Influência do tabagismo na apresentação clínica da doença periodontal em pacientes com outros fatores de risco cardiovascular

• Ano de defesa: 2015
• Autor(a) principal: Matos, Geraldo Roberto Martins
• Orientador(a): Godoy, Moacir Fernandes de
• Banca de defesa: Matos, Geraldo Roberto Martins , Kassis, Elias Naim, Godoy, José Maria Pereira de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Faculdade de Medicina de São José do Rio Preto
• Programa de Pós-Graduação: Programa de Pós-Graduação em Ciências da Saúde
• Departamento: Faculdade 1::Departamento 1
• País: Brasil
• Palavras-chave em Português: Doenças Periodontais; Fumar; Tabagismo
• Palavras-chave em Inglês: Periodontal Diseases; Smoking; Tobacco Use Disorder
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::MEDICINA
• Link de acesso: http://bdtd.famerp.br/handle/tede/518

Smoking is an independent risk factor for the onset, extent and severity of periodontal disease. Objective: To investigate the influence of smoking in the periodontal disease in patients with other cardiovascular risk factors. Patients and Method: This study was conducted using data collected from September 1975 to September 2009, involving 106 patients independently of gender and race, with periodontal disease – 53 smokers and 53 non-smokers (control group). Also the occurrence of other cardiovascular risk factors (systemic arterial hypertension, diabetes, obesity, dyslipidemia, alcoholism and stress) was analyzed. Results: Among the periodontal conditions encountered, significant differences were found between smokers and non-smokers with regard to tartar (p = 0.0431), junctional epithelium (p = 0.0216), conjunctive tissue (p = 0.0015), gingival coloration (p < 0.0001), tooth mobility (p < 0.0001) and bone loss (p = 0.0216). Regarding other cardiovascular risk factors, the main conditions found in smokers and non-smokers with periodontal disease were systemic arterial hypertension (28.30%), alcoholism (20.76%), and stress (18.87%), whereas in non-smoker the most frequent included systemic arterial hypertension (24.53%), stress (18.87%) and dyslipidemia (16.98%). Conclusions: Periodontal conditions such as the presence of tartar, junctional epithelium, conjunctive tissue and gingival coloration alterations, tooth mobility and bone loss are more frequent among smokers when compared with non-smokers. The principal cardiovascular risk factors encountered in smokers with periodontal disease are systemic arterial hypertension, alcoholism, and stress.