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

• Published in: Environmental science and pollution research international 2018-10, Vol.25 (29), p.29089-29095
• Main Authors: Pinto-Filho, Jorge M., Ribeiro, Lívia S. F., Sartori, Luiza, dos Santos, Jean N., Ramalho, Luciana M. P., Cury, Patricia R.
• Format: Article
• Language: English
• Subjects: Adult; Alcohol; Alcohol use; Alcoholic beverages; Alcoholism - complications; Alcoholism - epidemiology; Alcohols; Aquatic Pollution; Atmospheric Protection/Air Quality Control/Air Pollution; Bivariate analysis; Brazil - epidemiology; Brazil - ethnology; Confidence intervals; Cross-Sectional Studies; Dependence; Disease; Drug dependence; Earth and Environmental Science; Ecotoxicology; Environment; Environmental Chemistry; Environmental Health; Environmental science; Female; Gum disease; Humans; Indians, South American - statistics & numerical data; Logistic Models; Male; Middle Aged; Periodontal disease; Periodontal diseases; Periodontal Diseases - epidemiology; Periodontal Diseases - etiology; Prevalence; Questionnaires; Regression analysis; Research Article; Socioeconomic Factors; Statistical analysis; Teeth; Tooth Loss - epidemiology; Tooth Loss - etiology; Vitamin D; Waste Water Technology; Water Management; Water Pollution Control
• ISSN: 0944-1344; 1614-7499
• DOI: 10.1007/s11356-018-2807-3

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.