Cigarette smoking as an oral health risk behavior in adolescents: a cross-sectional study among Polish youths

Dorota Olczak-Kowalczyk; Jacek Tomczyk; Dariusz Gozdowski; Urszula Kaczmarek

doi:10.2478/anre-2020-0007

Authors

Dorota Olczak-Kowalczyk Department of Pediatric Dentistry, Medical University of Warsaw, Poland
Jacek Tomczyk Institute of Biological Sciences, Cardinal Stefan Wyszynski University, Warsaw, Poland
Dariusz Gozdowski Department of Experimental Design and Bioinformatics, Warsaw University of Life Sciences, Poland
Urszula Kaczmarek Department of Conservative and Pediatric Dentistry, Medical University of Wroclaw

DOI:

https://doi.org/10.2478/anre-2020-0007

Keywords:

cigarette smoking, dietary habits, dental caries, adolescents

Abstract

The aim of this study was to evaluate the relationship between cigarette smoking and the condition of the teeth and periodontium and the oral health behavior of 18-year-olds. Cross-sectional studies on 1,611 18-year-olds from Poland were conducted in 2017. The questionnaire provided socio-economic data, information about health-related behavior (cigarette smoking and oral health behavior), and absence from school due to oral pain. The dentition status (DMFT and DMFS), periodontal status (gingival bleeding, depth of periodontal pockets, loss of attachment), and need for endodontic treatment or tooth extraction were clinically assessed. Cigarette smoking was reported by 25% of participants (15% reported every day smoking). Adolescents who smoked cigarettes regularly had a higher mean number of decayed teeth (2.40±3.21 vs. 1.95±2.66) and similar periodontal status. Cigarette smoking increased the risk of oral hygiene neglect (63% vs. 69%), dietary mistakes (25% vs. 13%), failure to make dental appointments (32% vs. 43%), occurrence of oral pain (28% vs. 27%), absence from school due to pain (13% vs. 6%), and the need for endodontic treatment or tooth extraction (11% vs. 5%). The socio-economic factors and sex of the subjects decreased the influence of smoking only on oral hygiene neglect. Cigarette smoking by adolescents seems to be an independent risk factor for serious dietary mistakes, failure to benefit from oral healthcare, and more dynamic damage of teeth, which lead to pain and even tooth loss. Therefore, these aspects should be included in the risk assessment of oral disease and incorporated into educational programs promoting a healthy lifestyle.

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References

Ayo-Yusuf OA, van den Borne B, Reddy PS, van Wyk PJ, and Severson HH. 2009. Longitudinal association of smoking-related attitude to oral health with adolescents’ smoking onset. J Public Health Dent 69(1):29–33.
View in Google Scholar

Benedetti G, Campus G, Strohmenger L, and Lingström P. 2013. Tobacco and dental caries: a systematic review. Acta Odontol Scand 71(3/4):363–71.
View in Google Scholar

Ciecierski CC, Cherukupalli R, and Weresa MA. 2011. The Economics of tobacco and tobacco taxation in Poland. 1st edition. Paris: International Union Against Tuberculosis and Lung Disease.
View in Google Scholar

Cinar AB, Christensen LB, and Hede B. 2011. Clustering of obesity and dental caries with lifestyle factors among Danish adolescents. Oral Health Prev Dent 9(2):123–30.
View in Google Scholar

Do KY. 2016. Do impact of health risk factors on the oral health of Korean adolescents: Korea youth risk behavior web-based survey, 2013. J Dent Hyg Sci 16(3):193–99.
View in Google Scholar

Giannakopoulos G, Panagiotakos D, Mihas C, and Tountas Y. 2009. Adolescent smoking and health-related behaviours: interrelations in a Greek school-based sample. Child Care Health Dev 35:164–70.
View in Google Scholar

Greenhalgh EM, Bayly M, and Winstanley MH. 2017. Prevalence of smoking–young adults. In: MM Scollo, MH Winstanley, editors. Tobacco in Australia: Facts and issues. [e-book] Melbourne. Available through http://www.tobaccoinaustralia.org.au/chapter-1-prevalence/1-4-prevalence-of-smoking-young-adults
View in Google Scholar

Gupta N, Gupta ND, Goyal L, Moin S, Khan S, Gupta A, and Garg S. 2016. The influence of smoking on the levels of matrix metalloproteinase-8 and periodontal parameters in smoker and nonsmoker patients with chronic periodontitis: A clinicobiochemical study. J Oral Biol Craniofac Res 6(Suppl 1):39–43.
View in Google Scholar

Hasselkvist A, Johansson A, and Johansson AK. 2014. Association between soft drink consumption, oral health and some lifestyle factors in Swedish adolescents. Acta Odontol Scand 72(8):1039–46.
View in Google Scholar

Hecht SS. 2003. Tobacco carcinogens, their biomarkers and tobacco-induced cancer. Nat Rev Cancer 3:733–44.
View in Google Scholar

Heikkinen AM, Pajukanta R, Pitkäniemi J, Broms U, Sorsa T, Koskenvuo M, and Meurman JH. 2008. The effect of smoking on periodontal health of 15- to 16-year-old adolescents. J Periodontol 79:2042–47.
View in Google Scholar

Hirsch JM, Livian G, Edward S, and Noren JG. 1991. Tobacco habits among teenagers in the city of Göteborg, Sweden, and possible association with dental caries. Swed Dent J 15(3):117–23.
View in Google Scholar

Holmén A, Strömberg U, Magnusson K, and Twetman S. 2013. Tobacco use and caries risk among adolescents – a longitudinal study in Sweden. BMC Oral Health 13:31.
View in Google Scholar

Idrizovic K, Zenic N, Tahiraj E, Rausavljevic N, and Sekulic D. 2015. Cigarette smoking among 17–18 year old adolescents – prevalence and association with sociodemographic familial sport and scholastic factors. Med Pr 66(2):153–63.
View in Google Scholar

Lahti S, Sipilä K, Taanila A, and Laitinen J. 2008. Oral pain and associated factors among adolescents in northern Finland. Int J Circumpolar Health 67(2/3):245–53.
View in Google Scholar

Larson NI, Story M, Perry CL, Neumark-Sztainer D, and Hannan PJ. 2007. Are diet and physical activity patterns related to cigarette smoking in adolescents? Findings from project EAT. Prev Chronic Dis 4(3):A51.
View in Google Scholar

Millar WJ, and Locker D. 2007. Smoking and oral health status. J Can Dent Assoc 73(2):155.
View in Google Scholar

Panatto D, Amicizia D, Domnich A, Lai PL, Cristina ML, Signori A, Boccalini S, Sulaj K, and Gasparini R. 2013. Tobacco smoking among students in an urban area in Northern Italy. J Prev Med Hyg 54(2):97–103.
View in Google Scholar

Peker I, and Alkurt MT. 2009. Oral health attitudes and behavior among a group of Turkish dental students. Eur J Dent 3(1):24–31.
View in Google Scholar

Petersen PE, Jiang H, Peng B, Tai BJ, and Bian Z. 2008. Oral and general health behaviours among Chinese urban adolescents. Community Dent Oral Epidemiol 36:76–84.
View in Google Scholar

Rodrigues PRM, Padez CMP, Ferreira MG, Gonçalves-Silva RMV, and Pereira RA. 2016. Multiple risk behaviors for non-communicable diseases and associated factors in adolescents. Rev Nutr 29(2):185–97.
View in Google Scholar

Sekulic D, Ostojic M, Ostojic Z, Hajdarevic B, and Ostojic L. 2012. Substance abuse prevalence and its relation to scholastic achievement and sport factors: An analysis among adolescents of the Herzegovina-Neretva Canton in Bosnia and Herzegovina. BMC Public Health 12(1):274.
View in Google Scholar

Sekulic D, Ostojic M, Vasilj M, Coric S, and Zenic N. 2014. Gender specific predictors of cigarette smoking in adolescents: An analysis of sport participation, parental factors and religiosity as protective/risk factors. J Subst Abuse 19(1–2):89–94.
View in Google Scholar

Sgan-Cohen HD, Katz J, Horev T, Dinte A, and Eldad A. 2000. Trends in caries and associated variables among young Israeli adults over five decades. Community Dent Oral Epidemiol 28:234–40.
View in Google Scholar

Tomar SL, and Asma S. 2000. Smoking-attributable periodontitis in the United States: findings from NHANES III. National Health and Nutrition Examination Survey. J Periodontol 71(5):743–51.
View in Google Scholar

Trząsalska A, Staszyńska M, and Krassowska U. 2017. A report from a nationwide survey on attitudes towards smoking tobacco Kantar Public for the Chief Sanitary Inspectorate. Available from https://gis.gov.pl/wp-content/uploads/2018/04/Postawy-Polak%C3%B3w-do-palenia-tytoniu-Raport-2017.pdf
View in Google Scholar

Wang M, Wang H,. Fei F-R, Xu C-X, Du X-F, and Zhong J-M. 2017. The associations between cigarette smoking and health-related behaviors among Chinese school-aged adolescents. Tob Induc Dis15:27.
View in Google Scholar

World Health Organization. 2013. Oral Health Surveys: Basic Methods. Geneva: WHO.
View in Google Scholar

Yorulmaz F, Akturk Z, Dagdeviren N, and Dalkilic A. 2002. Smoking among adolescents: relation to school success. socioeconomic status nutrition and self-esteem. Swiss Med Wkly 132(31/32):449–54.
View in Google Scholar