Correlations between supra- and subgingival clinical parameters in smokers and individuals who have never smoked
Correlações entre parâmetros clínicos supra e subgengivais em fumantes e em indivíduos que nunca fumaram
Alves, Carolina Righi; Berlt, Fernanda Abbadie; Mário, Ticiane de Góes; Sfreddo, Camila Silveira; Maier, Juliana; Moreira, Carlos Heitor Cunha
Abstract
Introduction: Smoking is a risk factor for prevalence, severity and progression of periodontal disease and appears to suppress marginal periodontium inflammatory response. Purpose: To correlate Visible Plaque Index (VPI) and Gingival Bleeding Index (GBI) in smokers and never-smokers, as well as GBI and bleeding on probing (BOP ) in these groups. Material and method: We used baseline data of one quasi-experimental study in which 11 smokers and 14 subjects who never smoked were submitted to clinical periodontal examinations between September 2010 and October 2011. Result: The correlation between VPI and GBI was positive for both groups, it was strong and statistically significant in subjects who had never smoked and moderate in smokers. Regarding GBI and BOP correlations were moderate for smokers and weaker for individuals who had never smoked. Conclusion: Smokers have lower strength correlation between VPI and GBI compared to individuals who had never smoked resulting in a less pronounced marginal gingival bleeding.
Keywords
Resumo
Introdução: O hábito de fumar é um fator de risco importante na prevalência, progressão e gravidade das doenças periodontais e parece suprimir a resposta inflamatória marginal no periodonto. Objetivo: Correlacionar Índice de Placa visível (IPV) e Índice de Sangramento Gengival (ISG) em fumantes e indivíduos que nunca fumaram, bem como correlacionar ISG e o sangramento à sondagem (SS) nesses dois grupos. Material e método: Foram utilizados dados de baseline de um estudo quasi-experimental, no qual 11 pacientes fumantes e 14 indivíduos que nunca fumaram foram submetidos a exames clínicos periodontais no período de setembro de 2010 e outubro de 2011. Resultado: A correlação entre IPV e ISG foi positiva para ambos os grupos, sendo forte e estatisticamente significante nos indivíduos que nunca fumaram e moderada nos fumantes. Com relação ao ISG e SS houve moderada correlação para os fumantes e fraca para os indivíduos que nunca fumaram. Conclusão: Fumantes apresentam uma correlação entre IPV e ISG de menor força em relação aos indivíduos que nunca fumaram resultando em um sangramento gengival marginal menos pronunciado.
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References
1. American Academy of Periodontology – AAP. Glossary of periodontal terms. 4th ed. Chicago: AAP; 2001.
2. Schätzle M, Löe H, Bürgin W, Anerud A, Boysen H, Lang NP. Clinical course of chronic periodontitis. I. Role of gingivitis. J Clin Periodontol. 2003 Oct;30(10):887-901. http://dx.doi.org/10.1034/j.1600-051X.2003.00414.x. PMid:14710769
3. Albandar JM, Rams TE. Global epidemiology of periodontal diseases: an overview. Periodontol 2000. 2002; 29(1):7-10. http://dx.doi.org/10.1034/j.1600-0757.2002.290101.x. PMid:12102700
4. Armitage GC. Periodontal diagnoses and classification of periodontal diseases. Periodontol 2000. 2004; 34(1):9-21. http://dx.doi.org/10.1046/j.0906-6713.2002.003421.x. PMid:14717852
5. Dietrich T, Bernimoulin JP, Glynn RJ. The effect of cigarette smoking on gingival bleeding. J Periodontol. 2004 Jan;75(1):16-22. http://dx.doi.org/10.1902/jop.2004.75.1.16. PMid:15025212
6. Doll R. Uncovering the effects of smoking: historical perspective. Stat Methods Med Res. 1998 June;7(2):87-117. http://dx.doi.org/10.1191/096228098668199908. PMid:9654637
7. Bergström J. Periodontitis and smoking: an evidence-based appraisal. J Evid Based Dent Pract. 2006 Mar;6(1):33-41. http://dx.doi.org/10.1016/j.jebdp.2005.12.018. PMid:17138394
8. Bergström J. Tobacco smoking and risk for periodontal disease. J Clin Periodontol. 2003 Feb;30(2):107-13. http://dx.doi.org/10.1034/j.1600051X.2003.00272.x. PMid:12622851
9. Lie MA, Timmerman MF, Van der Velden U, van der Weijden GA. Evaluation of 2 methods to assess gingival bleeding in smokers and nonsmokers in natural and experimental gingivitis. J Clin Periodontol. 1998 Sept;25(9):695-700. http://dx.doi.org/10.1111/j.1600-051X.1998. tb02509.x. PMid:9763323
10. Bergström J, Preber H. The influence of cigarette smoking on the development of experimental gingivitis. J Periodontal Res. 1986 Nov;21(6):66876. http://dx.doi.org/10.1111/j.1600-0765.1986.tb01504.x. PMid:2948000
11. Danielsen B, Manji F, Nagelkerke N, Fejerskov O, Baelum V. Effect of cigarette smoking on the transition dynamics in experimental gingivitis. J Clin Periodontol. 1990 Mar;17(3):159-64. http://dx.doi.org/10.1111/j.1600-051X.1990.tb01080.x. PMid:2319002
12. Bergström J, Floderus-Myrhed B. Co-twin control study of the relationship between smoking and some periodontal disease factors. Community Dent Oral Epidemiol. 1983 Apr;11(2):113-6. http://dx.doi.org/10.1111/j.1600-0528.1983.tb01367.x. PMid:6573237
13. Bergström J. Tobacco smoking and chronic destructive periodontal disease. Odontology. 2004 Sept;92(1):1-8. http://dx.doi.org/10.1007/s10266-004-0043-4. PMid:15490298
14. Mavropoulos A, Brodin P, Rösing CK, Aass AM, Aars H. Gingival blood flow in periodontitis patients before and after periodontal surgery assessed in smokers and non-smokers. J Periodontol. 2007 Sept;78(9):1774-82. http://dx.doi.org/10.1902/jop.2007.060472. PMid:17760548
15. Baab DA, Oberg PA. The effect of cigarette smoking on gingival blood flow in humans. J Clin Periodontol. 1987 Aug;14(7):418-24. http://dx.doi.org/10.1111/j.1600-051X.1987.tb01547.x. PMid:2957396
16. Ardais R, Mário TG, Boligon J, Kantorski KZ, Moreira CH. The effect of smoking on bleeding on probing after nonsurgical periodontal therapy: a quasi-experimental study. Braz Oral Res. 2014 Jan-Feb;28(1):1-7.; published online October 21, 2014. http://dx.doi.org/10.1590/18073107BOR-2014.vol28.0058. PMid:25337935
17. Tonetti MS, Claffey N, and the European Workshop in Periodontology group C. Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European Workshop in Periodontology. J Clin Periodontol. 2005; 32(6 Suppl):210-3. http://dx.doi.org/10.1111/j.1600-051X.2005.00822.x. PMid:16128839
18. González YM, De Nardin A, Grossi SG, Machtei EE, Genco RJ, De Nardin E. Serum cotinine levels, smoking, and periodontal attachment loss. J Dent Res. 1996 Feb;75(2):796-802. http://dx.doi.org/10.1177/00220345960750021001. PMid:8655777
19. Bergström J, Persson L, Preber H. Influence of cigarette smoking on vascular reaction during experimental gingivitis. Scand J Dent Res. 1988 Feb;96(1):34-9. PMid:3422504.
20. Villar CC, Lima AF. Smoking influences on the thickness of marginal gingival epithelium. Pesqui Odontol Bras. 2003 Jan-Mar;17(1):41-5. http://dx.doi.org/10.1590/S1517-74912003000100008. PMid:12908058
21. van Oijen MG, Gilsing MM, Rijksen G, Hordijk GJ, Slootweg PJ. Increased number of proliferating cells in oral epithelium from smokers and ex-smokers. Oral Oncol. 1998 July;34(4):297-303. http://dx.doi.org/10.1016/S1368-8375(98)80011-0. PMid:9813726
22. Gültekin SE, Sengüven B, Karaduman B. The effect of smoking on epithelial proliferation in healthy and periodontally diseased marginal gingival epithelium. J Periodontol. 2008 Aug;79(8):1444-50. http://dx.doi.org/10.1902/jop.2008.070645. PMid:18672994
23. Müller HP, Stadermann S, Heinecke A. Longitudinal association between plaque and gingival bleeding in smokers and non-smokers. J Clin Periodontol. 2002 Apr;29(4):287-94. http://dx.doi.org/10.1034/j.1600-051X.2002.290403.x. PMid:11966925
24. Müller HP, Stadermann S. Multivariate multilevel models for repeated measures in the study of smoking effects on the association between plaque and gingival bleeding. Clin Oral Investig. 2006 Dec;10(4):311-6. http://dx.doi.org/10.1007/s00784-006-0067-y. PMid:16896834
25. Farina R, Tomasi C, Trombelli L. The bleeding site: a multi-level analysis of associated factors. J Clin Periodontol. 2013 Aug;40(8):735-42. http://dx.doi.org/10.1111/jcpe.12118. PMid:23713685
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