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Published on: February 12, 2015
Periodontal health in children exposed to passive smoking
Ebru Olgun Erdemir1, Işil Saroglu Sönmez, Aylin Akbay Oba
1Department of Periodontology, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey. olgun_ebru@yahoo.com
Insights
Children exposed to passive smoking show higher salivary cotinine levels and reduced clinical attachment level (CAL), indicating potential periodontal health impacts from secondhand smoke. This study highlights the effects of parental smoking on children's health.
Area of Science:
- Environmental Health
- Pediatric Dentistry
- Biochemistry
Background:
- Secondhand smoke exposure is a significant health concern for children.
- Passive tobacco smoking (PTS) can lead to various adverse health outcomes.
- The impact of PTS on children's periodontal health and cotinine levels requires further investigation.
Purpose of the Study:
- To measure cotinine levels in saliva, urine, and gingival crevicular fluid (GCF) of children from smoking and non-smoking households.
- To investigate the association between passive smoking exposure and the periodontal health of children.
Main Methods:
- 109 children (6-12 years) were assessed, categorized into PTS-exposed (n=51) and PTS-unexposed (n=58) groups.
- Periodontal parameters including plaque index, gingival index, bleeding on probing, probing depth, and clinical attachment level (CAL) were recorded.
- Cotinine levels in saliva, urine, and GCF were quantified using enzyme-linked immunosorbent assay (ELISA).
Main Results:
- Significantly elevated mean salivary cotinine concentrations were observed in PTS-exposed children compared to controls (p<0.05).
- Salivary cotinine levels increased in a dose-dependent manner with parental smoking status.
- Mean CAL was significantly lower in PTS-exposed children (0.09 mm; p<0.05) and in children with a smoking father, but not a smoking mother.
Conclusions:
- Children exposed to passive smoking exhibit higher salivary cotinine levels.
- Passive smoking exposure is associated with a reduction in clinical attachment level (CAL) in children.
- These findings suggest a link between secondhand smoke exposure and compromised periodontal health in pediatric populations.
Aim:
To determine (1) the cotinine levels of saliva, urine and gingival crevicular fluid (GCF) of children in families with and without smoking members and (2) a possible association between the periodontal health of the children and exposure to passive smoking.
Material And Methods:
The study population comprised of 109 children in the age range 6-12 years. Children were classified as exposed to passive tobacco smoking (PTS-exposed, n=51) and as unexposed controls (PTS-unexposed, n=58). Plaque index, gingival index, bleeding on probing, probing depth and clinical attachment level (CAL) were recorded. GCF, saliva and urine samples were also collected. The levels of cotinine in these fluids were determined by enzyme-linked immunosorbent assay.
Results:
The mean salivary cotinine concentration was significantly increased in PTS-exposed children compared with PTS-unexposed children (p<0.05). Further, in a dose-dependent way, the mean salivary concentration was significantly higher in children whose father or mother was a smoker (p<0.05) as compared, respectively, with children whose fathers and mothers were non-smokers. The mean CAL was significantly less in PTS-exposed children compared with non-PTS-exposed children (0.09 mm; p<0.05) and also in children whose father was a smoker (p<0.05), but not in children whose mother was a smoker as compared with non-smoker fathers and mothers, respectively. The GCF cotinine levels were below the detection limits with the assay method that was used.
Conclusions:
We have observed that children who are exposed to passive smoking have elevated cotinine levels in their saliva concomitant with a lowered CAL.
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