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Association between alcohol dependence and both periodontal disease and tooth loss: a cross-sectional study

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Abstract

The impact of alcohol consumption on periodontal disease and tooth loss is still under debate. The aim of this cross-sectional study was to evaluate the association between alcohol dependence and both periodontal diseases and tooth loss in Brazilian native Indians. Full mouth periodontal examination was performed and tooth loss was clinically evaluated in a representative sample of 225 Indians (≥ 19 years). Sociodemographic, oral health-related data, and alcohol dependence were evaluated using structured questionnaires. The subjects were categorized as either alcohol-dependent or non-dependent according to the Alcohol Use Disorders Identification Test results. Severe periodontal disease was defined in individuals with ≥ 2 proximal sites with a clinical attachment level ≥ 6 mm, not on the same tooth, and ≥ 1 proximal site with a probing depth ≥ 5 mm. Tooth loss was categorized as one or more missing teeth, or no missing teeth. Bivariate models followed by logistic regression were used to assess the association between alcohol dependence and both periodontal disease and tooth loss. Prevalence ratio (PR) was calculated using Mantel-Haenszel analysis. Alcohol dependence increased 2.5 times the risk for tooth loss (prevalence ratio [PR] =2.49, 95% confidence interval [CI] = 1.01–9.04, p = 0.05). Severe periodontal disease was not associated with alcohol dependence (OR = 0.54, 95% CI = 0.22–1.31, p = 0.23). In conclusion, alcohol dependence was associated with tooth loss in the present population, but severe periodontal disease was not. Questions on alcohol dependence should be included in dental anamnesis questionnaires, and patients diagnosed with alcohol dependence should be referred for dental evaluation.

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Acknowledgements

The author wants to acknowledge Dr. Maria Cristina Cangussu for the assistance with the statistical analysis.

Funding

This study was supported by a grant from the National Counsel of Technological and Scientific Development (Ministry of Science and Technology, Brasília, Brazil; process numbers 308475/2009-7 and 477377/2010-6) and Special Indigenous Health District (National Health Foundation, Ministry of Health, Brasília, Brazil).

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Authors and Affiliations

  1. Postgraduate Program in Health and Dentistry, School of Dentistry, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil

    Jorge M. Pinto-Filho, Lívia S. F. Ribeiro, Luiza Sartori, Jean N. dos Santos, Luciana M. P. Ramalho & Patricia R. Cury

  2. Faculdade de Odontologia, Federal University of Bahia, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil

    Patricia R. Cury

Authors
  1. Jorge M. Pinto-Filho
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  2. Lívia S. F. Ribeiro
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  3. Luiza Sartori
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  4. Jean N. dos Santos
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  5. Luciana M. P. Ramalho
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  6. Patricia R. Cury
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Corresponding author

Correspondence to Patricia R. Cury.

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Responsible editor: Philippe Garrigues

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Pinto-Filho, J.M., Ribeiro, L.S.F., Sartori, L. et al. Association between alcohol dependence and both periodontal disease and tooth loss: a cross-sectional study. Environ Sci Pollut Res 25, 29089–29095 (2018). https://doi.org/10.1007/s11356-018-2807-3

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  • DOI: https://doi.org/10.1007/s11356-018-2807-3

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