Prevalence, age of onset and demographic relationships of different areca nut habits amongst children in Tower Hamlets, London

Farrand, P.; Rowe, Richard; Johnston, A.; Murdoch, H.

doi:10.1038/sj.bdj.4800909a

Cited by 27 publications

(34 citation statements)

References 7 publications

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“…There are many reasons why an individual indulges in areca nut chewing. Time pass, frustration and tension due to family members, digestion, and relief from toothache, feeling elated and relaxed [13] and hunger suppression [7] have also been reported in the literature.…”

Section: Epidemiologymentioning

confidence: 99%

“…Farrand et al, 2001 [7] found that the highest period of risk for first use is between 5 and 12 for areca nut chewing. While, Rajan et al, 2007 [13] saw that commercial forms of areca nut usage is increasing among youth.…”

Section: Steps To Be Taken To Stop This Habitmentioning

confidence: 99%

“…For boys, friends were found to be most common source while, for girls, family members played a major role in introducing the habit. [7] Most of the studies have shown that the majority of school children did not know that areca nut chewing was harmful. 3/4 th of the subjects in a study done by Nitin et al, 2010 [8] and 58% of subjects in a study by Rajan et al, 2007 [13] (whose sample age was above 15) were unaware of its effects.…”

Section: Epidemiologymentioning

confidence: 99%

“…Summary of few such recent studies are tabulated in Table 1. [7][8][9][10] This habit was found to be more prevalent in boys than girls (Studies done in different age groups in different parts of the world). [8][9][10] But, Farrand et al, 2001 [7] reported isolated prevalence more in Bangladeshi girls.…”

Section: Epidemiologymentioning

confidence: 99%

See 3 more Smart Citations

Areca Nut Chewing Habit in Preschoolers: Two Rare Case Reports and Literature Review

Prajapati¹,

Nayak²,

Nayak³

et al. 2015

IJDHC

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Areca nut chewing habit is common in adult age group worldwide. However, reports of such cases in children are rare. This paper aims to present two cases of areca chewing in preschoolers and its oral manifestations. This case report describes two cases of areca nut chewing habit in 5 and 6 years old girls and its oral manifestations along with the literature review. Myth: "Areca Nut chewing can cure iron deficiency anemia." Educating the society about the myths prevalent in society about its usage is very important. Areca nut chewing should be included as a differential diagnosis of staining of teeth in specific geographical distributions.

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Section: Epidemiologymentioning

confidence: 99%

Section: Steps To Be Taken To Stop This Habitmentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

See 2 more Smart Citations

Areca Nut Chewing Habit in Preschoolers: Two Rare Case Reports and Literature Review

Prajapati¹,

Nayak²,

Nayak³

et al. 2015

IJDHC

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“…1 Cases have also been reported in Taiwan, Thailand and UK. 2,4,5 The disease begins with glossitis, stomatitis and vesicle formation. The hard palate, cheek, labial mucosa, tongue, faucillar pillars, soft palate and floor of the mouth can be involved.…”

Section: Objectif : Citer Un Cas D'intubation Difficile Inhabituel Sementioning

confidence: 99%

Submucous fibrosis secondary to chewing of quids: Another cause of unanticipated difficult intubation

Mahajan

Jain

Batra

2002

Can J Anesth/J Can Anesth

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Purpose: To report a case of unusual difficult intubation secondary to oral submucosal fibrosis (SMF) associated with malignancy of the hypopharynx.Clinical features: A 57-yr-old male, ASA-I physical status presented for percutaneous nephrolithotripsy. The patient was a known alcoholic and smoker with a habit of chewing quids for the past 36 years. Airway assessment revealed oral SMF and slight difficulty in opening the mouth fully. Mentohyoid and mentothyroid distances were normal. However, during intubation, unanticipated difficulty was encountered. On direct laryngoscopy, the tip of the epiglottis could barely be visualized. Intubation was possible after passing a gum elastic bougie blindly under the epiglottis and negotiating a 7.0 internal diameter tracheal tube over it. Postoperatively, indirect laryngoscopy (IDL) showed severe SMF involving the oral cavity, epiglottis and pyriform fossae and an ulcerative malignancy of the hypopharynx with fixation of the left hemilarynx.Conclusion: SMF is a premalignant condition of the oral cavity associated with fibrosis of involved structures that can be associated with malignancy of the aerodigestive tract. Distortion of the airway anatomy may render intubation difficult. IDL maybe useful in the preoperative evaluation of these patients.

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Periodontitis presenting among betel quid users: A case series

Park,

Pitchumani,

Tatakis

2024

Clin Adv Periodontics

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BackgroundBetel leaf chewing habit has been studied extensively, as it has been an ancient practice in many Asian countries. Although betel leaf has been reported to have potential beneficial properties, it has also been shown to have a strong association with oral diseases, including periodontitis. This case series addresses the presentation of periodontitis among betel quid users, to help clinicians identify and manage such patients when they are encountered in settings outside the countries and territories where betel quid use is common.MethodsFour patients of Asian ethnicity were referred to The Ohio State University College of Dentistry Graduate Periodontology clinic for periodontal treatment. Targeted questioning resulted in all four patients reporting a past and current betel leaf chewing habit, established at a young age, typically in a family setting, and long before their immigration from their native country.ResultsAll four patients exhibited similar reddish‐brown staining on the teeth and generalized radiographic bone loss. Notably, the patients disclosed the betel chewing habit only after different vernacular names for betel quid were used during questioning, which complicated history taking. Severe periodontitis (stage III/IV, grade C) was diagnosed in all four patients, who were given appropriate periodontal treatment plans.ConclusionBetel leaf chewing, prevalent in many Asian countries, is associated with periodontitis and may present with extensive tooth staining. Oral healthcare providers should consider this cultural habit and pursue thorough assessment and history taking for their patients originating from countries where the habit is common practice.Key Points Clinicians should be aware of the clinical presentation and oral findings in betel quid users. Given the increasing diversity of the patient pool that clinicians are encountering, knowledge of vernacular names for betel quid usage can prove valuable in history taking. A protocol for betel quid cessation should be incorporated into the management strategy for these patients in clinical practice. Plain Language SummaryBetel quid (paan) chewing is a widespread cultural habit, especially in Asia. The chewing of betel quid, whether alone or with tobacco, has been strongly associated with periodontitis and other oral conditions, such as leukoplakia, oral cancer, and oral submucous fibrosis. This report illustrates the typical presentation of periodontitis patients who habitually chew betel quid, highlights the associated clinical features, such as reddish‐brown tooth staining and severe bone loss, and underlines the challenge of obtaining a complete history because of the very many vernacular names used for betel quid in different countries and the fact that for many of the patients, this is considered a routine cultural tradition. It is unusual to encounter patients chewing betel quid in this country because the practice is not common. However, immigrants from countries where betel quid chewing is commonplace may continue the habit after they move to the United States. Oral healthcare providers should be aware of this possibility and elicit the relevant information from the patients. This will help practitioners to properly address this underlying factor and to provide appropriate care to these patients, including cessation advice and support, and establishment of routine oral screenings and regular periodontal maintenance.

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Prevalence, age of onset and demographic relationships of different areca nut habits amongst children in Tower Hamlets, London

Cited by 27 publications

References 7 publications

Areca Nut Chewing Habit in Preschoolers: Two Rare Case Reports and Literature Review

Areca Nut Chewing Habit in Preschoolers: Two Rare Case Reports and Literature Review

Submucous fibrosis secondary to chewing of quids: Another cause of unanticipated difficult intubation

Periodontitis presenting among betel quid users: A case series

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