Dental caries in smokers aged 20–40 years in Mosul City
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Background: Numerous epidemiological studies reported a close relationship between smoking and the occurrence of dental caries. Purpose: To investigate the distribution of tooth decay, lost teeth, and fillings among adults of different smoking habits in Mosul City. Methods: A total of 400 people aged 20–40 years were randomly selected from 30 coffee shops in Mosul City and were divided into 8 groups of 50 participants each, as follows: male non-smokers; male cigarette smokers; male e-cigarette smokers; male hookah smokers; male cigarette + hookah smokers; male e-cigarette + hookah smokers; female hookah smokers; female non-smokers. Participants were examined using the decayed, missing, and filled teeth (DMFT) index. Results: The cigarette group had the greatest average decayed tooth value, followed by the e-cigarette and the hookah group, which had the least. The highest DMFT values were obtained in the cigarette group and the lowest in the hookah group. Missing teeth were highest in the cigarette + hookah group. Hookah-smoking women had significantly higher tooth decay than non-smoking groups. There was no significant difference in missing and filled teeth. Women had more decayed teeth on average than men when smoking hookah. Cigarette-smoking men had the highest percentage who answered “no” to brushing teeth, and the majority of men in each group answered “no” to the use of auxiliary aids. Women in the non-smoking group brushed their teeth on a more regular basis than women in the hookah group, with no difference regarding the usage of auxiliary aids. Conclusion: Smoking increased caries and DMFT values in both men and women.
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Roy A, Rawal I, Jabbour S, Prabhakaran D. Tobacco and cardiovascular disease: a summary of evidence. In: Cardiovascular, respiratory, and related disorders. 3rd ed. Washington (DC): The World Bank; 2017. p. 57–77. doi: http://doi.org/10.1596/978-1-4648-0518-9_ch4
Jadhav RP, Kengar MD, Nikam NR, Bhutkar MA. Tobacco cancer: a review. Asian J Res Pharm Sci. 2019; 9(4): 276–81. doi: http://doi.org/10.5958/2231-5659.2019.00044.4
Anhar AY, Sandi NF, Arief ZK, Rajagukguk YT, Effendi AR, Nastiti AP, Kusumo AD. Knowledge level of non-health major students towards smoking effects in oral health. Int J Pharm Res. 2020; 12(2): 2117–20. doi: http://doi.org/10.31838/ijpr/2020.12.02.285
DiGiacomo SI, Jazayeri M-A, Barua RS, Ambrose JA. Environmental tobacco smoke and cardiovascular disease. Int J Environ Res Public Health. 2018; 16(1): 96. doi: http://doi.org/10.3390/ijerph16010096
Bazrafshan M, Mansouri A, Delam H, Masmouei B, Shokrpour N. Factors affecting hookah tobacco smoking among females in the Islamic Republic of Iran: a qualitative study. East Mediterr Heal J. 2020; 26(12): 1493–501. doi: http://doi.org/10.26719/emhj.20.140
Acharya S, Singh S, Bhatia SK. Association between smokeless tobacco and risk of malignant and premalignant conditions of oral cavity. J Oral Maxillofac Pathol. 2021; 25(2): 371. doi: http://doi.org/10.4103/0973-029X.325258
Aaron DG. Tobacco reborn: The rise of e-cigarettes and regulatory approaches. Lewis Clark Law Rev. 2021; 25(3): 827–94. web: https://ssrn.com/abstract=3727654
Abdullah R, Ramadhan D, Sarkees A, Tahir A, Kadhim S. Knowledge, attitudes, and practices towards water-pipe smoking among medical and non-medical university students. Mosul J Nurs. 2024; 12(1): 167–78. doi: http://doi.org/10.33899/mjn.2024.182197
Shihadeh A, Schubert J, Klaiany J, El Sabban M, Luch A, Saliba NA. Toxicant content, physical properties and biological activity of waterpipe tobacco smoke and its tobacco-free alternatives. Tob Control. 2015; 24(Suppl 1): i22–30. doi: http://doi.org/10.1136/tobaccocontrol-2014-051907
Fromme H, Schober W. Waterpipes and e-cigarettes: Impact of alternative smoking techniques on indoor air quality and health. Atmos Environ. 2015; 106: 429–41. doi: http://doi.org/10.1016/j.atmosenv.2014.08.030
Talpur N, Shah M, Siddique S. Tobacco use; impact and its co-relation with dental caries. Prof Med J. 2017; 24(7): 1027–30. doi: http://doi.org/10.17957/TPMJ/17.3889
Ozturk O, Fidanci I, Unal M. Effects of smoking on oral cavity. J Exp Clin Med. 2017; 34(1): 3–7. doi: http://doi.org/10.5835/jecm.omu.34.01.002
Conte G, Pacino SA, Urso S, Greiling D, Caponnetto P, Pedullà E, Generali L, Consolo U, Checchi V, Gospodaru S, Bordeniuc G, Fala V, Kowalski J, Nowak M, Górska R, Amaliya A, Chapple I, Milward M, Maclure R, Nardi GM, Polosa R. Changes in oral health and dental esthetic in smokers switching to combustion-free nicotine alternatives: protocol for a multicenter and prospective randomized controlled trial. JMIR Res Protoc. 2024; 13: e53222. doi: http://doi.org/10.2196/53222
Petrušić N, Posavac M, Sabol I, Mravak-Stipetić M. The effect of tobacco smoking on salivation. Acta Stomatol Croat. 2015; 49(4): 309–15. doi: http://doi.org/10.15644/asc49/4/6
Wu J, Li M, Huang R. The effect of smoking on caries-related microorganisms. Tob Induc Dis. 2019; 17(April): 32. doi: http://doi.org/10.18332/tid/105913
Khursheed M, Khan UR, Ejaz K, Fayyaz J, Qamar I, Razzak JA. A comparison of WHO guidelines issued in 1997 and 2009 for dengue fever - single centre experience. J Pak Med Assoc. 2013; 63(6): 670–4. pubmed: https://pubmed.ncbi.nlm.nih.gov/23901662/
Cardoso RC, Montgomery PC, Kiat-Amnuay S. Extraoral maxillofacial prosthetic materials: results of the 2020 international survey. Int J Prosthodont. 2023; 36(5): 570–80. doi: http://doi.org/10.11607/ijp.7970
Bielecka-Kowalska NP, Bielicka S, Lewkowicz N. Effects of tobacco smoking and electronic nicotine delivery systems on oral health – a narrative review. J Pre-Clinical Clin Res. 2022; 16(3): 118–25. doi: http://doi.org/10.26444/jpccr/154648
Gajendra S, McIntosh S, Ghosh S. Effects of tobacco product use on oral health and the role of oral healthcare providers in cessation: A narrative review. Tob Induc Dis. 2023; 21(January): 1–16. doi: http://doi.org/10.18332/tid/157203
Lushniak BD, Samet JM, Pechacek TF, Norman LA, Taylor PA, United States. Public Health Service. Ofice of the Surgeon General, National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The health consequences of smoking—50 years of progress: a report of the surgeon general. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014. p. 943. web: https://stacks.cdc.gov/view/cdc/21569
Plemons JM, Al-Hashimi I, Marek CL. Managing xerostomia and salivary gland hypofunction: Executive summary of a report from the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2014; 145(8): 867–73. doi: http://doi.org/10.14219/jada.2014.44
Beklen A, Sali N, Yavuz MB. The impact of smoking on periodontal status and dental caries. Tob Induc Dis. 2022; 20(August): 72. doi: http://doi.org/10.18332/tid/152112
Mittal N, Singh N, Naveen Kumar P. Prevalence of dental caries among smoking and smokeless tobacco users attending Dental Hospital in Eastern Region of Uttar Pradesh. Indian J Community Med. 2020; 45(2): 209–14. doi: http://doi.org/10.4103/ijcm.IJCM_245_19
Shah H, Khan I, Khan SU, Kershan J, Ahmed S, Ayaz S. Association of smoking with dental caries and periodontal health status among incarcerated women in Karachi. Pakistan Armed Forces Med J. 2023; 73(4): 1108–11. doi: http://doi.org/10.51253/pafmj.v73i4.9241
Prasanna J, Karunakar P, N. Sravya M, Madhavi B, Manasa A. Detrimental consequences of women life cycle on the oral cavity. J Oral Res Rev. 2018; 10(1): 39. doi: http://doi.org/10.4103/jorr.jorr_33_17
Menon A, Sengottaiyan V, Ganapathy D. Osteoporosis and its dental impact. Drug Invent Today. 2019; 11(2): 282–5. web: https://www.researchgate.net/publication/332569306
Yang Y-P, Hsin H-T, Wang B-L, Wang Y-C, Yu P-C, Huang S, Chung R, Huang Y-C, Tung T-H. Gender differences in oral health among prisoners: a cross-sectional study from Taiwan. BMC Oral Health. 2023; 23(1): 900. doi: http://doi.org/10.1186/s12903-023-03598-4
Wulandari P, Widkaja D, Nasution AH, Syahputra A, Gabrina G. Association between age, gender and education level with the severity of periodontitis in pre-elderly and elderly patients. Dent J. 2022; 55(1): 16–20. doi: http://doi.org/10.20473/j.djmkg.v55.i1.p16-20
Tulek A, Mulic A, Runningen M, Lillemo J, Utheim TP, Khan Q, Sehic A. Genetic aspects of dental erosive wear and dental caries. Lo Giudice A, editor. Int J Dent. 2021; 2021: 5566733. doi: http://doi.org/10.1155/2021/5566733
Andayasari L, Mubasyiroh R, Nurlinawati I, Sufiawati I. Association between tobacco smoking and dental caries in the Indonesian population: results of a national study in 2018. J Prev Med Public Heal. 2023; 56(4): 357–67. doi: http://doi.org/10.3961/jpmph.22.417
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