Associations between smoking and tooth loss according to reason for tooth loss
Identifieur interne : 002636 ( Main/Exploration ); précédent : 002635; suivant : 002637Associations between smoking and tooth loss according to reason for tooth loss
Auteurs : Xiaodan Mai ; Jean Wactawski-Wende ; Kathleen M. Hovey ; Michael J. Lamonte ; Chaoru Chen ; Mine Tezal ; Robert J. GencoSource :
- Journal of the American Dental Association (1939) [ 0002-8177 ] ; 2013.
Abstract
Smoking is associated with tooth loss. However, smoking's relationship to the specific reason for tooth loss in postmenopausal women is unknown.
Postmenopausal women (n = 1,106) who joined a Women's Health Initiative ancillary study (The Buffalo OsteoPerio Study) underwent oral examinations for assessment of the number of missing teeth, as well as the self-reported reasons for tooth loss. The authors obtained information about smoking status via a self-administered questionnaire. The authors calculated odds ratios (ORs) and 95 percent confidence intervals (CIs) by means of logistic regression to assess smoking's association with overall tooth loss, as well as with tooth loss due to periodontal disease (PD) and with tooth loss due to caries.
After adjusting for age, education, income, body mass index (BMI), history of diabetes diagnosis, calcium supplement use and dental visit frequency, the authors found that heavy smokers (≥ 26 pack-years) were significantly more likely to report having experienced tooth loss compared with never smokers (OR = 1.82; 95 percent CI, 1.10-3.00). Smoking status, packs smoked per day, years of smoking, pack-years and years since quitting smoking were significantly associated with tooth loss due to PD. For pack-years, the association for heavy smokers compared with that for never smokers was OR = 6.83 (95 percent CI, 3.40-13.72). The study results showed no significant associations between smoking and tooth loss due to caries.
Smoking may be a major factor in tooth loss due to PD. However, smoking appears to be a less important factor in tooth loss due to caries. Further study is needed to explore the etiologies by which smoking is associated with different types of tooth loss. Dentists should counsel their patients about the impact of smoking on oral health, including the risk of tooth loss due to PD.
Url:
PubMed: 23449901
PubMed Central: 3842224
Affiliations:
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Lamonte</name></author><author><name sortKey="Chen, Chaoru" sort="Chen, Chaoru" uniqKey="Chen C" first="Chaoru" last="Chen">Chaoru Chen</name></author><author><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name></author><author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23449901</idno><idno type="pmc">3842224</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842224</idno><idno type="RBID">PMC:3842224</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002676</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002676</idno><idno type="wicri:Area/Pmc/Curation">002676</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002676</idno><idno type="wicri:Area/Pmc/Checkpoint">001B24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001B24</idno><idno type="wicri:Area/Ncbi/Merge">004518</idno><idno type="wicri:Area/Ncbi/Curation">004518</idno><idno type="wicri:Area/Ncbi/Checkpoint">004518</idno><idno type="wicri:doubleKey">0002-8177:2013:Mai X:associations:between:smoking</idno><idno type="wicri:Area/Main/Merge">002647</idno><idno type="wicri:Area/Main/Curation">002636</idno><idno type="wicri:Area/Main/Exploration">002636</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Associations between smoking and tooth loss according to reason for tooth loss</title><author><name sortKey="Mai, Xiaodan" sort="Mai, Xiaodan" uniqKey="Mai X" first="Xiaodan" last="Mai">Xiaodan Mai</name></author><author><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name></author><author><name sortKey="Hovey, Kathleen M" sort="Hovey, Kathleen M" uniqKey="Hovey K" first="Kathleen M." last="Hovey">Kathleen M. Hovey</name></author><author><name sortKey="Lamonte, Michael J" sort="Lamonte, Michael J" uniqKey="Lamonte M" first="Michael J." last="Lamonte">Michael J. Lamonte</name></author><author><name sortKey="Chen, Chaoru" sort="Chen, Chaoru" uniqKey="Chen C" first="Chaoru" last="Chen">Chaoru Chen</name></author><author><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name></author><author><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name></author></analytic><series><title level="j">Journal of the American Dental Association (1939)</title><idno type="ISSN">0002-8177</idno><idno type="eISSN">1943-4723</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Smoking is associated with tooth loss. However, smoking's relationship to the specific reason for tooth loss in postmenopausal women is unknown.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Postmenopausal women (n = 1,106) who joined a Women's Health Initiative ancillary study (The Buffalo OsteoPerio Study) underwent oral examinations for assessment of the number of missing teeth, as well as the self-reported reasons for tooth loss. The authors obtained information about smoking status via a self-administered questionnaire. The authors calculated odds ratios (ORs) and 95 percent confidence intervals (CIs) by means of logistic regression to assess smoking's association with overall tooth loss, as well as with tooth loss due to periodontal disease (PD) and with tooth loss due to caries.</p></sec><sec id="S3"><title>Results</title><p id="P3">After adjusting for age, education, income, body mass index (BMI), history of diabetes diagnosis, calcium supplement use and dental visit frequency, the authors found that heavy smokers (≥ 26 pack-years) were significantly more likely to report having experienced tooth loss compared with never smokers (OR = 1.82; 95 percent CI, 1.10-3.00). Smoking status, packs smoked per day, years of smoking, pack-years and years since quitting smoking were significantly associated with tooth loss due to PD. For pack-years, the association for heavy smokers compared with that for never smokers was OR = 6.83 (95 percent CI, 3.40-13.72). The study results showed no significant associations between smoking and tooth loss due to caries.</p></sec><sec id="S4"><title>Conclusions and Practical Implications</title><p id="P4">Smoking may be a major factor in tooth loss due to PD. However, smoking appears to be a less important factor in tooth loss due to caries. Further study is needed to explore the etiologies by which smoking is associated with different types of tooth loss. Dentists should counsel their patients about the impact of smoking on oral health, including the risk of tooth loss due to PD.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chen, Chaoru" sort="Chen, Chaoru" uniqKey="Chen C" first="Chaoru" last="Chen">Chaoru Chen</name><name sortKey="Genco, Robert J" sort="Genco, Robert J" uniqKey="Genco R" first="Robert J." last="Genco">Robert J. Genco</name><name sortKey="Hovey, Kathleen M" sort="Hovey, Kathleen M" uniqKey="Hovey K" first="Kathleen M." last="Hovey">Kathleen M. Hovey</name><name sortKey="Lamonte, Michael J" sort="Lamonte, Michael J" uniqKey="Lamonte M" first="Michael J." last="Lamonte">Michael J. Lamonte</name><name sortKey="Mai, Xiaodan" sort="Mai, Xiaodan" uniqKey="Mai X" first="Xiaodan" last="Mai">Xiaodan Mai</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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