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J Periodontol. 2019 Jul 29. doi: 10.1002/JPER.19-0060. [Epub ahead of print]

Associations of electronic and conventional cigarette use with periodontal disease in South Korean adults.

Jeong W1,2, Choi DW1,2, Kim YK1,2, Lee HJ1,2, Lee SA1,2, Park EC2,3, Jang SI2,3.

Author information

1
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
2
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
3
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Abstract

BACKGROUND:

The aim of this study was to examine the association of conventional cigarette smoking and electronic cigarette vaping with periodontal disease in South Korean adults.

METHODS:

For this study, data from 13,551 participants, a subset derived from the Korean National Health and Nutrition Examination Survey conducted between 2013 and 2015, were examined. Participants were divided into four categories: electronic cigarettes vapers, conventional cigarettes smokers, ex-users, and non-users. Periodontal status was measured by the Community Periodontal Index. Multiple logistic regression analysis was performed to examine the association of periodontal disease with smoking and vaping individually.

RESULTS:

Out of 187 men and 35 women who vape electronic cigarette, 67 (35.8%) men and 10 (28.6%) women had periodontal diseases. Out of 1,957 men and 363 women who smoke conventional cigarettes, 861 (44.0%) men and 121 (35.3%) women had periodontal diseases. Periodontal disease was more prevalent in each vapers and smokers than non-users in men (electronic cigarettes: odds ratio [OR] = 2.34, 95% confidence interval [CI] = 1.52 to 3.59, conventional cigarettes: OR = 2.17, 95% CI = 1.76 to 2.68). Furthermore, both vaping and smoking had significant relation to dental caries, toothache, and dental damages.

CONCLUSIONS:

Electronic and conventional cigarette use was each significantly associated with increased periodontal disease rates. After adjusting for demographic, socioeconomic, and health-related characteristics, both vaping and smoking each had significant association with periodontal diseases. Therefore, this study suggests that vaping may not be a safe alternative to smoking. Cessation of both types of cigarettes is necessary for maintaining oral health.

KEYWORDS:

electronic nicotine delivery systems; periodontal diseases; smoking

PMID:
31355936
DOI:
10.1002/JPER.19-0060

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