Romana Peršić Bukmir1, Marija Jurčević Grgić2, Gordana Brumini3, Stjepan Spalj4, Sonja Pezelj-Ribaric5, Ivana Brekalo Pršo2. 1. Department of Endodontics and Restorative Dentistry, Rijeka Clinical Hospital Centre, Faculty of Medicine, University of Rijeka, Kresimirova 40, 51 000, Rijeka, Croatia. rpersic@gmail.com. 2. Department of Endodontics and Restorative Dentistry, Rijeka Clinical Hospital Centre, Faculty of Medicine, University of Rijeka, Kresimirova 40, 51 000, Rijeka, Croatia. 3. IT Department, Faculty of Medicine, University of Rijeka, Rijeka, Croatia. 4. Department of Orthodontics, Clinical Hospital Centre Rijeka, Faculty of Medicine, University of Rijeka, Rijeka, Croatia. 5. Department of Oral Medicine and Periodontology, Rijeka Clinical Hospital Centre, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Abstract
BACKGROUND: Since current evidences support a negative influence of tobacco smoking on the periodontal bone, an increased prevalence or severity of periapical lesions would be expected among smokers. The aim of this study was to investigate the difference in the periapical status of endodontically treated and untreated teeth in current smokers and never-smokers. METHODS: The cross-sectional study included 259 subjects, 108 current smokers and 151 never-smokers, presenting as new patients at the Dental Clinic of the Clinical Hospital Centre Rijeka, Croatia. The periapical index (PAI) was used to assess the periapical status of all teeth, excluding third molars. RESULTS AND CONCLUSIONS: Current smokers had higher fraction of teeth with apical periodontitis (AP) than never-smokers (0.13 vs. 0.10; P = 0.025), while fractions of endodontically treated teeth and endodontically treated teeth with AP did not differ significantly. When overall number of teeth was controlled for, smokers were 16.4 times more likely to have AP than a non-smokers (95% CI: 5.7-47.7; P < 0.001) and if a person was male, he was 3.1 times more likely to have AP than if the person was female (95% CI: 1.1-8.9; P = 0.039). The probability of AP increases with increase of age. Smokers will on average have two teeth with AP more than non-smokers, while controlling for gender, age and overall number of teeth.
BACKGROUND: Since current evidences support a negative influence of tobacco smoking on the periodontal bone, an increased prevalence or severity of periapical lesions would be expected among smokers. The aim of this study was to investigate the difference in the periapical status of endodontically treated and untreated teeth in current smokers and never-smokers. METHODS: The cross-sectional study included 259 subjects, 108 current smokers and 151 never-smokers, presenting as new patients at the Dental Clinic of the Clinical Hospital Centre Rijeka, Croatia. The periapical index (PAI) was used to assess the periapical status of all teeth, excluding third molars. RESULTS AND CONCLUSIONS: Current smokers had higher fraction of teeth with apical periodontitis (AP) than never-smokers (0.13 vs. 0.10; P = 0.025), while fractions of endodontically treated teeth and endodontically treated teeth with AP did not differ significantly. When overall number of teeth was controlled for, smokers were 16.4 times more likely to have AP than a non-smokers (95% CI: 5.7-47.7; P < 0.001) and if a person was male, he was 3.1 times more likely to have AP than if the person was female (95% CI: 1.1-8.9; P = 0.039). The probability of AP increases with increase of age. Smokers will on average have two teeth with AP more than non-smokers, while controlling for gender, age and overall number of teeth.
Authors: Juan José Segura-Egea; Lizett Castellanos-Cosano; Eugenio Velasco-Ortega; José Vicente Ríos-Santos; José María Llamas-Carreras; Guillermo Machuca; Francisco Javier López-Frías Journal: J Endod Date: 2011-04-22 Impact factor: 4.171
Authors: J J Segura-Egea; A Jiménez-Pinzón; J V Ríos-Santos; E Velasco-Ortega; R Cisneros-Cabello; M M Poyato-Ferrera Journal: Int Endod J Date: 2008-01-19 Impact factor: 5.264
Authors: Ahmad M Al-Bashaireh; Linda G Haddad; Michael Weaver; Debra Lynch Kelly; Xing Chengguo; Saunjoo Yoon Journal: J Environ Public Health Date: 2018-07-11