Sažetak sa skupa

Influence of Tabacco Use on Periodontal Health in PTSD Patients

Andrej Aurer
Vesna Haban
Marija Ivić-Kardum
Marinka Mravak-Stipetić
Koraljka Gall-Trošelj
Jelena Aurer-Koželj

Sažetak

Numerous epidemiological and clinical studies have identified tobacco smoking as a risk factor for periodontal disease progression. Positive correlation between lower socioeconimic status and periodontal disease severity has also been found. We wanted to study the influence of smoking on clinical periodontal status and the subgingival microbial profile in post-traumatic stress disorder (PTSD) patients and patients with progressive periodontal disease. The investigation included 130 subjects divided in to three groups. The first group comprised 50 persons diagnosed with PTSD, who has actively participated in the Croatian liberation war. The second group were 50 patients treated for advanced periodontitis, and the control group were 30 periodontally healthy subjects. Subjects from the latter two groups were not directly subjected to war-related stress. Clinical periodontal examination included recording of plaque index (PI), sulcus bleeding index (SBI), probing depth (PD) and clinical attachment loss (CAL). Periodontal pathogens Actinobacillus actinomycetemcomitans (Aa),Porphyromonas gingivalis (Pg) and Eikenella corrodens (Ec) were identified using poymerase chain reaction (PCR) method. Smoking and socioeconomic status, evaluated by the level od education, were also assessed. The group of subjects with PTSD, compared to the other groups, had most cigarette smokers. In the PTSD group, 78% were smokers, wile only 33% of control subjects smoked. In the PTSD group, 34% smoked less than 20 cigarettes per day, and 30% smoked more than 40 cigarettes per day. In this respect PTSD group differs greatly from the other group. The results show that, of all participiants, smokers had more periodontal inflammation and destruction than non-smokers, although only PI and SBI values were significantly higher. This relationship is similar for each of the studied groups. No statistically significant difference was observed between bacterial prevalence of Aa, Pg and Ec between smokers and nonsmokers. PTSD group had the lowest education level. Smoking habits and lower socioeconimic status are contributing factors influencing the periodontal status of PTSD patients.

Ključne riječi

Hrčak ID:

2996

URI

https://hrcak.srce.hr/2996

Datum izdavanja:

15.9.2003.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.308 *