Year: 2014
Type: dissertation
Study design: Observational Study
Abstract: The aim of this study was to investigate whether alcohol use (quantity, frequency, and over the risk limit) is a determinant of infectious periodontal disease development in a longitudinal setting.The study included 195 subjects who participated in both the Health 2000 Survey and the Follow-up Study on Finnish Adult's Oral Health and who did not have any deepened periodontal pockets at baseline.They were aged 30 years or older, non-diabetics, nonsmokers, and who did not have rheumatoid arthritis.The extent of periodontal infection was clinically assessed by means of counting the number of teeth with deepened periodontal pockets 4 mm over a four-year period and measuring alcohol use in terms of quantity (gram/week), frequency, and over the risk limit intake by means of a questionnaire.Associations between alcohol use and the extent of periodontal disease were analyzed using Poisson and negative binomial regression.Of the participants, 68% developed a pocket depth of 4 mm in at least one tooth after the follow-up.The mean number of teeth with periodontal pockets was 4.75 (SD=3.6).O v e r al l , al c oh ol us e di d n ot a s s oci a te wi th p eri od on ta l di s ea s e d ev el opm en t.I n th e adjusted Poisson regression analyses, more frequent and high (gram/week) alcohol use was inversely associated with periodontal pocketing, whereas alcohol use over the risk limit slightly increased the risk for pocketing.When alcohol use (gram/week) was categorized, the lowest IRR's were seen among the light drinkers when compared to non-drinkers depicting a more or less 'U-shaped curve'.However, these associations were not statistically significant.According to binomial regression analysis, associations were parallel, but none of them were significant.The results of this study revealed that alcohol use in general does not associate with increased risk of infectious periodontal disease.This contradicts some of the previous research; further longitudinal and interventional studies are needed to explore the association.
Author: Rajeswari Sankaranarayanan
Language: English
Subfield: Periodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3095955091