Tobacco Use and Oral Health
Abstract
This review outlines the important oral implications of tobacco use. The lining of the mouth (oral mucosa), if exposed to tobacco and its products in a susceptible individual, can develop benign, potentially malignant, and malignant tumours. Treatment and prognosis depend on tumour type, how early it is detected, its size and site in the oral cavity and whether it has spread. Advanced oral squamous cell carcinoma (OSCC) has a 20% 5‐year survival rate. Tobacco use also increases the risk of periodontitis, peri‐implantitis, caries, alveolar osteitis and halitosis. Although less life threatening than OSCC, these tobacco related conditions create a substantial financial and health burden for individuals and society. Dental practitioners routinely examine the oral cavity for signs of mucosal and tooth changes, are experienced in recognising variations from normal and have established management and referral pathways. They are also ideally positioned to provide brief interventions to assist their patients to quit smoking.
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About half of adults who smoke visit a dentist annually.
“About half of adults who smoke visit a dentist annually [5]”
In 2010, only 11% to 31% of patients who smoke and visited the dentist reported being advised to quit, and only 4% were advised to use tobacco cessation medication.
“An estimate of only 11% to 31% of patients who smoke and visited the dentist in 2010 reported that they were advised to quit, and only 4% were advised to use tobacco cessation medication [5].”
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Fang, P., Adkins-Hempel, M., Lischka, T., Basile, S., Rindal, D. B., Carpenter, M. J., Kopycka-Kedzierawski, D. T., Dahne, J., Helseth, S. A., Levy, D. E., et al. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04758-w · Cited by 3 · see citing works
- Authors
- Ford, P. J., & Rich, A. M.
- Affiliations
- The University of Queensland (AU)
- University of Otago (NZ)
- Corresponding author
- Ford, Pauline J.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2021-04-25
- Volume
- 116
- Issue
- 12
- Pages
- 3531-3540
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W3147209994
- Semantic Scholar
- 8d59b14f3f99b49450db90f8461bdd337e9171bc
- Cited by
- 130
- References
- 80
- Citations by year
- 2026: 20 · 2025: 43 · 2024: 33 · 2023: 27 · 2022: 5 · 2021: 2
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- tobacco use, oral health, oral squamous cell carcinoma, oral mucosa, oral potentially malignant disorders, periodontitis, peri-implantitis, dental caries, dry socket, halitosis, smoking cessation, brief intervention, dentists, oral cancer screening
- MeSH terms
- Tobacco Smoking, Carcinoma, Squamous Cell, Dentists, Humans, Mouth Neoplasms, Oral Health, Professional Role
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