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http://dx.doi.org/10.11149/jkaoh.2015.39.4.288

Effect of smoking on utilization of and expenses in ambulatory dental care  

Jeong, Sun-Rak (Department of Public Health, Graduate School, Kyungpook National University)
Kim, Young-Hee (Department of Public Health, Graduate School, Kyungpook National University)
Jang, Ji-Eon (Department of Dental Hygiene, Suseong College)
Lee, Won Kee (School of Medicine, Kyungpook National University)
Publication Information
Journal of Korean Academy of Oral Health / v.39, no.4, 2015 , pp. 288-294 More about this Journal
Abstract
Objectives: The objectives of this study were to evaluate the effect of smoking on utilization of and expenses in ambulatory dental care. Methods: The subjects of this study were 5,751 men aged over 20 years selected from the Korea Health Panel data collected during 2010-2012. Pack-years of smoking were calculated based on the survey data. Dental utilization was defined as dental outpatient clinic use least once in three years. The expenses in ambulatory dental care were summed to determine total dental health care spending for three years. To detect the effect of smoking, we used multiple logistic regression analysis for dental utilization and multiple linear regression for expenses in ambulatory dental care after changing log. Results: The pack-years had a significant effect on dental utilization and expenses in participants aged 40-59 years. After controlling for income level, bedtime brushing, and the presence of chronic disease, dental care utilization rates in the over 10 to less than 25 pack-year and the over 25 pack-year groups were about 1.4 (OR=1.37, (P =0.007)) and 1.6 times (OR=1.59, (P =0.001)) those in the 0 pack-year group. In comparison with the 0 pack-year group, the over 10 to less than 25 pack-year group spent 50,000 won more over dental expenses, while the corresponding number for the over 25 pack-year group was about 100,000 won. Thus, the ambulatory dental care expenses increased with the packyears of smoking. Conclusions: Smoking significantly influenced the utilization and expense in ambulatory dental care in men aged 40-59 years.
Keywords
Expense in ambulatory dental care; Pack-years of smoking; Utilzation of ambulatory dental care;
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1 Statistics Korea, News, Press Releases, Social statistics, The Summary Result of the 2014 Social Survey [Internet]. [cited 2015 Nov 05]. Available from: http://kostat.go.kr/portal/english/news/1/19/5/index.board.
2 Jee SH, Lee JK, Kim IS. Smoking-attributable mortality among Korean adults: 1981-2003. Korean J Epidemiol 2006;28:92-99.
3 Yoon SJ, Ha BM, Kang JW, Chang HC. Estimation of attributable burden due to premature death from Smoking in Korea. Korean J Prev Med 2001;34:191-199.
4 Johnson GK, Slach NA. Impact of tobacco use on periodontal status. J Dent Educ 2001;65:313-321.
5 Scabbia A, Cho KS, Sigurdsson TJ, Kim CK, Trombelli L. Cigarette smoking negatively affects healing response following flap debridement surgery. J Periodontol 2001;72:43-49.   DOI
6 Sham AS, Cheung LK, Jin LJ, Corbet EF. The effects of tabacco use on oral health. Hong Kong Med J 2003;9:271-277.
7 Heasman L, Stacey F, Preshaw PM, McCracken GI, Hepburn S, Heasman PA. The effect of smoking on periodontal treatment response: A review of clinical evidence. J Clin Periodontol 2006;33: 241-253.   DOI
8 Baelum, Vibeke. CPITN and the epidemiology of periodontal disease. Community Dent Oral Epidemiol 1996;24:367-8.   DOI
9 Millar WJ, Locker D. Smoking and oral health status. JCDA 2007; 73:155-155.
10 Peto R. Smoking and death: the past 40 years and the next 40. BMJ 1994;309:937-939.   DOI
11 Jung YH, Ko SJ, Lee YG, Park SB, Lee JH. Lifetime cost of obesity and smoking and long-term effectiveness of health promotion. KIHASA 2010.
12 National Health Insurance Service, Understanding for Korea Health Panel. KIHASA 2008.
13 Kim HS, Kim MK, Shin HS. Expenditure in ambulatory dental care and factors related to its spending. HPM 2012;22:207-224.
14 Reibel J. Tobacco and oral diseases. Med Princ Pract 2003;12:22-32.   DOI
15 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. 2013 6th(1st year) national health statistics.
16 Han DH, Kim JB. The association between smoking and periodontitis: finding from The Korean National Oral Health Survey 2006. J Korean Acad Dent Health 2009;33:634-643.
17 Ryu MH. The effects of smoking on oral mucosa. The Journal of Namseoul Univ 2004;10:449-468.
18 Preber H, Linder L, Bergstrom J. Periodontal healing and periopathogenic microflora in smokers and non-smokers. J Periodontol 1995;22:946-952.   DOI
19 Pindborg JJ. Dental aspects of osteogenesis imperfecta. APMIS 1947;24;47-58.
20 Arno A, Waerhaug J, Lovdal A, Schei O. Incidence of gingivitis as related to sex, occupation, tabacco consumption, toothbrushing, and age. Oral Surg Oral Med Oral Pathol 1958;11:587-595.   DOI
21 Grossi SG, Genco RJ, Machtei EE, Ho AW, Koch G, Dunford R et al. Assessment of risk for periodontal disease. II. Risk indicators for alveolar bone loss. J Periodontol 1995;66:23-29.   DOI
22 Martinez-Canut P, Lorca A, Margan R. Smoking and periodontal disease severity. J Clin Periodontol 1995;22:743-749.   DOI
23 Harber J, Kent RL. Cigarette smoking in periodontal practice. J Periodontol 1992;63:100-106.   DOI
24 Holm G. Smoking as an additional risk for tooth loss. J Periodontol 1994;65:996-1001.   DOI
25 Song AR, Park JW. A study on the attitudes about smoking and factor analysis among women students of college-By oriented students of Gimcheon College-Gimcheon College Report 2004;25:113-138.
26 Park HD. The impact of smoking on the utilization of dental health services [master's thesis]. Seoul:Graduate School of Public Health Yonsei Univ;2008. Korean.
27 Park JH, Kim YN, Yoo JH, KIM MY, Kim BI, Kwon HK. Relationship between smoking and periodontal pocket formation in Korean adults. J Korean Acad Dent Health 2005;29:293-301.