INTERACTION OF SMOKING AND ORAL PATHOLOGY AND TEETH-JAW SYSTEM DISEASES IN EAST KAZAKHSTAN AREA

Introduction. Tobacco dependence has negative impact on all organs and systems of a human body, including on the frequency of stomatologic diseases. However there are contradictory data on impact of the use of tobacco on development of stomatologic pathology.

Research objective. To estimate influence of tobacco dependence on development of oral cavity pathology in population of the East Kazakhstan region.

Methods. Materials of primary and repeated registration of patients with oral cavity pathology and the dental-maxillary system passing diagnostic and medical actions are analysed. Clinical examination and poll of patients with use of techniques of detection of tobacco dependence is conducted. Research included 237 patients aged from 20 till 75 years. Calculation of relative risk between groups of smokers and non-smoking patients (Risk ratio) is carried out. Boundary criterion for a denial of a zero hypothesis accepted p<0,05.

Results. As a result of research the big general frequency of diseases of a mucous membrane of an oral cavity and dental-maxillary system at surveyed with tobacco dependence is revealed. Average frequency of the studied pathologies made 1,86 on 1 smoker of the patient and 1,25 – on non-smoking (RR=1,49, p=0,03). At the use of chewing or snuff tobacco the corresponding indicators made 2,69 in comparison with 1,25 in subgroup of patients of dental clinics without tobacco dependence (RR=2,15, p=0,01).

Conclusions. At persons with tobacco dependence excess of frequency of such clinically significant pathologies as the complicated forms of caries, diseases of a pulp and the periapikalnykh of fabrics, periodontosis, pretumoral diseases of a mucous membrane of a mouth is noted. The important factors defining risk of development of damages of a mucous membrane of an oral cavity and dental-maxillary system at persons with tobacco dependence are duration and intensity of smoking.

M. A. Sukhorukov, Zh. D. Bryzhakhina

Semey State Medical University, Semey City, Kazakhstan

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9.    Lo J., Patel P., Roberts B. A systematic review on tobacco use among civilian populations affected by armed conflict. Tob Control. 2015 March 13.

10. Leader D. Limited evidence shows a possible causal relationship between secondhand smoke and caries in children. J Am Dent Assoc. 2014 Feb;145(2):179-81.

11. Muszyński P., Polańska K., Hanke W. Effects of smoking on periodontal tissues and benefits of tobacco quitting. Przegl Lek. 2014; 71(11) : 648-653.

12. Pappas R.S. Toxic elements in tobacco and in cigarette smoke: inflammation and sensitization. Metallomics. 2011 Nov; 3(11) : 1181-98.

13. Tanaka K., Miyake Y., Arakawa M., Sasaki S., Ohya Y. Household smoking and dental caries in schoolchildren: the Ryukyus Child Health Study. BMC Public Health. 2010 : 10:335.

14. Tsugane S. Tobacco smoking and cancer risk: epidemiological evidence. Nihon Rinsho. 2013 Mar; 71(3): 390-396.

15. Underner M, Perriot J, Peiffer G. Smokeless tobacco. Presse Med. 2012 Jan;41(1):3-9.

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Bibliography link

Sukhorukov M. A., Bryzhakhina Zh. D. Interaction of smoking and oral pathology and teeth-jaw system diseases in East Kazakhstan area. Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 3, pp. 80-88.


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