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CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(04): 714-719
DOI: 10.1055/s-0041-1729458
Original Article

Influence of Smoking Habits on the Prevalence of Dental Caries: A Register-Based Cohort Study

Miguel A. de Araújo Nobre
1   Department of Research, Development and Education, Maló Clinic, Avenida dos Combatentes, Lisboa, Portugal
2   Clínica Universitária de Estomatologia, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
,
Ana M. Sezinando
3   Dentistry Department, Private Practice, Porto, Portugal
,
Inês C. Fernandes
4   Department of Dentistry, Maló Clinic Lisbon, Lisboa, Portugal
5   Centro de Investigação Interdisciplinar Egas Moniz, Egas Moniz University Institute, Caparica, Portugal
,
Andreia C. Araújo
1   Department of Research, Development and Education, Maló Clinic, Avenida dos Combatentes, Lisboa, Portugal
› Institutsangaben Funding None.
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Abstract

Objective This study aimed to evaluate the influence of smoking habit on the prevalence of dental caries lesions in a follow-up study.

Materials and Methods A total of 3,675 patients (2,186 females and 1,489 males) with an average age of 51.4 years were included. Outcome measures were the incidence of dental caries defined as incipient noncavitated, microcavitated, or cavitated lesions which had been diagnosed through clinical observation with mouth mirror and probe examination evaluating change of texture, translucency, and color; radiographic examination through bitewing radiographs; or secondary caries through placement of a new restoration during the follow-up of the study.

Statistical Analysis Cumulative survival (time elapsed with absence of dental caries) was estimated through the Kaplan–Meier product limit estimator with comparison of survival curves (log-rank test). A multivariable Cox proportional hazards regression model was used to evaluate the effect of smoking on the incidence of dental caries lesions when controlled to age, gender, systemic status, frequency of dental hygiene appointments, and socioeconomic status. The significance level was set at 5%.

Results Eight hundred sixty-three patients developed caries (23.5% incidence rate). The cumulative survival estimation was 81.8% and 48% survival rate for nonsmokers and smokers, respectively (p < 0.001), with an average of 13.5 months between the healthy and diseased state diagnosis. Smokers registered a hazard ratio for dental caries lesions of 1.32 (p = 0.001) when controlled for the other variables of interest.

Conclusion Within the limitations of this study, it was concluded that smoking habit might be a predictor for dental caries.

Keywords

dental caries - smoking - socioeconomic factors - risk


Publikationsverlauf

Artikel online veröffentlicht:
24. Juli 2021

© 2021. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Pope CA II, Burnett RT, Turner MC. et al Lung cancer and cardiovascular disease mortality associated with ambient air pollution and cigarette smoke: shape of the exposure-response relationships. Environ Health Perspect 2011; 119 (11) 1616-1621
    CrossrefPubMedGoogle Scholar
  • 2 Doll R, Hill AB. Smoking and carcinoma of the lung; preliminary report. BMJ 1950; 2 (4682) 739-748
    CrossrefPubMedGoogle Scholar
  • 3 World Health Organization. Health topics tobacco. World Health Organization Press Office; 2020. Available at: https://www.who.int/health-topics/tobacco#tab=tab_1. Accessed November 24, 2020
  • 4 World Health Organization. Tobacco control monitor. World Health Organization Press Office; 2020. Available at: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/gho-tobacco-control-monitor. Accessed November 24, 2020
  • 5 Reibel J. Tobacco and oral diseases. Update on the evidence, with recommendations. Med Princ Pract 2003; 12 (Suppl. 01) 22-32
    CrossrefPubMedGoogle Scholar
  • 6 Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer incidence and mortality worldwide: IARC CancerBase 2013;11. Lyon, France: International Agency for Research on Cancer. Available at: http://globocan.iarc.fr. Accessed June 20, 2018
  • 7 Genco RJ, Genco FD. Common risk factors in the management of periodontal and associated systemic diseases: the dental setting and interprofessional collaboration. J Evid Based Dent Pract 2014; 14 (Suppl) 4-16
    CrossrefPubMedGoogle Scholar
  • 8 Schwendicke F, Dörfer CE, Schlattmann P, Foster Page L, Thomson WM, Paris S. Socioeconomic inequality and caries: a systematic review and meta-analysis. J Dent Res 2015; 94 (01) 10-18
    CrossrefPubMedGoogle Scholar
  • 9 Hellqvist L, Rolandsson M, Birkhed D, Hugoson A. Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-2003. Int J Dent Hyg 2009; 7 (01) 62-70
    CrossrefPubMedGoogle Scholar
  • 10 Benedetti G, Campus G, Strohmenger L, Lingström P. Tobacco and dental caries: a systematic review. Acta Odontol Scand 2013; 71 (3-4) 363-371
    CrossrefPubMedGoogle Scholar
  • 11 Vellappally S, Fiala Z, Smejkalová J, Jacob V, Shriharsha P. Influence of tobacco use in dental caries development. Cent Eur J Public Health 2007; 15 (03) 116-121
    CrossrefPubMedGoogle Scholar
  • 12 Bernabé E, Delgado-Angulo EK, Vehkalahti MM, Aromaa A, Suominen AL. Daily smoking and 4-year caries increment in Finnish adults. Community Dent Oral Epidemiol 2014; 42 (05) 428-434
    CrossrefPubMedGoogle Scholar
  • 13 von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Epidemiology 2007; 18 (06) 800-804
    CrossrefPubMedGoogle Scholar
  • 14 Goldthorpe JH. On Sociology. 2nd ed. Stanford: Stanford University Press 2007: 91-117
  • 15 Thylstrup A, Bruun C, Holmen L. In vivo caries models–mechanisms for caries initiation and arrestment. Adv Dent Res 1994; 8 (02) 144-157
    CrossrefPubMedGoogle Scholar
  • 16 Nyvad B, Machiulskiene V, Baelum V. Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 2003; 82 (02) 117-122
    CrossrefPubMedGoogle Scholar
  • 17 Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 2007; 32 (03) 225-235
    CrossrefPubMedGoogle Scholar
  • 18 Cogulu D, Sabah E, Kutukculer N, Ozkinay F. Evaluation of the relationship between caries indices and salivary secretory IgA, salivary pH, buffering capacity and flow rate in children with Down’s syndrome. Arch Oral Biol 2006; 51 (01) 23-28
    CrossrefPubMedGoogle Scholar
  • 19 Ashraf M Nazir, Almas K. Awareness about the effects of tobacco consumption on oral health and the possibility of smoking behavior among male Saudi schoolchildren. Eur J Dent 2017; 11 (01) 29-35
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 20 Voelker MA, Simmer-Beck M, Cole M, Keeven E, Tira D. Preliminary findings on the correlation of saliva pH, buffering capacity, flow, Consistency and Streptococcus mutans in relation to cigarette smoking. J Dent Hyg 2013; 87 (01) 30-37
    PubMedGoogle Scholar
  • 21 Golpasand Hagh L, Zakavi F, Ansarifar S, Ghasemzadeh O, Solgi G. Association of dental caries and salivary sIgA with tobacco smoking. Aust Dent J 2013; 58 (02) 219-223
    CrossrefPubMedGoogle Scholar
  • 22 Hamid H, Adanir N, Asiri FYI, Abid K, Zafar MS, Khurshid Z. Salivary IgA as a useful biomarker for dental caries in Down’s syndrome patients: a systematic review and meta-analysis. Eur J Dent 2020; 14 (04) 665-671
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 23 Benderli Y, Erdilek D, Koray F, Telci A, Turan N. The relation between salivary IgA and caries in renal transplant patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89 (05) 588-593
    CrossrefPubMedGoogle Scholar
  • 24 Jalil RA, Ashley FP, Wilson RF, Wagaiyu EG. Concentrations of thiocyanate, hypothiocyanite, ‘free’ and ‘total’ lysozyme, lactoferrin and secretory IgA in resting and stimulated whole saliva of children aged 12-14 years and the relationship with plaque accumulation and gingivitis. J Periodontal Res 1993; 28 (02) 130-136
    CrossrefPubMedGoogle Scholar
  • 25 Russell MW, Hajishengallis G, Childers NK, Michalek SM. Secretory immunity in defense against cariogenic mutans streptococci. Caries Res 1999; 33 (01) 4-15
    CrossrefPubMedGoogle Scholar
  • 26 Lie MA, Loos BG, Henskens YM. et al Salivary cystatin activity and cystatin C in natural and experimental gingivitis in smokers and non-smokers. J Clin Periodontol 2001; 28 (10) 979-984
    CrossrefPubMedGoogle Scholar
  • 27 Clarkson BH, Hall DL, Heilman JR, Wefel JS. Effect of proteolytic enzymes on caries lesion formation in vitro. J Oral Pathol 1986; 15 (08) 423-429
    CrossrefPubMedGoogle Scholar
  • 28 Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New York: John Wiley & Sons 2000: 160-163
  • 29 Featherstone JD. The continuum of dental caries–evidence for a dynamic disease process. J Dent Res 2004; 83 Spec No C: C39-C42
    CrossrefPubMedGoogle Scholar
  • 30 Arowojolu MO, Fawole OI, Dosumu EB, Opeodu OI. A comparative study of the oral hygiene status of smokers and non-smokers in Ibadan, Oyo state. Niger Med J 2013; 54 (04) 240-243
    CrossrefPubMedGoogle Scholar
  • 31 Al-Habashneh R, Al-Omari MA, Taani DQ. Smoking and caries experience in subjects with various form of periodontal diseases from a teaching hospital clinic. Int J Dent Hyg 2009; 7 (01) 55-61
    CrossrefPubMedGoogle Scholar
  • 32 Broadbent JM, Thomson WM, Boyens JV, Poulton R. Dental plaque and oral health during the first 32 years of life. J Am Dent Assoc 2011; 142 (04) 415-426
    CrossrefPubMedGoogle Scholar
  • 33 Palmerini CA, Saccardi C, Ferracci F, Arienti S. Lipid patterns in the saliva of smoking young adults. Hum Exp Toxicol 2011; 30 (10) 1482-1488
    CrossrefPubMedGoogle Scholar