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Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey

Author

Listed:
  • Nkiruka C. Atuegwu

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Mario F. Perez

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Cheryl Oncken

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Sejal Thacker

    (Division of Periodontology, UConn Health, University of Connecticut School of Dental Medicine, Farmington, CT 06030, USA)

  • Erin L. Mead

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Eric M. Mortensen

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

Abstract

Electronic nicotine product use is increasing in the U.S., but few studies have addressed its effects on oral health. The goal of this work was to determine the association between electronic nicotine product use and periodontal disease. Population Assessment of Tobacco and Health adult survey data from 2013–2016 (waves 1, 2 and 3) was used for the analysis. Longitudinal electronic nicotine product users used electronic nicotine products regularly every day or somedays in all three waves. Participants with new cases of gum disease reported no history of gum disease in wave 1 but reported being diagnosed with gum disease in waves 2 or 3. Odds ratios (OR) were calculated to determine the association between electronic nicotine product use and new cases of gum disease after controlling for potential confounders. Compared to never users, longitudinal electronic nicotine product users had increased odds of being diagnosed with gum disease (OR 1.76, 95% Confidence Interval (CI) 1.12–2.76) and bone loss around teeth (OR 1.67, 95% CI 1.06–2.63). These odds were higher for participants with a history of marijuana and a history of illicit or non-prescribed drug use. Our findings show that e-cigarettes may be harmful to oral health.

Suggested Citation

  • Nkiruka C. Atuegwu & Mario F. Perez & Cheryl Oncken & Sejal Thacker & Erin L. Mead & Eric M. Mortensen, 2019. "Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey," IJERPH, MDPI, vol. 16(7), pages 1-9, April.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1263-:d:221074
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    Citations

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    Cited by:

    1. Nkiruka C. Atuegwu & Cheryl Oncken & Reinhard C. Laubenbacher & Mario F. Perez & Eric M. Mortensen, 2020. "Factors Associated with E-Cigarette Use in U.S. Young Adult Never Smokers of Conventional Cigarettes: A Machine Learning Approach," IJERPH, MDPI, vol. 17(19), pages 1-16, October.
    2. Nkiruka C. Atuegwu & Mark D. Litt & Suchitra Krishnan-Sarin & Reinhard C. Laubenbacher & Mario F. Perez & Eric M. Mortensen, 2021. "E-Cigarette Use in Young Adult Never Cigarette Smokers with Disabilities: Results from the Behavioral Risk Factor Surveillance System Survey," IJERPH, MDPI, vol. 18(10), pages 1-13, May.

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