Journal of the Health Care and Life Science (보건의료생명과학 논문지)

The Korean Society of Medical Informatics Education (한국의료정보교육협회)
권호 표지
DOI QR코드

DOI QR Code

Halitosis and Bacteria Distribution in the oral cavity according to smoking status of university students

일부 대학생의 흡연여부에 따른 구취와 구강 내 세균 분포

  • Myung Hee Jung (Department of Dental Hygiene, Songho University)
  • 정명희 (송호대학교 치위생과)
  • Received : 2022.07.04
  • Accepted : 2022.07.24
  • Published : 2022.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Smoking is known to be a causative factor of periodontal disease in addition to drinking alcohol. However, studies on microorganisms in oral cavity according to smoking status are currently very poor. In this study, 30 smokers and 30 nonsmokers were selected for university students. It was statistically significant that Streptococcus mutans, Prevotella intermedia were detected more frequently in smokers with 30% compared to non-smokers with 7%, and was detected in subjects that engaged in tooth brushing fewer than three times a day with 20%(p<0.05). P. intermedia was significant in that more bacteria were detected in smokers than in non-smokers (p<0.05). As continuous smoking directly stimulates the oral cavity, bacteria that can cause oral disease may appear more dominant than in non-smokers. Furthermore, it is expected that it will have a positive effect on students' smoking cessation.

흡연은 음주와 더불어 치주질환을 유발하는 원인 인자로 알려져 있으나, 흡연여부에 따른 구취와 구강 내 분포하는 미생물을 조사한 연구는 현재 매우 미비한 상태이다. 본 연구에서는 대학생을 대상으로 흡연자 30명, 비흡연자 30명을 선정하였다. 구강질환과 관련한 Streptococcus mutans 와 Prevotella intermedia 균들은 흡연자에서 30%, 비흡연자에서 7%로 흡연자에서 더 많이 검출되었으며, 1일 칫솔질 3회 이하에서 20%로 검출되어 통계적으로 유의하였다. 수분섭취량과 구취, 구강 미생물에서 차이를 확인한 결과 구강 미생물 중 P. intermedia는 통계적으로 유의한 차이가 있는 것으로 분석되었다(p<0.05). P. intermedia는 비흡연자보다 흡연자에서 세균이 더 검출되어 유의하였다(p<0.05). 지속적인 흡연은 구강을 직접적으로 자극하여 비흡연자에 비해 구강질환을 유발할 수 있는 세균이 우세하게 나타날 수 있으므로 흡연은 균주와 함께 구강 내 환경을 악화시켜 구강질환을 유발하는 원인임을 상기시켜 경각심을 주고, 더 나아가 학생들의 금연에도 긍정적 효과를 끼칠 것으로 기대한다.

Keywords

References

  1. Albandar JM, Brunelle JA and Kingman A., 'Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994', J Periodontol, Vol. 70, No. 1, pp. 13-29, 1999.
  2. SS Lim, Vos T, Flaxman AD, Danaei G, Shibuya K, and Adair-Rohani H, 'A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010', The Lancet. Vol. 380, No. 9859, pp 2224-2260, 2012.
  3. No smoke guide Sight of smoking statistics. Trends in smoking among foreign[Internet]. [cited 2016 Apr 5]. Available from: http://www.nosmokeguide.or.kr/mbs/nosmokeguide/subview.jsp?id=nosmokeguide_010200000000#.
  4. David Satcher, 'Why we need an international agreement on tobacco control' Am J Public Health, Vol. 99, No. 2, pp 191-193, 2001.
  5. KJ Jung, YD Yun and SJ Baek, 'Smoking-Attributable Mortality among Korean Adults, 2012', Journal of The Korea Society Health Informatics and Statistics, Vol. 38, No. 2, pp 36-48, 2013.
  6. American Academy of Periodontology, 'Position paper: tobacco use and the periodontal patient' J Periodontol, Vol. 70, no. 11, pp 1419-1427, 1999.
  7. BO Kim, 'Periodontics. 22nd ed.' Daehan Narae Publishing, pp 41-67, 2013.
  8. Health Insurance Review & Assessment Service, 'Medical bills health indicators', 2015.
  9. JI Lee, 'Correlation co-efficiency between the caries incidence and the periodontal status in Korea', Master's thesis of Cheonan: Univ. of Dankook, 2005.
  10. KJ Yu and JH Hwang 'Study on oral periodontal pathogens distribution and risk factors in college students', Korean Society of Dental Hygiene, Vol. 17, No. 1, pp 77-87, 2017.