DOI QR코드

DOI QR Code

Effect of a coconut oil intervention on the periodontal health of smokers

  • Yun-Jeong Kim (Department of Dental Hygiene, Kwangju Women's University) ;
  • Jin-Ju Yang (Department of Dental Hygiene, Kwangju Women's University) ;
  • Seon-Yeong Kim (Department of Dental Hygiene, Kwangju Women's University) ;
  • Ah-Young Choi (Department of Dental Hygiene, Kwangju Women's University) ;
  • Woo-Jung Noh (Department of Dental Hygiene, Kwangju Women's University)
  • 투고 : 2023.01.03
  • 심사 : 2023.01.20
  • 발행 : 2023.02.28

초록

연구목적: 본 연구는 만성치주질환이 있는 흡연자를 대상으로 4주 동안 코코넛 오일을 중재하여 치주건강 개선 효과를 파악하고 흡연자의 치주관리에 활용될 수 있도록 학문적 근거를 제시하는데 목적이 있다. 연구방법: 본 연구의 대상은 G 지역에 소재하고 있는 1개 치과 의료기관에 2022년 8월 5일부터 2022년 10월 20일까지 내원한 흡연자 30명을 대상으로 하였다. 연구결과: BOP와 PHP index는 그룹(p=0.030, 0.027)과 시간(p<0.001)에 따라 유의한 차이가 있었고, 상호작용효과도 유의한 차이가 나타났다(p=0.002, 0.001). 구강건조감과 구강건강관련 삶의 질은 실험군에서 유의하게 감소하였다(p<0.001, 0.180). 결론: 코코넛 오일 중재는 흡연자의 치주건강을 위한 효율적인 프로그램으로 효과가 입증되었고, 흡연자의 치주건강에 기여할 수 있는 체계적인 프로그램들이 지속적으로 개발되고 연구될 것을 기대한다.

Objectives: This study performed a comparative evaluation of the effects of oil pulling on the periodontal health of smokers. Methods: The experimental (15 subjects) and control (15 subjects) were provided coconut oil and distilled water, respectively. We evaluated the pocket depth (≥4 mm), bleeding on exploration, and Patient Hygiene Performance (PHP) index in both groups following the interventions. Clinical parameters were assessed at baseline, after 4 weeks, and after 8 weeks. Dry mouth and oral health-related quality of life were evaluated at baseline and after 8 weeks. Results: Bleeding on exploring in the control group decreased from 26.17 to 18.33 and from 26.07 to 12.53 in the experimental group (p=0.030), with significant differences in measurement time (p<0.001), and the interaction between group and measurement time (p=0.002). The PHP index in the control group decreased from 24.50 to 16.17 and from 24.00 to 9.83 in the experimental group (p=0.027), with significant differences in measurement time (p<0.001), and the interaction between group and measurement time (p=0.001). Furthermore, the experimental group showed a significant decrease in dry mouth (p<0.001) and a significant increase in oral health-related quality of life (p=0.025). Conclusions: The coconut oil intervention positively affected the periodontal health of smokers.

키워드

과제정보

This paper was supported (in part) by Research Funds of Kwangju Women's University Innovation in 2022.

참고문헌

  1. Healthcare Bigdata Hub [Internet]. [cited 2022 Dec 13]. Statistics of the most frequently occurring disease. https://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do.
  2. Nunn ME. Understanding the etiology of periodontitis: an overview of periodontal risk factors. Periodontol 2000 2003;32(1):11-23. https://doi.org/10.1046/j.0906-6713.2002.03202.x
  3. Krall EA, Dawson-Hughes B, Garvey AJ, Garcia RI. Smoking, smoking cessation, and tooth loss. J Dent Res 1997;76(10):1653-9. https://doi.org/10.1177/00220345970760100601
  4. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. 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. Lancet 2012;380(9859):2224-60. https://doi.org/10.1016/S0140-6736(12)61766-8
  5. Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston-Martin S, et al. Smoking and drinking in relation to oral and oral and pharyngeal cancer. Cancer Res 1988;48(11):3282-7.
  6. Tonetti MS. Cigarette smoking and periodontal disease: etiology and management of disease. Ann Periodontol 1988;3(1):88-101. https://doi.org/10.1902/annals.1998.3.1.88
  7. The research, science and therapy committee of the American academy of periodontology. Tobacco use and the periodontal patient(positionpaper). J Periodontol 1999;70(11):1419-27. https://doi.org/10.1902/jop.1999.70.11.1419
  8. Chang KW. Dental plaque control technique by professional: focusing on watanabe method. J Korean Dent Assoc 2007;45(1):21-4. https://doi.org/10.22974/jkda.2007.45.1.003
  9. Asokan S, Emmadi P, Chamundeswari R. Effect of oil pulling on plaque induced gingivitis: a randomized, controlled, triple-blind study. Indian J Dent Res 2009;20(1):47-51. https://doi.org/10.4103/0970-9290.49067
  10. Axelsson P. Nystrom B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adult. J Clin Periodontol 2004;31(9):749-57. https://doi.org/10.1111/j.1600-051X.2004.00563.x
  11. Chang KW. Dental plaque control by professional tooth brushing. J Korean Dent Assoc 2001;39(6):443-9.
  12. Shin WC, Kang SG, Kim DK. The effectiveness of maintenance care by nonsurgical treatment on the periodontal disease. J Korean Acad Dent Health 2001;25(2):109-21.
  13. Poulet PP, Duffaut D, Lodter JP. Metronidazole susceptibility testing of anaerobic bacteria associated with periodontal disease. J Clin Periodontol 1999;26(4):261-3. https://doi.org/10.1034/j.1600-051X.1999.260411.x
  14. Roldan S, Herrer D, Santa-Cruz I, O'Connor A, Gonzalez I, Sanz M. Comparative effects of different chlorhexidine mouth-rinse formulations on volatile sulphur compounds and salivary bacterial counts. J Clin Periodontol 2004;31(12):1128-34. https://doi.org/10.1111/j.1600-051X.2004.00621.x
  15. Shanbhag VKL. Oil pulling for maintaining oral hygiene-a review. J Tradit Complementary Med 2017;7(1):106-9. https://doi.org/10.1016/j.jtcme.2016.05.004
  16. Singh A, Purohit B. Tooth brushing, oil pulling and tissue regeneration: a review of holistic approaches to oral health. J Ayurveda Integr Med 2011;2(2):64-8.https://doi.org/10.4103/0975-9476.82525
  17. Peedikayil FC, SreenivasanP, Narayana A. Effect of coconut oil inplaque relatedgingivitis-apreliminary report. Niger MedJ 2015;56(2):143-7. https://doi.org/10.4103/0300-1652.153406
  18. Arora V, Tangade P, T L R, Tirth A, Pal S, Tandon V. Efficacy of dental floss and chlorhexidine mouth rinse as an adjunct to tooth brushing in removing plaque and gingival inflammation-a three way cross over trial. J Clin Diagn Res 2014;8(10):ZC01-4. https://doi.org/10.7860/JCDR/2014/8807.4943
  19. Singh A, Purohit B. Tooth brushing, oil pulling and tissue regeneration: a review of holistic approaches to oral health. J Ayurveda Integr Med 2011;2(2):64-8.https://doi.org/10.4103/0975-9476.82525
  20. Sood P, Devi M A, Narang R, V S, Makkar DK. Comparative efficacy of oil pulling and chlorhexidine on oral malodor: a randomized controlled trial. J Clin Diagn Res 2014;8(11):ZC18-21. https://doi.org/10.7860/JCDR/2014/9393.5112
  21. Palmer RM, Wilson RF, Hasan AS, Scott DA. Mechanisms of action of environmental factors-tobacco smoking. J Clin Periodontol 2005;32(6):180-95.https://doi.org/10.1111/j.1600-051X.2005.00786.x
  22. Johnson GK, Guthmiller JM. The impact of cigarette smoking on periodontal disease and treatment. Periodontol 2000 2007;44(1):178-94. https://doi.org/10.1111/j.1600-0757.2007.00212.x
  23. Lee MR, Moon SE, Kim YJ, Kim SY, Cho HE, Kang HJ. Effects of coconut oil pulling and professionaltoothbrushing on gingivitis. J Korean Soc Dent Hyg 2019;19(3):375-85. https://doi.org/10.13065/jksdh.20190036
  24. Kim YJ, Yang JJ, Jung JY. Effect of coconut oil intervention on periodontal health and oral health-related quality of life in patients with implants. J Transdisc Studies 2021;5(2):109-19. https://doi.org/10.22685/JTS.2021.5.2.109
  25. Kim YJ, Yang JJ, Lee MR, Kim MH, Youn GC, Lee GY. Comparative evaluation of the effects of oil pulling on periodontal indices-using generalized estimating equation model. J Korean Soc Dent Hyg 2020;20(6):973-80. https://doi.org/10.13065/jksdh.20200089
  26. Reddy U, Khijmatgar S, Hegde M, Fabbro M. Effects of coconut oil on oral health status of patients with poor oral hygiene: systematic review andmeta-analysis. J Int Oral Health 2021;13(6):519-32. https://doi.org/10.4103/JIOH.JIOH_58_21
  27. Lim CH, Lee HJ,ParkGE. Effects of oral care interventions on oral health and oral health-related quality oflife among denture-wearing older adults. Korean J Adult Nursing 2021;33(1):76-86. https://doi.org/10.7475/kjan.2021.33.1.76
  28. Holm-Pedersen P, Lang NP, Muller F. What are the longevities of teeth and oral implants? Clin Oral Implants Res 2007;18(s3):15-9. https://doi.org/10.1111/j.1600-0501.2007.01434.x
  29. Leite FRM, Nascimento GG, Scheutz F, Lopez R. Effect of smoking on periodontitis: a systematic review and meta-regression. Am J Prev Med 2018;54(6):831-41. https://doi.org/10.1016/j.amepre.2018.02.014