“…Tumors with HPV infection tended to be associated with a decreased exposure to tobacco (OR=56.0, 95% CI: 10.2-308.5). Our result is in consensus with some other investigations which considered smoking as a protective effect on HPV status in the oral cavity (Ritchie et al, 2003;Tachezy et al, 2005). It has been suggested (Ritchie et al, 2003) that smoking could increase the keratinization of oral mucosal which may make the mucosa more resistant to minor trauma, a proposed mechanism for the necessary infection of the basal layer cells by HPVs.…”