Introduction
Almost half of the world’s children experience passive smoking, which is linked to numerous oral health conditions. The aim is to synthesise data on the impact of passive smoking on oral health of infants, preschoolers, and children.
Methods
A search was conducted across Medline (via EBSCOhost), PubMed, and Scopus up to February 2023. Risk of bias was assessed according to the Newcastle-Ottawa Scale.
Results
The initial search produced 1,221 records and after removal of duplicates, screening by title and abstract, and full text assessment, 25 studies were eligible for review and data extraction. The majority of studies (94.4%) found a correlation between passive smoking and increased prevalence of dental caries with three studies suggesting a dose-response relationship. Prenatal passive smoking exposure in 81.8% of studies indicated an increased dental caries experience compared to postnatal exposure. Low parental education, socioeconomic status, dietary habits, oral hygiene and gender affected the level of environmental tobacco smoke exposure and dental caries risk.
Conclusions
The results of this systematic review strongly suggest a significant association between dental caries in the deciduous dentition and passive smoking. Early intervention and education on the effects of passive smoking on infants and children will allow for the improvement in oral health outcomes and reduction in smoking-associated systemic conditions. The results justify all health professionals paying more attention to passive smoking when conducting paediatric patient histories, contributing to improved diagnosis and appropriate treatment planning with more suitable follow-up schedules.
IMPLICATIONS
The evidence from this review that environmental tobacco smoke and passive smoking is a risk factor for oral health conditions, both prenatally and postnatally during early childhood, justifies all health professionals paying more attention to passive smoking when conducting paediatric patient histories. Early intervention and appropriate parental education regarding the effects of second-hand smoke on infants and children will allow for the minimisation of dental caries, improvement in oral health outcomes and overall reduction in smoking-associated systemic conditions for the children exposed.