Influence of Tobacco Use in Dental Caries Development

Vellappally, Sajith; Fiala, Zdeněk; Šmejkalová, Jindra; Jacob, Vimal; Pilathadka, Shriharsha

doi:10.21101/cejph.a3431

Cited by 62 publications

(69 citation statements)

References 47 publications

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“…This may result in periodontal problems and high caries risk in tobacco users. Our study reaffirmed the earlier reports that regular smokers show greater affinity towards high sugar contained products (7,9,11) and alcohol (7,23). Smokers tend to feel dry mouth more frequently than non-smokers (9,28,29).…”

Section: Discussionsupporting

confidence: 92%

“…Locally prepared and commercially popular chewing tobacco products in India, like Pan masala and Guthkas, contains areca nut, tobacco, cardamon, lime and very often they are sweetened with unrefined sugar, sugar crystals, coconut or artificial sweeteners and flavors (32,33). The added flavor and sweeteners are used to promote tobacco use and neutralize its harsh taste (7,32,35). Chewing tobacco, typically used by placing a wad of tobacco between teeth and buccal mucosa, and is gently chewed or sucked over a period of several hours, is used over an extended period of each day (7,13,35).…”

Section: Discussionmentioning

confidence: 99%

“…The added flavor and sweeteners are used to promote tobacco use and neutralize its harsh taste (7,32,35). Chewing tobacco, typically used by placing a wad of tobacco between teeth and buccal mucosa, and is gently chewed or sucked over a period of several hours, is used over an extended period of each day (7,13,35). This situation can create conducive environment for the initiation of dental caries by release of sugars from chewing tobacco to the local environment or oral cavity.…”

Section: Discussionmentioning

confidence: 99%

“…This situation can create conducive environment for the initiation of dental caries by release of sugars from chewing tobacco to the local environment or oral cavity. Sugars in chewing tobacco can promote caries by bathing the teeth in cariogenic sugars (7,13,36). This assumption is supported by in vitro evidence of stimulated growth of Streptococcus mutants and Streptococcus sanguis in the presence of smokeless tobacco extracts (7,37).…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, only limited number of studies investigated relationships between the prevalence of dental caries and tobacco consumption (7). In recent years several studies indicated positive correlation between tobacco use and dental caries (8)(9)(10)(11)(12)(13) but the conclusions are not wholly consistent and more studies are required to highlight this relation.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Tobacco Habits and Oral Health Status in Selected Indian Population

Vellappally¹,

Jacob²,

Šmejkalová³

et al. 2008

Cent Eur J Public Health

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SUMMARYThis cross-sectional study was aimed at possible relationships between tobacco habits and selected behavior characteristics in an adult sample from India. Contemporaneous clinical examination comprised an intra-oral examination with specific emphasise to dental caries status in the form of DMFT (Decayed, Missing, and Filled Teeth) index. The study comprised 805 subjects in the age group from 30 to 69 years (72% of males and 28% of females). The participants were divided into regular smokers, occasional smokers, ex-smokers, tobacco chewers and non-tobacco users. The highest prevalence of oral mucosal lesions were found in tobacco chewers (22.7 %) followed by regular smokers (12.9 %), occasional smokers (8.6%), ex-smokers (5.1%) and non tobacco users (2.8%) (p < 0.001). The mean number of decayed teeth was highest in tobacco chewers (6.96) followed by regular smokers (6.44) and ex-smokers (5.5) (p < 0.001). The mean number of missing teeth was highest in the group of regular smokers (1.9) and lowest in non-tobacco users (1.53), but the results were not statistically significant (p = 0.529). The mean number of filled teeth were highest in the group of tobacco chewers (3.67) followed by regular smokers (3.29) (p < 0.001). DMFT value of tobacco chewers, regular smokers and ex-smokers is higher when compared to non-tobacco users (p < 0.001). The study documents that chewing tobacco and smoking can present significant risk factors for dental caries. However, the conclusions are burdened by some limitations. Further studies for investigation of the effect of tobacco using on dental caries are needed.

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