Behavioral risks of student dental health


Aim. To increase the effectiveness of treatment and prevention of periodontal diseases in smoking students.

Methods. A comprehensive dental examination and survey was conducted among 380 students 180 of whom were smokers, and the other 200 students were not tobacco smokers. The students were comparable by age (mean age 21.1±0.09 and 21.4±0.10 years, p=0.1009) and the initial state of the oral cavity. To assess the effectiveness of treatment and preventive measures, smoking students with inflammatory changes in periodontium were divided into the groups. The first group (52 subjects) was divided into three subgroups: 1a (n=15) — removal of plaque by the piezoelectric ultrasound apparatus Vector; 2a (n=20) — use of the Air-Flo C2 air-abrasive apparatus; 3a (n=17) — use of Gracey curette. The second group (n=32) was divided into two subgroups: control (n=15) where only conventional therapy was applied, including professional oral hygiene (removal of supra- and subgingival dental deposits) and the main one (n=17), where, unlike the control group, additional supportive therapy was introduced with Antitobacco Chamomile-Sage conditioner. Repeated clinical examinations were carried out 1 and 6 months after the completion of treatment using periodontal and hygienic indices.

Results. Students were found to have caries and periodontal inflammation but it was more pronounced in patients with a bad smoking habit in history: 4.37±0.12 and 3.98±0.09 — the intensity of caries in smokers and non-smokers, respectively (p <0.05). Among the smoking students in relatively rare cases a healthy periodontium was detected: 2.78±1.22, versus 9.0±2.02 in the group of non-smoking students (p <0.05). With the inclusion of Antitobacco Chamomile-Sage conditioner in the complex therapy, the values of OHI-S and papillary marginal attachment indices were significantly lower than in the control group 1 and 6 months after treatment. A comparative analysis of the data obtained in another treatment group, divided into three subgroups, revealed that with the use of Gracey curette a more pronounced positive shift in the indices was observed.

Conclusion. Favorable dynamics in the reduction of hygienic and periodontal indices at all stages of the research, indicating improvement of oral hygiene and periodontal condition, was recorded when using periodontal Gracey curette and “Antitobacco Chamomile-Sage” herbal conditioner in the complex treatment.

Dzh A Safarov

Azerbaijan Medical University

Author for correspondence.
Baku, Azerbaijan

  1. Gazhva S.I., Igolkina N.A. Relationship between visceral diseases and oral health. Terapevticheskiy arkhiv 2013; 85 (10): 116–118. (In Russ.)
  2. Golub' A.A., Chemikosova T.S., Gulyaeva O.A. Influence of smoking and soma­tic pathology on the state of oral mucous. Parodontologiya. 2011; 16 (3): 66–69. (In Russ.)
  3. Abid A., Maatouk F., Berrezouga L. et al. Prevalence and severity of oral diseases in the Africa and Middle East Region. Adv. Dental Res. 2015; 27 (1): 10–17. doi: 10.1177/0022034515582062.
  4. Shevchuk M.N. Modern concepts of etiology and pathogenesis of inflammatory periodontal diseases. The Pharma Innovation J. 2018; 7 (6): 170–173.
  5. Solomon S.M., Iovan G., Pasarin L. et al. Risk predictors in periodontal disease. Rom. J. Oral Rehab., 2017; 9 (3): 89–96.
  6. Chzhan Ley, Grinin V.M., Tsarev V.N. Multifactor analysis of the results of estimation of the le­vel of dental health in the smokers. Rossiyskiy stomatologi­cheskiy zhurnal. 2012 (3): 41–44. (In Russ.)
  7. Kyungdo Han, Jun-Beom Park. Association between oral health behavior and periodontal disease among Korean adults. Medicine (Baltimore). 2017; 96 (7): 61–76. doi: 10.1097/MD.0000000000006176.
  8. Bilano V., Gilmour S., Moffiet T. et al. Global trends and projections for tobacco use, 1990–2025: an analysis of smoking indicators from the WHO Comprehensive Information System for Tobacco Control. Lancet. 2015; 385 (9972): 966–976. doi: 10.1016/S0140-6736(15)60264-1.
  9. WHO global report on trends in prevalence of tobacco smoking 2000–2025. Second edition. Geneva: World Health Organization. 2018; 122 р.
  10. Zhuravleva I.V., Ivanova L.Yu., Ivakhnenko G.A. Students: risk behaviors and health-rela­ted values. Vestnik Instituta sotsiologii. 2013; (6): 112–129. (In Russ.)
  11. Mokina N.A., Averina O.M. Assessment of smoking prevalence and status among students of senior courses of medico-prophylactic and therapeutic faculties of Samara state medical university. Saratovskiy nauchno-meditsinskiy zhurnal. 2011; 7 (2): 497–450. (In Russ.)
  12. Jessica L., Barrington-Trimis J.L., Urman R. et al. E-cigarettes, cigarettes, and the prevalence of adolescent tobacco use. Pediatrics. 2016; 138 (2): e20153983. doi: 10.1542/peds.2015-3983.
  13. Grudyanov A.I., Ke­mulariya I.V. Effect of smoking on microcirculation in periodontal tissues. Parodontologiya. 2010; 15 (4): 12–15. (In Russ.)
  14. Orekhova L.Yu., Osipova M.V. Clinical features and tendencies of the change of periodontal status among smo­kers. Parodontologiya. 2011; (1): 47–50. (In Russ.)
  15. Bergstrom J. Smoking rate and periodontal disease prevalence: 40-year trends in Sweden, 1970–2010. J. Clin. Periodontol. 2014; 41: 952–957. doi: 10.1111/jcpe.12293.
  16. Nadezhdin A.V., Tetenova E.Yu., Sharova E.V. Nicotine dependence: diagnosis and treatment. Meditsina. 2016; (3): 164–189. (In Russ.)
  17. Prekrashchenie potrebleniya tabaka i lechenie tabachnoy zavisimosti. Nauchno obosnovannye rekomendatsii. (Tobacco smo­king cessation and treatment of tobacco dependance. Scientifically proved guidelines.) Ed. by A.K. Demin. M. 2013; 319 p. (In Russ.)


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