Effect of Smoking on Peridontal Health: A Comparative Study
DOI:
https://doi.org/10.51985/JBUMDC2021102Keywords:
Smoking, periodontal health, calculus deposition, oral hygieneAbstract
Objective: To determine the association between smoking and calculus decomposition among patients presenting at a
tertiary hospital of Karachi.
Study Design and Settings: A cross-sectional comparative study was conducted at periodontic OPD Altamash Institute
of Dental Medicin,e Karachi for six months from 15- September-2021 to 15-February-2022.
Methodology: About 150 male patients of age 11 to 60 years coming for routine check-ups were included. Patients were
divided into two groups on basis of their smoking status. Clinical examination was performed for each tooth and presence
of calculus was evaluated using Oral Hygiene Index (OHI).The measurement of calculus was done by visual investigation
and tactile examination by using periodontal probe and mirror. For each individual, one tooth was selected from each
sextant and average OHI score is calculated. Supra-gingival calculus present near marginal gingiva was labeled as mild
whereas supra and sub gingival calculus with gum recession along with calculus covering more than half of tooth surface
was labeled as severe.
Results: Among 75 smokers, 44% had mild and 56% had severe calculus deposition whereas among 75 non-smokers,
86.7% had mild and 13.3% had severe calculus deposition. Odds of smoking among patients with severe deposition is 8.27
times higher than odds of smoking among patients with mild calculus deposition (OR=8.27, 95% CI=3.69-18.53) and
significant effect of smoking was observed on calculus deposition (p=0.001).
Conclusion: The study concluded that smoking has significant effect on calculus deposition. By taking smoking as a
discriminant variable it is proved that calculus deposition is higher in smokers as compared to non-smokers.
References
Nazir MA. Prevalence of periodontal disease, its association
with systemic diseases and prevention. Int J Health Sci
(Qassim). 2017;11(2):72-80. PMID: 28539867; PMCID:
PMC5426403.
Usui M, Onizuka S, Sato T, Kokabu S, Ariyoshi W, Nakashima
K. Mechanism of alveolar bone destruction in periodontitis—
Periodontal bacteria and inflammation. Jpn Dent Sci Rev.
; 57:201-8.
Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global,
regional, and national burden of severe periodontitis,
–2019: An analysis of the Global Burden of Disease
Study 2019. J. Clin. Periodontol. 2021;48(9):1165-88.
Gautam DK, Jindal V, Gupta SC, Tuli A, Kotwal B, Thakur
R. Effect of cigarette smoking on the periodontal health status:
A comparative, cross sectional study. J Indian Soc Periodontol.
;15(4): 383-7.DOI: 10.4103/0972-124x.92575.
Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD.
Burden of oral disease among older adults and implications
for public health priorities. Am J Public Health. 2012;102(3):
-8. DOI: 10.2105/ajph.2011.300362.
Baumeister SE, Freuer D, Nolde M, Kocher T, Baurecht H,
Khazaei Y, Ehmke B, Holtfreter B. Testing the association
between tobacco smoking, alcohol consumption, and risk of
periodontitis: A Mendelian randomization study. Journal of
Clinical Periodontology. 2021;48(11):1414-20.
Leite FR, Nascimento GG, Scheutz F, Lopez R. Effect of
smoking on periodontitis: a systematic review and metaregression. American journal of preventive medicine. 2018;
(6):831-41.
Yang JJ, Yu D, Wen W, Shu XO, Saito E, Rahman S, Gupta
PC, He J, Tsugane S, Xiang YB, Gao YT. Tobacco smoking
and mortality in Asia: a pooled meta-analysis. JAMA network
open. 2019;2(3):e191474-.
Balto HA, Alabdulaaly L, Bahammam S, Asma'a A.
Comparative analysis of prevalence of apical periodontitis in
smokers and non-smokers using cone-beam computed
tomography. The Saudi dental journal. 2019;31(1):52-7.
Battancs E, Gheorghita D, Nyiraty S, Lengyel C, Eördegh G,
Baráth Z, Várkonyi T, Antal M. Periodontal disease in diabetes
mellitus: A case–control study in smokers and non-smokers.
Diabetes Therapy. 2020;11(11):2715-28.
Gill PS. Assessment of prevalence of periodontitis among
smokers and non-smokers: A comparative study. J Adv Med
Dent Scie Res 2019;7(12): 149-152.
Sreedevi M, Ramesh A, Dwarakanath C. Periodontal status
in smokers and nonsmokers: a clinical, microbiological, and
histopathological study. Int J Dent.;2012: 571590.DOI: 10.1155
/2012/571590
Agrawal R, Ahmed H, Soorgani N, Naik L, Reddy S,
Medabalmi M. Assessment of Periodontal Status in Pre- and
Postmenopausal Women with Chronic Periodontitis: A CrossSectional Study. J Pharm Bioallied Sci. 2021;13(Suppl 2):
S997-S999. doi: 10.4103/jpbs.jpbs_145_21.
Jafri Z, Bhardwaj A, Sawai M, Sultan N. Influence of female
sex hormones on periodontium: A case series. Journal of
natural science, biology, and medicine. 2015;6(Suppl 1):
S146.
Ho KY, Li HC, Lam KK, Chan SS, Wang MP, Chan VW, Xia
VW, Lam TH. Exploratory study on the relationship between
smoking and other risk behaviours among young smokers.
Journal of Clinical Nursing. 2018;27(13-14):2859-67.
Oppermann RV, Haas AN, Rösing CK, Susin C. Epidemiology
of periodontal diseases in adults from Latin America.
Periodontology 2000. 2015;67(1):13-33.
Haas AN, Prado R, Rios FS, Costa RD, Angst PD, Moura
MD, Maltz M, Jardim JJ. Occurrence and predictors of
gingivitis and supragingival calculus in a population of
Brazilian adults. Brazilian oral research. 2019;33.
Hussain M, Riasat M, Nisa WU, Ullah F, Shaid F. Assessment
of effect of Cigarette Smoking on Periodontal Health of
Patients Reporting to Dental Section of Bacha Khan Medical
College Mardan. Pakistan Journal of Public Health.
;10(3):185-9.
Boi-Ukeme CO, Azodo CC. Relating oral hygiene, gingival,
and periodontal status with nicotine dependence among
smokers-A cross-sectional study. Journal of Clinical Sciences.
;17(4):127.
Robbihi HI, Sulaeman ES, Rahardjo SS. Path analysis: the
effect of smoking on the risk of periodontal disease. Indonesian
Journal of Medicine. 2018;3(2):99-109.
Woelber JP, Bienas H, Fabry G, Silbernagel W, Giesler M,
Tennert C et al. Oral hygiene-related self-efficacy as a predictor
of oral hygiene behaviour: a prospective cohort study. J Clin
Periodontol. 2015; 42:142-149.
Sarsilmazer G, Atilla G. The relationship between oral hygienerelated self-efficacy, general self-efficacy and daily plaque
control. International Journal of Dental Hygiene. 2020;18(2)
:182-91.
Bidinotto AB, Martins AB, Dos Santos CM, Hugo FN, Hilgert
JB, Celeste RK, Padilha DM, De Marchi RJ. Four-year
incidence rate and predictors of root caries among communitydwelling south Brazilian older adults. Community Dent Oral
Epidemiol. 2018;46(2):125-131. Doi: 10.1111/cdoe.12343.
Epub 2017 Sep 18. PMID: 28921685.
Zellmer M, Gahnberg L, Ramberg P. Prevalence of halitosis
in elderly living in nursing homes. Int J Dent Hyg. 2016
;14(4): 295-300.Doi: 10.1111/idh.12236. Epub 2016 Aug 1.
PMID: 27476817
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