Betel and tobacco chewing habit and its relation to risk factors for periodontal disease

Giovannoni, María Laura; Valdivia-Gandur, Iván; Luaces, Vicente Lozano de; Véliz, H Varela; Balasubbaiah, Yadamala; Küstner, Eduardo Chimenos

doi:10.1111/odi.12820

Cited by 20 publications

(13 citation statements)

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“…Furthermore, psychoactive substance consumption resulting from addictive behaviours includes gestural rituals [48] that have been established over time. Tooth and periodontal damage was found to be common in SLT users [49], mainly female chewers [50], and the intention to use SLT for dental pain suppression could establish a vicious circle between dental symptoms and the repeated and inefficient application of SLT as treatment.…”

Section: Dental Symptomsmentioning

confidence: 99%

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Diendéré

Zeba²,

Nikièma

et al. 2020

BMC Public Health

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Background: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western African countries, the estimated weighted prevalence of SLT use in rural women was found to be the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. Methods: We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP] and dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student's chi-squared and logistic regression analyses. Results: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p < 0.001), undernourishment (aOR = 1.78; p < 0.01), decreased waist circumference (aOR = 0.98; p < 0.05), decreased DBP (aOR = 0.97; p < 0.01), increased SBP (aOR = 1.01; p < 0.05), and increased differential blood pressure (aOR = 1.01; p < 0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p < 0.001). Conclusion: The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its healthrelated concerns.

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Section: Dental Symptomsmentioning

confidence: 99%

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Diendéré

Zeba²,

Nikièma

et al. 2020

BMC Public Health

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“…115 Users of smokeless tobacco demonstrate deeper probing pocket depths, clinical attachment loss, and periodontal inflammation compared with nonusers and, in some studies, cigarette smokers. [116][117][118][119][120][121][122][123][124][125][126][127][128][129][130][131][132][133][134] It is of particular importance that these signs of periodontal destruction are greater on the side where the tobacco is placed. 117 Dipping induces collagen degradation, 124 increase in subgingival pro-inflammatory cytokines, 128,135,136 and decrease in antioxidant molecules such as gamma glutamyl transpeptidase.…”

Section: Smokeless Tobaccomentioning

confidence: 99%

Interventions to prevent periodontal disease in tobacco‐, alcohol‐, and drug‐dependent individuals

Kumar

2020

Periodontology 2000

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Substance abuse affects more than one sixth of the world's population. More importantly, the nature of the abuse and the type of addictive substances available to individuals is increasing exponentially. All substances with abusive potential impact both the human immuno‐inflammatory system and oral microbial communities, and therefore play a critical role in the etiopathogenesis of periodontal diseases. Evidence strongly supports the efficacy of professionally delivered cessation counseling. Dentists, dental therapists, and hygienists are ideally placed to deliver this therapy, and to spearhead efforts to provide behavioral and pharmacologic support for cessation. The purpose of this review is to examine the biologic mechanisms underlying their role in disease causation, to understand the pharmacologic and behavioral basis for their habituation, and to investigate the efficacy of population‐based and personalized interventions in prevention of periodontal disease.

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“…Furthermore, psychoactive substance consumption resulting from addictive behaviours involved gestural rituals [48] extending over time. Tooth and periodontal damage was common in SLT users [49], mainly in female chewers [50], while the intention to use SLT for dental pain suppression could establish a vicious circle between dental symptoms and the repeated and inefficient application of SLT as treatment.…”

Section: Dental Symptomsmentioning

confidence: 99%

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Diendéré¹,

Zeba

Nikièma³

et al. 2020

Preprint

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Background: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western Africa countries, the estimated weighted prevalence of SLT use in rural women was the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. Methods : We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP], dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student’s, chi-squared and logistic regression. Results : The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p<0.001), undernourishment (aOR = 1.78; p<0.01), a decrease in waist circumference (aOR = 0.98; p<0.05), a decrease in DBP (aOR = 0.97; p<0.01), increase in SBP (aOR = 1.01; p<0.05), and an increase in differential blood pressure (aOR = 1.01; p<0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p<0.001). Conclusion : The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

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Betel and tobacco chewing habit and its relation to risk factors for periodontal disease

Abstract: In the population studied, a chewing habit was associated with a worse periodontal status, and this association was not modified by gender and age as predisposing factors. Oral hygiene could decrease the effect of chewing habit on periodontal health.

Cited by 20 publications

References 45 publications

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

Interventions to prevent periodontal disease in tobacco‐, alcohol‐, and drug‐dependent individuals

Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

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