Sažetak | Cilj istraživanja: Odrediti i usporediti parodontološki status ispitanika koji koriste bezdimne duhanske proizvode i ispitanika koji ne koriste bezdimne duhanske proizvode (kontrole). Ispitanici i postupci: U ovom presječnom istraživanju sudjelovalo je 40 ispitanika podijeljenih u dvije jednako velike skupine – korisnici bezdimnih duhanskih proizvoda (švedski snus) i kontrole. Podaci o osobnoj anamnezi i oralno-higijenskim navikama prikupljeni su upitnikom. Parodontološki status (krvarenje prilikom sondiranja – BoP; plak indeks – PI; prosječna dubina sondiranja – PPD) određen je kliničkim pregledom ispitanika. Za usporedbu nominalnih varijabli (anamneza, oralno higijenske navike) korišten je hi-kvadrat test (α = 0,05; P < 0,05). Parodontološki status je analiziran linearnom regresijom (α = 0,01; P < 0,01). Rezultati: Prosječna dob ispitanika je bila 24,93 ±3,81 godina uz ravnomjernu raspodjelu po spolu. Među skupinama nije pronađena statistički značajna razlika u osobnoj anamnezi i oralno-higijenskoim navikama. Od parodontoloških parametara, korisnici bezdimnih duhanskih proizvoda imali su statistički značajno viši BoP u odnosu na kontrole (R = 0,59; P < 0,001), a nije bilo razlike u PI (R = 0,09; P = 0,419) ni u PPD-u (R = 0,19; P = 0,089). Kod korisnika bezdimnih duhanskih proizvoda BoP i PI nisu bili povezani (R = 0,01; P = 0,929). Zaključak: Bezdimni duhanski proizvodi mogu imati potencijalno štetan utjecaj na zdravlje parodonta. I uz adekvatnu oralnu higijenu, redovito korištenje bezdimnih duhanskih proizvoda može izazivati/podržavati blaže oblike gingivitisa u mlađoj populaciji. |
Sažetak (engleski) | Objective: To determine and compare the periodontal status of young adults who use smokeless tobacco products with those who do not use smokeless tobacco products (controls). Subjects and procedures: This cross-sectional study involved 40 subjects who were divided into two equal groups – users of smokeless tobacco products (Swedish snus) and control subjects. Data on medical history and oral hygiene habits were collected by questionnaire. The periodontal status was determined by a clinical examination of the subjects. The chi-squared test was used to compare the nominal variables (medical history, oral hygiene habits) (α = 0.05; P < 0.05). The periodontal status (Bleeding on Probing – BoP; Plaque Index – PI; Pocket Probing Depth – PPD) was analyzed by linear regression (α = 0.01; P < 0.01). Results: The mean age of the subjects was 24.93 ±3.81 years with an even distribution by gender. No statistically significant difference in medical history and oral hygiene habits was found between the groups. Regarding periodontal status, smokeless tobacco users had a statistically significant higher BoP compared to controls (R = 0.59; P < 0.001), while no difference was found for PI (R = 0.09; P = 0.419) or PPD (R = 0.19; P = 0.089). Among users of smokeless tobacco products, BoP and PI were not correlated (R = 0.01; P = 0.929). Conclusion: Smokeless tobacco products can have a potentially harmful effect on periodontal health. Regardless of proper oral hygiene, regular use of smokeless tobacco products may cause/support milder forms of gingivitis in young adults. |