DOI QR코드

DOI QR Code

A retrospective epidemiological investigation of periodontitis risk and current smoking status based on the number of cigarettes per day and the Fagerström Test for Nicotine Dependence: a preliminary pilot study

  • Ji-Hoo Han (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Seong-Nyum Jeong (Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry) ;
  • Jae-Hong Lee (Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Jeonbuk National University)
  • Received : 2022.05.23
  • Accepted : 2022.08.30
  • Published : 2023.04.30

Abstract

Purpose: The aim of this study was to investigate the risk of periodontitis according to current smoking status based on the number of cigarettes smoked per day (CPD) and the Fagerström Test for Nicotine Dependence (FTND). Methods: All enrolled patients were diagnosed and classified according to the new periodontal classification scheme, and current smoking status was investigated via a self-reported questionnaire. The correlation between smoking status (CPD and FTND) and periodontitis risk (severity of periodontitis and tooth loss due to periodontal reasons) was statistically assessed using Spearman correlation coefficients. Moreover, partial correlation analyses between smoking and periodontal status were performed after adjusting for age, sex, and diabetes mellitus. Results: Overall, data from 74 men and 16 women (mean age: 48.1±10.8 years) were evaluated. The mean number of missing teeth, CPD, and FTND score were 3.5±5.2, 24.6±15.5, and 3.5±2, respectively. CPD and the FTND were significantly positively correlated with each other (r=0.741, P<0.001). CPD and the FTND were also significantly correlated with the severity of periodontitis (CPD: r=0.457, P<0.05 and FTND: r=0.326, P<0.05) and the number of missing teeth due to periodontal reasons (CPD: r=0.525, P<0.05 and FTND: r=0.480, P<0.05), respectively. Conclusions: Within the limitations of this study, both CPD and the FTND were significantly correlated with the severity of periodontitis and the number of periodontally compromised extracted teeth.

Keywords

Acknowledgement

This work was supported by Wonkwang University in 2023.

References

  1. Savage A, Eaton KA, Moles DR, Needleman I. A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol 2009;36:458-67. https://doi.org/10.1111/j.1600-051X.2009.01408.x
  2. Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol 1998;25:134-44. https://doi.org/10.1111/j.1600-051X.1998.tb02419.x
  3. Hussain SB, Botelho J, Machado V, Zehra SA, Mendes JJ, Ciurtin C, et al. Is there a bidirectional association between rheumatoid arthritis and periodontitis? A systematic review and meta-analysis. Semin Arthritis Rheum 2020;50:414-22. https://doi.org/10.1016/j.semarthrit.2020.01.009
  4. Stohr J, Barbaresko J, Neuenschwander M, Schlesinger S. Bidirectional association between periodontal disease and diabetes mellitus: a systematic review and meta-analysis of cohort studies. Sci Rep 2021;11:13686.
  5. Lee JH, Choi JK, Jeong SN, Choi SH. Charlson comorbidity index as a predictor of periodontal disease in elderly participants. J Periodontal Implant Sci 2018;48:92-102. https://doi.org/10.5051/jpis.2018.48.2.92
  6. Dye BA. Global periodontal disease epidemiology. Periodontol 2000 2012;58:10-25. https://doi.org/10.1111/j.1600-0757.2011.00413.x
  7. Ramseier CA, Woelber JP, Kitzmann J, Detzen L, Carra MC, Bouchard P. Impact of risk factor control interventions for smoking cessation and promotion of healthy lifestyles in patients with periodontitis: a systematic review. J Clin Periodontol 2020;47 Suppl 22:90-106. https://doi.org/10.1111/jcpe.13240
  8. Scannapieco FA, Gershovich E. The prevention of periodontal disease-an overview. Periodontol 2000 2020;84:9-13. https://doi.org/10.1111/prd.12330
  9. Chambrone L, Chambrone D, Lima LA, Chambrone LA. Predictors of tooth loss during long-term periodontal maintenance: a systematic review of observational studies. J Clin Periodontol 2010;37:675-84. https://doi.org/10.1111/j.1600-051X.2010.01587.x
  10. Caton JG, Armitage G, Berglundh T, Chapple IL, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol 2018;89 Suppl 1:S1-8. https://doi.org/10.1002/JPER.18-0157
  11. Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol 2015;42 Suppl 16:S59-70. https://doi.org/10.1111/jcpe.12350
  12. Aminoshariae A, Kulild J, Gutmann J. The association between smoking and periapical periodontitis: a systematic review. Clin Oral Investig 2020;24:533-45. https://doi.org/10.1007/s00784-019-03094-6
  13. Leite FR, Nascimento GG, Scheutz F, Lopez R. Effect of smoking on periodontitis: a systematic review and meta-regression. Am J Prev Med 2018;54:831-41. https://doi.org/10.1016/j.amepre.2018.02.014
  14. Pomerleau CS, Carton SM, Lutzke ML, Flessland KA, Pomerleau OF. Reliability of the Fagerstrom Tolerance Questionnaire and the Fagerstrom Test for Nicotine Dependence. Addict Behav 1994;19:33-9. https://doi.org/10.1016/0306-4603(94)90049-3
  15. Fagerstrom K, Furberg H. A comparison of the Fagerstrom Test for Nicotine Dependence and smoking prevalence across countries. Addiction 2008;103:841-5. https://doi.org/10.1111/j.1360-0443.2008.02190.x
  16. Perez-Rios M, Santiago-Perez MI, Alonso B, Malvar A, Hervada X, de Leon J. Fagerstrom Test for Nicotine Dependence vs heavy smoking index in a general population survey. BMC Public Health 2009;9:493.
  17. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict 1991;86:1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  18. Payne TJ, Smith PO, McCracken LM, McSherry WC, Antony MM. Assessing nicotine dependence: a comparison of the Fagerstrom Tolerance Questionnaire (FTQ) with the Fagerstrom Test for Nicotine Dependence (FTND) in a clinical sample. Addict Behav 1994;19:307-17. https://doi.org/10.1016/0306-4603(94)90032-9
  19. Sharma MK, Suman LN, Srivastava K, Suma N, Vishwakarma A. Psychometric properties of Fagerstrom Test of Nicotine Dependence: a systematic review. Ind Psychiatry J 2021;30:207-16. https://doi.org/10.4103/ipj.ipj_51_21
  20. Goyal J, Menon I, Singh RP, Gupta R, Sharma A, Bhagia P. Prevalence of periodontal status among nicotine dependent individuals of 35-44 years attending community dental camps in Ghaziabad district, Uttar Pradesh. J Family Med Prim Care 2019;8:2456-62. https://doi.org/10.4103/jfmpc.jfmpc_315_19
  21. Salhi L, Seidel L, Albert A, Lambert F. Fagerstrom Test for Nicotine Dependence as an indicator in tobacco-related studies in periodontology. J Periodontol 2021;92:298-305. https://doi.org/10.1002/JPER.20-0019
  22. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61:344-9. https://doi.org/10.1016/j.jclinepi.2007.11.008
  23. Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: decision-making algorithms for clinical practice and education. J Clin Periodontol 2019;46:398-405. https://doi.org/10.1111/jcpe.13104
  24. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Clin Periodontol 2018;45 Suppl 20:S149-61. https://doi.org/10.1111/jcpe.12945
  25. Dietrich T, Bernimoulin JP, Glynn RJ. The effect of cigarette smoking on gingival bleeding. J Periodontol 2004;75:16-22. https://doi.org/10.1902/jop.2004.75.1.16
  26. Mavropoulos A, Aars H, Brodin P. Hyperaemic response to cigarette smoking in healthy gingiva. J Clin Periodontol 2003;30:214-21. https://doi.org/10.1034/j.1600-051X.2003.10284.x
  27. Calsina G, Ramon JM, Echeverria JJ. Effects of smoking on periodontal tissues. J Clin Periodontol 2002;29:771-6. https://doi.org/10.1034/j.1600-051X.2002.290815.x
  28. Baumeister SE, Freuer D, Nolde M, Kocher T, Baurecht H, Khazaei Y, et al. Testing the association between tobacco smoking, alcohol consumption, and risk of periodontitis: a Mendelian randomization study. J Clin Periodontol 2021;48:1414-20. https://doi.org/10.1111/jcpe.13544
  29. Tomar SL, Asma S. Smoking-attributable periodontitis in the United States: findings from NHANES III. J Periodontol 2000;71:743-51. https://doi.org/10.1902/jop.2000.71.5.743
  30. Jansson L, Lavstedt S. Influence of smoking on marginal bone loss and tooth loss--a prospective study over 20 years. J Clin Periodontol 2002;29:750-6. https://doi.org/10.1034/j.1600-051X.2002.290812.x
  31. Dietrich T, Walter C, Oluwagbemigun K, Bergmann M, Pischon T, Pischon N, et al. Smoking, smoking cessation, and risk of tooth loss: the EPIC-Potsdam study. J Dent Res 2015;94:1369-75. https://doi.org/10.1177/0022034515598961
  32. Balfour DJ. The neurobiology of tobacco dependence: a commentary. Respiration 2002;69:7-11. https://doi.org/10.1159/000049362
  33. Benowitz NL. Cigarette smoking and nicotine addiction. Med Clin North Am 1992;76:415-37. https://doi.org/10.1016/S0025-7125(16)30360-1
  34. Javed F, Kellesarian SV, Sundar IK, Romanos GE, Rahman I. Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Dis 2017;23:1052-7. https://doi.org/10.1111/odi.12652
  35. Figueredo CA, Abdelhay N, Figueredo CM, Catunda R, Gibson MP. The impact of vaping on periodontitis: a systematic review. Clin Exp Dent Res 2021;7:376-84. https://doi.org/10.1002/cre2.360