Tobacco use and caries increment in young adults: a prospective observational study.

Authors:
Svante Twetman
Svante Twetman
University of Copenhagen
Denmark

BMC Res Notes 2019 Apr 11;12(1):218. Epub 2019 Apr 11.

Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Norre Allé 20, 2200, Copenhagen N, Denmark.

Objective: Tobacco use has a negative influence on general and oral health but data concerning caries are mainly derived from epidemiological and cross-sectional studies. The aim of this study was to investigate smoking and use of smokeless tobacco (Swedish snus) as determinants of dental caries increment in young adults over 3 years. The baseline cohort consisted of 1295 19-year-olds registered at eight Public Dental Clinics representing socioeconomic strata. After 3 years, 982 of the patients could be reexamined (drop-out rate 24.2%). Caries was scored as decayed and filled surfaces according the WHO criteria and the individual caries increment was recorded by counting the number of surfaces that changed from "sound" to "decayed/filled" over the study period. Information on habitual tobacco use (smoking, snuffing) was collected from a structured questionnaire at baseline.

Results: The baseline prevalence of smoking and use of Swedish snus was 22.3% and 6.3% respectively. Smoking, but not snuffing, displayed a statistically significant relationship with caries increment over 3 years. For smoking, the relative risk was 1.5 (95% CI 1.2-1.7) and the number needed to harm 6.8 (95% CI 4.5-14.2). Thus, habitual smoking is a risk factor for caries in young adults and the findings reinforce arguments that dental health professionals should incorporate anti-smoking activities in their preventive strategies.

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Source
http://dx.doi.org/10.1186/s13104-019-4253-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458795PMC
April 2019

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References

(Supplied by CrossRef)
Article in Med Princ Pract.
J Reibel et al.
Med Princ Pract. 2003
Article in J Clin Periodontol
IL Chapple et al.
J Clin Periodontol 2017
Article in Acta Odontol Scand
G Benedetti et al.
Acta Odontol Scand 2013
Article in BMC Oral Health.
A Holmén et al.
BMC Oral Health. 2013
Article in Community Dent Oral Epidemiol
E Bernabé et al.
Community Dent Oral Epidemiol 2014
Article in Acta Odontol Scand
A Hugoson et al.
Acta Odontol Scand 2012
Article in Acta Odontol Scand
T Tanner et al.
Acta Odontol Scand 2014
Article in BMC Oral Health
GH Petersson et al.
BMC Oral Health 2015

World Health Organization et al.
1997
Article in Acta Odontol Scand
G Hänsel Petersson et al.
Acta Odontol Scand 2013
Article in Acta Odontol Scand.
K Edman et al.
Acta Odontol Scand. 2016

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