Tannheilsa og tóbaksreykingar : tannmissir, tannáta og tannholdssjúkdómar eru algengari meðal reykingafólks
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CitationLæknablaðið 1993, 79(6):243-8
AbstractA random sample from a group (code named MONICA), participating in a population survey at the Heart Preventive Clinic of the Icelandic Heart Association in Reykjavik Iceland was examined. The sample consisted of 1544 people, men and women, born in the years 1914-1963 (25-74 years of age) from the Reykjavik area, and a farming area in Southern Iceland including both agricultural and fishing villages. The examination was carried out in 1989-90. The number of remaining teeth, total edentulousness, caries, number of fillings (DMFT) and periodontal disease based on CPITN were recorded and compared to data from the Heart Preventive Clinic regarding smoking habits submitted by the subjects at time of examination. Edentulousness was more common in the rural area than in the urban counterpart. In general smokers had fewer remaining teeth and were more often edentulous than non-smokers. Decayed teeth were more common among men, but women had more fillings. Decayed teeth were significantly more common among the smokers than the non-smokers regardless of sex, and the smokers of both sexes had fewer fillings. When CPITN was compared significant differences were found between smokers and non smokers. The percentage of non-smokers of both sexes, who had »0« as the highest score, i.e. were free of periodontal disease, was almost twice as high as that for the smokers (P<0.01). Statistically significant difference was also found as men-smokers showing 3 as a highest score (pockets 4-5mm), where more common than their non-smoking counterparts (P<0.05) (table IV). For women this difference was not statistically significant. The average number of healthy sextants was 60¬70% higher among non-smokers than smokers of both sexes (P<0:001) (table V). Smokers were in greater need for periodontal treatment than non-smokers (P<0.01 both sexes).
Fyrri rannsóknir benda til þess, að reykingamönnum sé hættara við tannmissi en öðrum (1-7). Samkvæmt mörgum rannsóknum eru tannholdsbólgur algengari, meira af tannsýkli og tannsteini, auk þess sem munnhirða almennt er verri meðal reykingamanna (3,8-13). Margar rannsóknir sýna hlutfallslega meira tap á kjálkabeini umhverfis tennur reykingamanna (4-7,12¬16). Loks hefur verið sýnt fram á samband reykinga, einkum sígarettureykinga, og sjúklegs ástands tannholds (4-20). Markmið þessarar faraldsfræðirannsóknar var að kanna hvernig fullorðnir Íslendingar væru tenntir og bera þær niðurstöður saman við reykingavenjur þeirra.
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