scholarly journals Tobacco Use and its Dental Implications: A Review

2018 ◽  
Vol 2 (7) ◽  
pp. 160-162
Author(s):  
Kesari Singh ◽  
Khateeb Khan

Use of tobacco can be attributed to oral diseases and disorders like oral cancer, periodontal disease, caries and gingival recession along with various other benign mucosal disorders as well as failure of implants. The need for specific attention is given to the impact of tobacco cessation on oral health outcomes. This review concluded that severe robust epidemiologic evidence exists for the adverse oral health effects of tobacco smoking and other types of tobacco use.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 799-800
Author(s):  
Bei Wu ◽  
Stephen Shuman ◽  
Elisa Ghezzi

Abstract Oral health status and dental care utilization is strongly associated with social and behavioral factors and health outcomes. The five papers in this symposium address how several of these factors affect oral health and dental care among diverse groups of older adults. Using data from the Health and Retirement Study, the first paper examined the impact of early childhood disadvantages on oral health in later life among adults age 51 and above in the U.S. The second paper used large-scale epidemiological data that addressed the relationship between acculturation and subsequent oral health problems. It also tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The third paper demonstrated the importance of examining different pathways among foreign-born and native-born Chinese older adults with regard to offspring’s support on their oral health outcomes. While increasing evidence shows that cognitive function is associated with oral health, limited studies have been conducted to examine the impact of cognitive impairment, e.g., Alzheimer’s Disease (AD) and related dementias (RD), on dental care utilization and costs in older adults. The fourth paper aimed to address this knowledge gap. Results showed that AD and RD had different impacts on different types of dental care utilization and costs. The fifth paper further displayed that individuals with cognitive impairment face a significant challenge in handling dental-related medications. This symposium provides policy and clinical implications on improving oral health and dental care utilization among older adults in the U.S. Oral Health Interest Group Sponsored Symposium.


2020 ◽  
Vol 11 (1) ◽  
pp. 22-25
Author(s):  
Nucharee Juntarachot ◽  
Bhagavathi Sundaram Sivamaruthi ◽  
Sasithorn Sirilun ◽  
Piyachat Tongpong ◽  
Phakkharawat Sittiprapaporn ◽  
...  

Background: Dextran is a branched polysaccharide and one of the polymers, present in the biofilm matrix. The dextran plays a perilous role in dental plaque formation, which is involved in the development of some common oral diseases like dental caries. The dextran-hydrolyzing enzymes are under investigation to treat and manage the dental plaques. Aims and Objective: The present study reporting the preliminary observations on the effect of the use of dextranase-containing mouthwash (DMW) on dental plaque and oral health. Materials and Methods: DMW was prepared with food-grade dextranase, preservatives, gellingagents, and water as detailed. Four weeks of experimental design was employed in fourteen healthy volunteers. The selected volunteers were recommended to use DMW for at least twice a day. The plaque index (PI), probing depth (PD), gingival index (GI) and bleeding on probing (BOP) of the volunteer's teeth have been assessed before and after four weeks of DMW use. Results:The volunteers were insisted to use a DMW solution twice a day for four weeks. The PI, PD, GI, and BOP was measured before and after the treatment. The plaque index of the subject at baseline and after treatment was 2.22 ± 0.48, and 1.88 ± 0.50, respectively. PI was significantly reduced after the use of DMW solution for four weeks. The value of PD was 2.00 and 2.00 at baseline and after the use of DMW, respectively. The value of PD was not changed when compared to the baseline values. The sensory evaluation of DMW was performed using questionnaires. Conclusion: The preliminary study results suggested that the use of DMW solution for four weeks (twice a day) notably reduced the PI without any change in PD. However, GI and BOP values were not affected after the use of DMW. The participants, based on the sensory evaluation, accepted the prepared DMW solution. Additional detailed research on the impact of DMW on oral hygiene is needed to confirm the beneficial effects of DMW.


2019 ◽  
Vol 4 ◽  
pp. 2057178X1881866 ◽  
Author(s):  
Ravi Mehrotra ◽  
Suzanne Tanya Nethan ◽  
Priyanka Ravi ◽  
Shekhar Grover ◽  
Shashi Sharma ◽  
...  

Objectives: India has a high incidence of oral cancer due to multifarious tobacco use. The objective of this study was to assess the status of tobacco-related oral lesions over 16 years, in a screen-detected population. Methods: This cross-sectional study involved home visits of 2000 Delhi residents, previously screened for oral potentially malignant disorders/oral cancer and counseled for tobacco cessation. Their basic demographics and tobacco/alcohol history were noted followed by oral visual examination for any related mucosal abnormalities. The data thus obtained were statistically analyzed. Results: Two hundred and sixty-five individuals (13.2%) could be traced after 16 years. The status of oral lesions varied across the participants, mainly in terms of their location, type, number, and/or presence/absence; no oral malignancies were noted. Most individuals had either a decreased use (34%, p < 0.001) or had quit tobacco (25.7%, p < 0.001); 8.3% individuals from the former and 5.7% from the latter group showed complete lesion(s) regression. The overall change in the tobacco use and oral lesions showed a highly significant positive association ( p < 0.05). Conclusion: A direct relationship exists between tobacco use and oral lesions. Repeated, tobacco cessation counseling provided by health-care professionals is effective. Oral screening of high-risk individuals, along with tobacco cessation, is thus essential.


2021 ◽  
Vol 15 (3) ◽  
pp. 155798832110163
Author(s):  
Martin S. Lipsky ◽  
Sharon Su ◽  
Carlos J. Crespo ◽  
Man Hung

Sex and gender related health disparities in oral health remain an underappreciated and often over looked aspect of well-being. The goal of this narrative review is to identify sex and gender related oral health disparities by summarizing the current literature related to differences in oral health between men and women. The review identified that men are more likely to: ignore their oral health, have poorer oral hygiene habits, and experience higher rates of periodontal disease, oral cancer, and dental trauma. Men also visit dentists less frequently and compared to women seek oral treatment more often for an acute problem and less often for disease prevention. Women exhibit more positive attitudes about dental visits, greater oral health literacy, and demonstrate better oral health behaviors than men. Men disproportionately develop periodontal diseases due to a combination of biological and gender related reasons including immune system factors, hormone differences, poorer oral hygiene behaviors, and greater tobacco use. There is a male to female ratio of 2:1 for oral cancer, largely attributable to more tobacco use, heavier use of alcohol, and longer sun exposure. Minority men experience a disproportionate burden of oral health disparities because of both their gender and race/ethnic identities. In conclusion, this review identifies several differences between men and women related to oral health and highlights the need for further research to better understand these disparities and how to incorporate them into developing prevention, education and treatment strategies to improve oral health in men.


2018 ◽  
Vol 7 (6) ◽  
pp. 263-270
Author(s):  
Amanda Almeida Costa ◽  
◽  
Fernando Oliveira Costa ◽  

Abstract: Oral health is an integral part of an individual’s general health, interfering with all dimensions of life: functional, aesthetic, psychological, social, physical, nutritional, and even psychosocial. Hence oral health is directly related to quality of life. Periodontitis is one of the most prevalent oral diseases and one of the major causes of tooth loss, impacting negatively on self-reported individuals’ quality of life. Periodontal maintenance therapy aims to effectively minimize the recurrence of periodontal disease, as well as the incidence of tooth loss. In periodontal literature, studies associated with quality of life indicators, presented in the form of questionnaires aimed at measuring the impact of periodontitis and tooth loss on self-reported individual’s quality of life, highlight the "Oral Impacts on Daily Performance" (OIDP) and "Oral Health Impact Profile" (OHIP). As such, this study presents a critical review of the literature and describes the impact of periodontal disease and tooth loss on the quality of life of patients undergoing periodontal maintenance therapy.


Author(s):  
Lawrence K. Thema ◽  
Shenuka Singh

Background: Despite the impact of oral diseases on the quality of life, there is limited updated evidence on oral health status in Limpopo province.Objectives: To determine the epidemiological profile of patients utilising public oral health services in Limpopo province.Method: This was a descriptive retrospective clinical chart review conducted in five purposively selected district hospitals in Limpopo province. The collected data included the patient’s sociodemographic information, reasons for dental consultation, information on the dental or oral diseases and the treatment received. Five hundred clinical files were systematically selected (100 from each district hospital) for the period 01 January 1995 to 31 December 2013. Data were collected using the World Health Organization’s indicator age groups, namely 6-year-olds, 12-year-olds, 18-year-olds and 35–44-year-old groups. A data capturing sheet was used to record the collected information. Data were analysed using the statistical software package for social sciences SPSS version 23.0.Results: The majority of patients were in the age group of 6 to 20 years (n = 375, 75%). The majority were male patients (n = 309; 62%). Dental caries was the most common complaint (n = 298, 60%). The second most common main complaint in this age group was retained primary or deciduous teeth (n = 60, 12%) affecting children mainly in the age group of 6 to 12 years. The most common clinical procedure across all five districts was dental extractions (n = 324, 64%). Other clinical interventions included scaling and polishing (n = 33, 12%) and dental restorative care (n = 20, 3%).Conclusion: There is an urgent need to reorient oral health service delivery in Limpopo province to focus more on preventive oral health programmes.


1970 ◽  
Vol 9 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Mohammad Tawfique Hossain Chowdhury ◽  
Ray Croucher

Tobacco use is widespread in Bangladesh. Dental Professionals could act on different levels of tobacco control activities. AIM: to explore prevalence and attitudes towards tobacco and identified the association of tobacco use related behaviour with the level of tobacco cessation training and level of knowledge of oral cancer among 4th year dental undergraduates of Dhaka, Bangladesh. Methods: This was a self reported cross-sectional questionnaire based survey. Global Health Professional Survey (GHPS) questionnaire and Humphris Oral Cancer Knowledge Scale questionnaire were used in this survey. Fourth year dental undergraduates studying in six dental colleges in Dhaka completed the questionnaire in April and May, 2007. Results: Response rate was 93%. Current prevalence of cigarette and chewing tobacco is 24% and 10% respectively. Male respondents were the predominant user of tobacco and had the less positive attitudes towards tobacco cessation than female. This study also shows that knowledge and training did not have any influence over tobacco related behaviour. Conclusions: In this sample of Bangladeshi dental students, high prevalence of tobacco use but strong positive attitudes towards tobacco cessation was reported. Review of policy and dental curriculum is needed as it is identified that training and oral cancer knowledge did not seem to have impact over tobacco use related behaviour. DOI = 10.3329/jom.v9i1.1423   J MEDICINE 2008; 9 : 31-36


1991 ◽  
Vol 5 (1) ◽  
pp. 69-73 ◽  
Author(s):  
J.A. Gershen

Changing demographics, including the increase in life expectancy and the growing numbers of elderly, has focused attention on the need for dental research activities to be expanded for geriatric dentistry. The elderly are at greater risk for oral disease, since gains in longevity result in more medically compromising conditions or systemic disease with oral manifestations. Also, as edentulism decreases and as more teeth are retained by the elderly, the pattern of oral diseases and the treatment of dental conditions will be altered. Barriers to self-care and professional care must be removed, and prevention and early intervention strategies must be formulated to reduce the risk of oral diseases. Risk factors for oral diseases in the elderly can be reduced by personal home-care regimens, professionally provided preventive, diagnostic, and therapeutic care, changes in high-risk behavior, and a supportive environment. Generating new information about the prevention of oral diseases and conditions that have an impact on the elderly requires a substantial research effort. A research agenda for the elderly should include: epidemiologic studies of relevant oral diseases and related risk factors; investigations of patient and provider attitudes and behavior related to oral health; studies of the relationship between general health and oral health; development and testing of preventive and treatment strategies for conditions such as xerostomia, root caries, secondary caries, and gingival recession; and studies for the evaluation of the impact of the aging population on the dental delivery system. Public policy options to support geriatric oral health care and research are limited by the Government's pre-occupation with cost containment and the lack of visibility for dental programs. Many of the national health proposals for universal coverage and for elimination of financial barriers to health care do not include disease prevention or health promotion programs; dentistry is not mentioned even in those proposals that do include prevention. NIDR is gathering support for geriatric oral health research with its new initiative, entitled the "Research and Action Program to Improve the Oral Health of Older Americans and Other Adults at High Risk". Funding for this program may depend in part on changing national priorities and the dental profession's ability to become more intimately involved in the public debate regarding the future of the nation's health care system.


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