Does Smoking Increase Risk for Caries? A Cross-Sectional Study in an Italian Military AcademyCampus G.a, b · Cagetti M.G.b · Senna A.b · Blasi G.c · Mascolo A.c · Demarchi P.c · Strohmenger L.b
aDental Institute, University of Sassari, Sassari, bWHO Collaborating Centre of Milan for Epidemiology and Community Dentistry, University of Milan, Milan, and cDental Institute, University of Genoa, Genoa, Italy
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Background/Aims: Traditionally, tobacco is considered as part of the military culture. A cross-sectional survey was designed to clarify if smoking habit increases the caries risk in a sample of Italian adults attending a Military Academy. Methods: Clinical examinations including dental caries and presence of bleeding at probing were carried out following WHO criteria. Related socio-behavioural factors were collected. Four calibrated examiners observed 763 subjects (men = 722; 94.6% and women = 41; 5.4%). Results: One of the 763 subjects did not declare the smoking status and was excluded from the analysis. Hundred twenty-six (16.5%) subjects claimed to have never smoked, 200 (26.3%) were coded as light smokers and 436 (57.2%) as heavy tobacco users. Statistically significant linear trend across the educational level (p = 0.03), self-satisfaction with the appearance of teeth and gums (p = 0.04) and dental check-up in the past 6 months (p = 0.02) was found among the 3 subgroups. Almost the entire sample showed caries experience (84.1%). Mean DS ranged from 0.6 in the nonsmokers subgroup to 1.1 in the heavy smokers. Differences among means were statistically significant for DS, DMFS and Significant Caries Index (p = 0.01, 0.04 and 0.03, respectively). The zero-inflated regression model showed that caries severity was significantly associated with smoking habit (p = 0.02), dental check-up in the past 6 months (p = 0.01), self-satisfaction with the appearance of teeth and gums (p < 0.01) and healthy gums (p = 0.04). Conclusion: Heavy smokers attending a Military Academy showed a higher prevalence of caries, confirming a correlation between the disease and tobacco use.
© 2011 S. Karger AG, Basel
- Aguilar-Zinser V, Irigoyen ME, Rivera G, Maupomé G, Sánchez-Pérez L, Velázquez C: Cigarette smoking and dental caries among professional truck drivers in Mexico. Caries Res 2008;42:255–262.
- Alberg AJ: Cigarette smoking: health effects and control strategies (review). Drugs Today (Barc) 2008;44:895–904.
- Albertsen K, Borg V, Oldenburg B: A systematic review of the impact of work environment on smoking cessation, relapse and amount smoked. Prev Med 2006;43:291–305.
- Al-Habashneh R, Al-Omari MA, Taani DQ: Smoking and caries experience in subjects with various forms of periodontal diseases from a teaching hospital clinic. Int J Dent Hyg 2009;7:55–61.
- Axelsson P, Paulander J, Lindhe J: Relationship between smoking and dental status in 35-, 50-, 65-, and 75-year-old individuals. J Clin Periodontol 1998;25:297–305.
- Bratthall D: Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds. Int Dent J 2000;50:378–384.
- Calderara PC, Zuccari A, Wahlman T, Meurman JH: Soldiers’ dental complaints compared with clinical findings in the Military Hospital in Bologna, Italy. Mil Med 1992;157:542–544.
- Campus G, Solinas G, Strohmenger L, Cagetti MG, Senna A, Minelli L, Majori S, Montagna MT, Reali D, Castiglia P; Collaborating Study Group: National pathfinder survey on children’s oral health in Italy: pattern and severity of caries disease in 4-year-olds. Caries Res 2009;43:155–162.
- Cuzick J: A Wilcoxon-type test for trend. Stat Med 1985;4:87–89.
- Dye BA, Morin NM, Robison V: The relationship between cigarette smoking and perceived dental treatment needs in the United States, 1988–1994. J Am Dent Assoc 2006;137:224–234.
- García-Cortés JO, Medina-Solís CE, Loyola-Rodriguez JP, Mejía-Cruz JA, Medina-Cerda E, Patiño-Marín N, Pontigo-Loyola AP: Dental caries’ experience, prevalence and severity in Mexican adolescents and young adults. Rev Salud Publica 2009;11:82–91.
- Gilpin EA, White VM, Pierce JP: What fraction of young adults are at risk for future smoking, and who are they? Nicotine Tob Res 2005;7:747–759.
- Hopcraft M, Morgan M: Dental caries experience in a young adult military population. Aust Dent J 2003;48:125–129.
Istituto Superiore di Sanità (ISS): Smoking habits in Italy (in Italian). http://www.iss.it/ofad/fumo.
- Johnson GK, Guthmiller JM: The impact of cigarette smoking on periodontal disease and treatment. Periodontol 2000 2007;44:178–194.
- Lambert D: Zero-inflated poisson regression models with an application to defects in manufacturing. Technometrics 1992;34:1–14.
- Laxman VK, Annaji S: Tobacco use and its effects on the periodontium and periodontal therapy. J Contemp Dent Pract 2008;9:97–107.
- Lesaffre E, Mwalili SM, Declerck D: Analysis of caries experience taking inter-observer bias and variability into account. J Dent Res 2004;83:951–955.
- Mantel N: Chi-square tests with one degree of freedom; extensions of the Mantel-Haenszel procedure. J Am Stat Ass 1963;58:690–700.
- Mucci LA, Brooks DR: Lower use of dental services among long-term cigarette smokers. J Epidemiol Community Health 2001;55:389–393.
- Nelson JP, Pederson LL, Lewis J: Tobacco use in the Army: illuminating patterns, practices, and options for treatment. Mil Med 2009;174:162–169.
- Petersen PE: Tobacco and oral health – the role of the World Health Organization. Oral Health Prev Dent 2003;1:309–315.
- Pihlstrom BL, Michalowicz BS, Johnson NW: Periodontal diseases. Lancet 2005;366:1809–1820.
- Pitts NB, Longbottom C: Preventive Care Advised (PCA)/Operative Care Advised (OCA) – categorising caries by the management option. Community Dent Oral Epidemiol 1995;23:55–59.
- Röthlisberger B, Kuonen P, Salvi GE, Gerber J, Pjetursson BE, Attström R, Joss A, Lang NP: Periodontal conditions in Swiss army recruits: a comparative study between the years 1985, 1996 and 2006. J Clin Periodontol 2007;34:860–866.
- Senna A, Campus G, Gagliani M, Strohmenger L: Socio-economic influence on caries experience and CPITN values among a group of Italian call-up soldiers and cadets. Oral Health Prev Dent 2005;3:39–46.
- Sgan-Cohen HD, Katz J, Horev T, Dinte A, Eldad A: Trends in caries and associated variables among young Israeli adults over 5 decades. Community Dent Oral Epidemiol 2000;28:234–240.
- Sham ASK, Cheung LK, Jin LJ Corbet EF: The effects of tobacco use on oral health. Hong Kong Med J 2003;9:271–277.
- Steele JR, Raymond RL, Ness KK, Alvi S, Kearney I: A comparative study of sociocultural factors and young adults’ smoking in two Midwestern communities. Nicotine Tob Res 2007;9:73–82.
Strong K, Bonita R: The SuRF Report 1. Surveillance of Risk Factors Related to Noncommunicable Diseases: Current Status of Global Data. Geneva, World Health Organization, 2003.
- Warnakulasuriya S, Dietrich T, Bornstein MM, Casals Peidró E, Preshaw PM, Walter C, Wennström JL, Bergström J: Oral health risks of tobacco use and effects of cessation. Int Dent J 2010;60:7–30.
- Warren CW, Riley L, Asma S, Eriksen MP, Green L, Blanton C, Loo C, Batchelor S, Yach D: Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull World Health Organ 2000;78:868–876.
WHO: Oral Health Surveys. Basic Methods, ed 4. Geneva, World Health Organization, 1997.
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