The effect of smoking and nicotine dependence in recurrent aphthous stomatitis

Yıl 2016, Cilt: 33 Sayı: 3, 126 - 31, 18.08.2016

Zühre Zafersoy Akarslan , İlkay Peker

https://doi.org/10.17214/aot.65572

Öz

OBJECTIVE: The aim of this study was to assess the self-reported recurrent aphthous stomatitis (RAS) history, trigger factors of the lesions, smoking habits and nicotine dependence among a group of patients attending a dental faculty.

MATERIALS and METHOD: 503 patients participated in this study (257 females, 246 males; age range 16-76 years). Sociodemographic characteristics, history of any RAS, trigger factors of the lesions, smoking habits and nicotine dependence of the patients were recorded on a standard form. Nicotine dependence was assessed according to Fagerstrom Test for Nicotine Dependence (FTND).

RESULTS: One hundred and sixty seven patients (33.2%) reported a history of RAS. Gender and education level did not have an effect on this lesion (p=0.100 and p=0.906, respectively). The most reported trigger factor was stress (60.9%), followed by flu/cold (47.5%). Non-smokers more often reported a lesion history compared to smokers and ex-smokers (p=0.000). The mean FTND score of patients with history of RAS was significantly greater than that of patients with no history of RAS (p=0.011).

CONCLUSION: About one third of the patients had a history of RAS, and the most reported trigger factor of the lesion was found to be stress. A positive history of RAS was more often reported by non-smokers. Among smokers, nicotine dependence had an effect on the occurrence of the lesion.

Anahtar Kelimeler

Dentistry, smoking, stomatitis, aphthous, tobacco use disorder

Rekürrent aftöz stomatit oluşumunda sigara kullanımı ve nikotin bağımlılığının etkisi

Öz

AMAÇ: Bu çalışmanın amacı diş hekimliği fakültesine başvuran bir grup hastanın beyanına göre rekürrent aftöz stomatit (RAS) hikayesi, RAS oluşumunu etkileyen faktörler, sigara kullanımı ve nikotin bağımlılığının değerlendirilmesidir.

GEREÇ ve YÖNTEM: Çalışmaya 503 hasta dahil edildi (257 kadın, 246 erkek; yaş aralığı 16-76). Hastaların sosyo-demografik özellikleri, RAS hikayesi olup olmadığı, lezyon oluşumunu etkileyen faktör veya faktörler, sigara içme alışkanlıkları ve nikotin bağımlılık derecesi standart bir forma kaydedildi. Nikotin bağımlılığı Fagerström Nikotin Bağımlılık Testi (FNBT) ile değerlendirildi.

BULGULAR: 167 hasta (%33.2) RAS hikayesi olduğunu belirtti. Lezyon oluşma hikayesi ile cinsiyet ve eğitim seviyesi arasında anlamlı fark bulunmadı (p=0.100 ve p=0.906). Lezyon oluşumunu en fazla tetikleyen faktörün stres olduğu (%60.9), bunu nezle/grip’in takip ettiği (%47.5) bulgulandı. Hiç sigara kullanmamış hastalardaki RAS hikayesinin sigara içenlere ve içip bırakanlara göre anlamlı olarak daha yüksek olduğu saptandı (p=0.000). RAS hikayesi olan hastaların FNBT skor ortalamasının RAS hikayesi olmayan hastalarınkine göre daha yüksek olduğu belirlendi (p=0.011).

SONUÇ: Hastaların yaklaşık üçte birinde RAS hikayesi olduğu ve lezyonların oluşumunu etkileyen faktörler arasında en fazla stresin bildirildiği saptandı. Sigara içmeyen bireylerde lezyon oluşum hikayesinin daha yüksek oranda rapor edildiği belirlendi. Sigara içen bireylerde nikotin bağımlılığının lezyon gelişiminde etkisi olduğu saptandı.

Anahtar Kelimeler

Diş hekimliği, sigara içme, stomatit, aftöz, tütün kullanımı bozuklukları

Kaynakça

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