Cent Eur J Public Health 2021, 29(4):311-316 | DOI: 10.21101/cejph.a6671
Cigarette smoking and its consequences on periodontal health in teenagers: a cross-sectional study
- 1 Department of Pharmacology, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
- 2 Department of Periodontology, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Objectives: Smoking has been extensively investigated as a risk factor for periodontal disease and many studies have confirmed it. The aim of this study was to show data from Croatia on periodontal health among high school students, with the focus on association of tobacco use and oral hygiene habits, and the periodontal parameters.
Methods: Pocket probing depth (PPD), bleeding on probing, supragingival calculus, and oral hygiene habits were recorded for each examinee out of 517 high school students. PPD was measured at 4 interproximal sites on all first molars and central incisors (index teeth).
Results: There were 34.6% smokers among subjects, who started smoking on average at the age of 14. More than half of the smokers (55.3%) smoked 1-10 cigarettes per day and intensity of smoking increased with age. PPD was significantly greater (p = 0.012) in smokers (1.69 mm) than in non-smokers (1.59 mm). In non-smoking subjects, increased values of PPD were in direct proportion to the reduced frequency of brushing, while there was no difference in smokers. The number of cigarettes smoked and duration of smoking had a great influence on PPD. Smokers had on average more teeth with supragingival calculus than non-smokers, while non-smokers had more bleeding on probing, and the difference was statistically significant (p < 0.001).
Conclusions: This study indicated that cigarette smoking was associated with decreased periodontal health even in this young population. Irregular oral hygiene was associated with decreased periodontal health only in non-smokers. Therefore, it should be important to inform young smokers about the negative effects of cigarette smoking on periodontal health, to provide consultations and reinforce smoking prevention measures.
Keywords: cigarette smoking, adolescents, supragingival calculus, periodontal disease, periodontal health
Received: December 14, 2020; Revised: August 5, 2021; Accepted: August 5, 2021; Published: December 31, 2021 Show citation
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References
- World Health Organization. WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Geneva: WHO; 2021.
- Mullally BH. The influence of tobacco smoking on the onset of periodontitis in young persons. Tob Induc Dis. 2004;2(2):53-65.
Go to original source...
Go to PubMed...
- Schwendicke F, Dörfer CE, Meier T. Global smoking-attributable burden of periodontal disease in 186 countries in the year 2015. J Clin Periodontol. 2018;45(1):2-14.
Go to original source...
Go to PubMed...
- Leite FRM, Nascimento GG, Scheutz F, López R. Effect of smoking on periodontitis: a systematic review and meta-regression. Am J Prev Med. 2018;54(6):831-41.
Go to original source...
Go to PubMed...
- Albandar JM, Tinoco EM. Global epidemiology of periodontal diseases in children and young persons. Periodontol 2000. 2002;29(1):153-76.
Go to original source...
Go to PubMed...
- Nanaiah KP, Nagarathna DV, Manjunath N. Prevalence of periodontitis among the adolescents aged 15-18 years in Mangalore City: an epidemiological and microbiological study. J Indian Soc Periodontol. 2013;17(6):784-9.
Go to original source...
Go to PubMed...
- Botero JE, Rösing CK, Duque A, Jaramillo A, Contreras A. Periodontal disease in children and adolescents of Latin America. Periodontol 2000. 2015;67(1):34-57.
Go to original source...
Go to PubMed...
- Heikkinen AM, Räisänen IT, Tervahartiala T, Sorsa T. Cross-sectional analysis of risk factors for subclinical periodontitis; active matrix metalloproteinase-8 as a potential indicator in initial periodontitis in adolescents. J Periodontol. 2019;90(5):484-92.
Go to original source...
Go to PubMed...
- Wiener RC, Trickett Shockey AK, Morgan SK. Adolescent light cigarette smoking patterns and adult cigarette smoking. Adv Epidemiol. 2016;2016:9587340. doi: 10.1155/2016/9587340.
Go to original source...
Go to PubMed...
- Griesler PC, Hu MC, Kandel DB. Nicotine dependence in adolescence and physical health symptoms in early adulthood. Nicotine Tob Res. 2016;18(5):950-8.
Go to original source...
Go to PubMed...
- Petersen PE, Baez RJ; World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: WHO; 2013.
- Tanaka K, Miyake Y, Hanioka T, Arakawa M. Active and passive smoking and prevalence of periodontal disease in young Japanese women. J Periodontal Res. 2013;48(5):600-5.
Go to original source...
Go to PubMed...
- Machuca G, Rosales I, Lacalle JR, Machuca C, Bullón P. Effect of cigarette smoking on periodontal status of healthy young adults. J Periodontol. 2000;71(1):73-8.
Go to original source...
Go to PubMed...
- Susin C, Haas AN, Valle PM, Oppermann RV, Albandar JM. Prevalence and risk indicators for chronic periodontitis in adolescents and young adults in south Brazil. J Clin Periodontol. 2011;38(4):326-33.
Go to original source...
Go to PubMed...
- López R, Fernández O, Jara G, Baelum V. Epidemiology of clinical attachment loss in adolescents. J Periodontol. 2001;72(12):1666-74.
Go to original source...
Go to PubMed...
- Collins J, Carpio AM, Bobadilla M, Reyes R, Gúzman I, Martínez B, et al. Prevalence of clinical attachment loss in adolescents in Santo Domingo, Dominican Republic. J Periodontol. 2005;76(9):1450-4.
Go to original source...
Go to PubMed...
- Billings M, Holtfreter B, Papapanou PN, Mitnik GL, Kocher T, Dye BA. Age-dependent distribution of periodontitis in two countries: Findings from NHANES 2009 to 2014 and SHIP-TREND 2008 to 2012. J Clin Periodontol. 2018;45 Suppl 20:S130-48.
Go to original source...
Go to PubMed...
- Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;45(Suppl 20):219-29.
Go to original source...
Go to PubMed...
- Reynolds MA. Modifiable risk factors in periodontitis: at the intersection of aging and disease. Periodontol 2000. 2014;64(1):7-19.
Go to original source...
Go to PubMed...
- Holde GE, Jönsson B, Oscarson N, Müller HP. To what extent does smoking affect gingival bleeding response to supragingival plaque? Site-specific analyses in a population-based study. J Periodont Res. 2020;55(2):277-86.
Go to original source...
Go to PubMed...
- Chang CH, Han ML, Teng NC, Lee CY, Huang WT, Lin CT, et al. Cigarette smoking aggravates the activity of periodontal disease by disrupting redox homeostasis - an observational study. Sci Rep. 2018;8:11055. doi: 10.1038/s41598-018-29163-6.
Go to original source...
Go to PubMed...
- Dietrich T, Bernimoulin JP, Glynn RJ. The effect of cigarette smoking on gingival bleeding. J Periodontol. 2004;75(1):16-22.
Go to original source...
Go to PubMed...
- Kumar V, Faizuddin M. Effect of smoking on gingival microvasculature: a histological study. J Indian Soc Periodontol. 2011;15(4):344-8.
Go to original source...
Go to PubMed...
- Freitag-Wolf S, Munz M, Wiehe R, Junge O, Graetz C, Jockel-Schneider Y, et al. Smoking modifies the genetic risk for early-onset periodontitis. J Dent Res. 2019;98(12):1332-9.
Go to original source...
Go to PubMed...
- Tanner T, Päkkilä J, Karjalainen K, Kämppi A, Järvelin MR, Patinen P, et al. Smoking, alcohol use, socioeconomic background and oral health among young Finnish adults. Community Dent Oral Epidemiol. 2015;43(5):406-14.
Go to original source...
Go to PubMed...
- Vered Y, Livny A, Zini A, Sgan-Cohen HD. Periodontal health status and smoking among young adults. J Clin Periodontol. 2008;35(9):768-72.
Go to original source...
Go to PubMed...
- Pitchika V, Thiering E, Metz I, Rothmaier K, Willenberg A, Hickel R, et al. Gingivitis and lifestyle influences on high-sensitivity C-reactive protein and interleukin 6 in adolescents. J Clin Periodontol. 2017;44(4):372-81.
Go to original source...
Go to PubMed...
- Heikkinen AM, Sorsa T, Pitkäniemi J, Tervahartiala T, Kari K, Broms U, et al. Smoking affects diagnostic salivary periodontal disease biomarker levels in adolescents. J Periodontol. 2010;81(9):1299-307.
Go to original source...
Go to PubMed...
- World Health Organization. Summary results of the global youth tobacco survey in selected countries of the WHO European Region. Geneva: WHO; 2020.
- European Commission. Attitudes of Europeans towards tobacco and electronic cigarette [Internet]. Eurobarometr; 2021 [cited 2021 Aug 4]. Available from: https://europa.eu/eurobarometer/surveys/detail/2240.
- Nazir MA, Almas K. Awareness about the effects of tobacco consumption on oral health and the possibility of smoking behavior among male Saudi schoolchildren. Eur J Dent. 2017;11(1):29-35.
Go to original source...
Go to PubMed...