; 17(5):245-247 https://doi.org/10.1111/j.1600-0528.1989.tb00626.x
  38. Do GL, Spencer AJ , Thomson KR, Ha HO. Smoking as a risk indicator for periodontal disease in the middle-aged Vietnamese population . Community Dent Oral Epidemiol 2003;31(6):437-446 https://doi.org/10.1046/j.1600-0528.2003.00009.x
  39. Hausmann E, Alien k, Effect of x-ray beam vertical angulation of radiographic alveolar crest level measurement, J Periodont Res 1989;24(1):8-19 https://doi.org/10.1111/j.1600-0765.1989.tb00852.x
  40. Rundgren A, Mellstrom D. The effect of tobacco smoke on the bone mineral content of the aging skeleton. Mech Ageing Dev 1984;28(2-3):273-277 https://doi.org/10.1016/0047-6374(84)90027-7
  41. Amo A, Schei O, Lovdal A, Waerhaug J. Alveolar bone loss as a function of tobacco consumption. Acta Odontol Scand 1959;17(1):3-10 https://doi.org/10.3109/00016355909011228
  42. Baelum V, Fejerskov O. Tooth loss as related to dental caries and periodontal breakdown in adult Tanzanians. Community Dent Oral Epidemiol 1986; 14(6):353-368 https://doi.org/10.1111/j.1600-0528.1986.tb01090.x
  43. 김종배, 전광익. 한국노인 치주병의 진행도에 관한 조사 연구. 대한구강보건학회지 1978;3(1):49-52
  44. 박광진. 차아상실 원인의 조사연구. 대한구강보건학회지 1981;5(1):52
  45. 임상훈, 정종평, 손성희. 유년형 치주염에 관한 역학적, 임상적 및 세균학적 연구. 대한치주과학회지 1987;17(1):311
  46. Waiter TM. Jr . Tooth loss in 100 treated patient s with periodontal disease. J Periodontol 1982;53(9):539-549 https://doi.org/10.1902/jop.1982.53.9.539
  47. 한경윤, 임기정. 외과적 치주치료 중 치주질환으로 기인된 치아별 상실률에 관한 연구. 대한치주과학회지 1990;20(2):413-426
  48. 유광호, 전재규, 장기완. 전라북도 도민의 구강보건실태-치아우식증과 치주병 이환실태를 중심으로-. 대한구강보건학회지 2002;26(40):619-630
  49. Holm G. Smoking as an additional risk for tooth loss. J Periodontol 1994;65(11):996-1001 https://doi.org/10.1902/jop.1994.65.11.996
  50. 계승범, 한수부. 흡연량과 흡연기간에 따른 치주 상태. 대한치주과학회지 2001;31(4):803-809