TOBACCO ASSOCIATED ORAL LESIONS AND LEVELS OF DEPENDENCE AMONG ADULT MALE PATIENTS VISITING A DENTAL HOSPITAL IN CHENNAI
DOI:
https://doi.org/10.61841/v1yr1982Keywords:
Nicotine dependence, Oral lesions, Smoker, Smokeless tobacco, TobaccoAbstract
Background and aim: Smoke and smokeless tobacco use cause extreme effects on soft and hard tissues in and around the oral cavity. A routine intraoral examination by a dental health professional can reveal most of these lesions at an early stage and prevent serious sequelae. The aim of the study was to assess the tobacco-associated oral lesions and level of dependence among male patients attending a private dental college in Chennai.
Materials and method: The study was conducted in a hospital setting by retrieving data from the case records of 483 patients from the time period between August 2019 and January 2020. Descriptive statistics and Chi-square tests were used.
Results: The study population consisted of male tobacco smokers.The participants were categorised based on index age groups. The habit of smoking tobacco was found in 65.9%, and smokeless tobacco was found to be in usage among 34.1% of the population. Leukoplakia (14.3%) was the most common lesion that was observed in the study population after tobacco stains (52.4%), followed by oral submucous fibrosis (10.6%) Statistically significance observed between tobacco induced oral lesion and tobacco dependence (p <0.05). The comparison between form of tobacco usage and nicotine dependence level was also found to be statistically significant (p <0.05).
Conclusion: The higher the dependence on tobacco, the greater the risk of the development of oral mucosal lesions, suggesting a dose-response relationship.
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References
[1] Petersen PE. Tobacco and oral health—the role of the World Health Organization. Oral Health Prev Dent. 2003;1(4):309–15.
[2] Ruhil R. Sociodemographic Determinants of Tobacco Use in India: Risks of Risk Factor—An Analysis of Global Adult Tobacco Survey India 2016-2017 [Internet]. Vol. 9, SAGE Open. 2019. p.215824401984244. Available from: http://dx.doi.org/10.1177/2158244019842447
[3] Kamble KA, Guddad SS, Nayak AG, Suragimath A, Sanade AR. Prevalence of Oral Mucosal Lesions in Western Maharashtra: A Prospective Study. Journal of the Indian Academy of Oral Medicine and Radiology. 2017 Oct 1;29(4):282.
[4] Yen AM-F, Chen S-C, Chen TH-H. Dose-response relationships of oral habits associated with the risk of oral pre-malignant lesions among men who chew betel quid. Oral Oncol. 2007 Aug;43(7):634–8.
[5] Behura SS, Masthan MK, Narayanasamy AB. Oral Mucosal Lesions Associated with Smokers and Chewers: A Case-Control Study in the Chennai Population. J Clin Diagn Res. 2015 Jul;9(7):ZC17–22.
[6] Mohapatra S, Kumar RP, Arumugham IM, Sakthi D, Jayashri P. Assessment of Microhardness of Enamel Carious Like Lesions After Treatment with Nova Min, Bio Min, and Remin Pro Containing Toothpastes: An In Vitro Study. Indian Journal of Public Health Research & Development. 2019;10(10):375–80.
[7] Prabakar J, John J, Srisakthi D. Prevalence of dental caries and treatment needs among school-going children of Chandigarh. Indian J Dent Res. 2016 Sep;27(5):547–52.
[8] Prabakar J, John J, Arumugham IM, Kumar RP, Sakthi DS. Comparative Evaluation of the Viscosity and Length of Resin Tags of Conventional and Hydrophilic Pit and Fissure Sealants on Permanent Molars: An In vitro Study. Contemp Clin Dent. 2018 Jul;9(3):388–94.
[9] Prabakar J, John J, Arumugham IM, Kumar RP, Sakthi DS. Comparing the Effectiveness of Probiotic, Green Tea, and Chlorhexidine- and Fluoride-containing Dentifrices on Oral Microbial Flora: A Doubleblind, Randomized Clinical Trial. Contemp Clin Dent. 2018 Oct;9(4):560–9.
[10] Prabakar J, John J, Arumugham IM, Kumar RP, Srisakthi D. Comparative Evaluation of Retention, Cariostatic Effect, and Discoloration of Conventional and Hydrophilic Sealants: A Single-Blinded Randomized Split Mouth Clinical Trial. Contemp Clin Dent. 2018 Sep;9(Suppl 2):S233–9.
[11] Khatri SG, Madan KA, Srinivasan SR, Acharya S. Retention of moisture-tolerant fluoride-releasing sealant and amorphous calcium phosphate-containing sealant in 6–9-year-old children: A randomized controlled trial. J Indian Soc Pedod Prev Dent. 2019 Jan;37(1):92–8.
[12] Mathew MG, Samuel SR, Soni AJ, Roopa KB. Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: randomized controlled trial. Clin Oral Investig [Internet]. 2020 Jan 18; Available from:http://dx.doi.org/10.1007/s00784-020-03204-9
[13] Samuel SR, Acharya S, Rao JC. School Interventions-based Prevention of Early-Childhood Caries among 3-5-year-old children from very low socioeconomic status: Two-year randomized trial. J Public Health Dent. 2020 Jan;80(1):51–60.
[14] Pavithra RP, Jayashri P. Influence of Naturally Occurring Phytochemicals on Oral Health. Research Journal of Pharmacy and Technology. 2019;12(8):3979-83.
[15] Jiang X, Jiang X, Wang Y, Huang R. Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis. Tob Induc Dis. 2019 Apr 19;17:34.
[16] Pratha AA, Prabakar J. Comparing the effect of carbonated and energy drinks on salivary pH-In Vivo Randomized Controlled Trial. Research Journal of Pharmacy and Technology. 2019;12(10):4699–702.
[17] Petrušić N, Posavac M, Sabol I, Mravak-Stipetić M. The Effect of Tobacco Smoking on Salivation. Acta Stomatol Croat. 2015 Dec;49(4):309–15.
[18] Kannan SSD, Kumar VS, Rathinavelu PK, Indiran MA. Awareness and attitude towards mass disaster and its management among house surgeons in a dental college and hospital in Chennai, India. Vol. 173. WIT Press; 2017.
[19] Neralla M, Jayabalan J, George R, Rajan J, P SKM, Haque AE, et al. Role of nutrition in rehabilitation of patients following surgery for oral squamous cell carcinoma. IJRPS. 2019 Oct 16;10(4):3197–203.
[20] Kumar RP, Vijayalakshmi B. Assessment of fluoride concentration in ground water in Madurai district, Tamil Nadu, India. Research Journal of Pharmacy and Technology. 2017;10(1):309–10.
[21] Kumar RP, Preethi R. Assessment of Water Quality and Pollution of Porur, Chembarambakkam, and Puzhal Lake. Research Journal of Pharmacy and Technology. 2017;10(7):2157–9.
[22] Kubakaddi A, Bharati P, Kasturiba B. Effect of Fluoride Rich Food Adjuncts and Prevalence of Fluorosis. J Hum Ecol. 2005 Jan 1;17(1):43–5.
[23] Aruna DS, Prasad KVV, Shavi GR, Ariga J, Rajesh G, Krishna M. Retrospective study on risk habits among oral cancer patients in Karnataka Cancer Therapy and Research Institute, Hubli, India. Asian Pac J Cancer Prev. 2011;12(6):1561–6.
[24] Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119–27.
[25] Al-Maweri SA, Al-Jamaei AA, Al-Sufyani GA, Tarakji B, Shugaa-Addin B. Oral mucosal lesions in elderly dental patients in Sana’a, Yemen. J Int Soc Prev Community Dent. 2015 May;5(Suppl 1):S12–9.
[26] Leelavathi L. Nicotine Replacement Therapy for Smoking Cessation—An Overview. Indian Journal of Public Health Research & Development [Internet]. 2019;10(11). Available from: http://search.ebscohost.com/login.aspxdirect=true&profile=ehost&scope=site&authtype=crawler&jrnl=09760245&AN=141274498&h=gYL53P0RTDuihXfEOqLsBmolOVY%2Fn1jwd7eokhNcHN%2F5g8CVaYKbt1wU4UOsqeCY51fRbe6Ner1I6TkeG%2FuwDg%3D%3D&crl=c
[27] Aishwarya KM, Reddy MP, Kulkarni S, Doshi D, Reddy BS, Satyanarayana D. Effect of Frequency and Duration of Tobacco Use on Oral Mucosal Lesions—A Cross-Sectional Study among Tobacco Users in Hyderabad, India. Asian Pac J Cancer Prev. 2017 Aug 27;18(8):2233–8.
[28] Saraswathi TR, Ranganathan K, Shanmugam S, Sowmya R, Narasimhan PD, Gunaseelan R. Prevalence of oral lesions in relation to habits: cross-sectional study in South India. Indian J Dent Res. 2006 Jul;17(3):121–5.
[29] Hallikeri K, Naikmasur V, Guttal K, Shodan M, Chennappa NK. Prevalence of oral mucosal lesions among smokeless tobacco usage: A cross-sectional study. Indian J Cancer. 2018 Oct;55(4):404–9.
[30] Kumar S, Muniyandi M. Tobacco use and oral leukoplakia: cross-sectional study among the Gond tribe in Madhya Pradesh. Asian Pac J Cancer Prev. 2015;16(4):1515–8.
[31] Patil PB, Bathi R, Chaudhari S. Prevalence of oral mucosal lesions in dental patients with tobacco smoking, chewing, and mixed habits: A cross-sectional study in South India. J Family Community Med. 2013 May;20(2):130–5.
[32] Samatha SS, Byahatti SM, Ammanagi R, Tantradi P. Assessing the level of nicotine dependence in smokers visiting a dental college in Belgaum City: A questionnaire study. Journal of Education and Ethics in Dentistry. 2015 Jan 1;5(1):25.
[33] Saha I, Islam K, Paul B, Som TK. Nicotine dependence and its correlates among the adult tobacco users in a slum of Burdwan district, West Bengal, India. J Family Med Prim Care. 2017 Oct;6(4):813–8
[34] Farhat Yaasmeen Sadique Basha, Rajeshkumar S, Lakshmi T, Anti-inflammatory activity of Myristica fragrans extract. Int. J. Res. Pharm. Sci., 2019 ;10(4), 3118-3120 DOI: https://doi.org/10.26452/ijrps.v10i4.160
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