Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • MD Brand Connect
  • Vaccine Hub
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
  • Fact Check
  • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Fact Check
      • Bone Health Fact Check
      • Brain Health Fact Check
      • Cancer Related Fact Check
      • Child Care Fact Check
      • Dental and oral health fact check
      • Diabetes and metabolic health fact check
      • Diet and Nutrition Fact Check
      • Eye and ENT Care Fact Check
      • Fitness fact check
      • Gut health fact check
      • Heart health fact check
      • Kidney health fact check
      • Medical education fact check
      • Men's health fact check
      • Respiratory fact check
      • Skin and hair care fact check
      • Vaccine and Immunization fact check
      • Women's health fact check
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Abroad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
      • Medical Dialogues Show
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Fact Check
    • Bone Health Fact Check
    • Brain Health Fact Check
    • Cancer Related Fact Check
    • Child Care Fact Check
    • Dental and oral health fact check
    • Diabetes and metabolic health fact check
    • Diet and Nutrition Fact Check
    • Eye and ENT Care Fact Check
    • Fitness fact check
    • Gut health fact check
    • Heart health fact check
    • Kidney health fact check
    • Medical education fact check
    • Men's health fact check
    • Respiratory fact check
    • Skin and hair care fact check
    • Vaccine and Immunization fact check
    • Women's health fact check
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Abroad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Dentistry News and Guidelines
  • Tobacco products use...

Tobacco products use in any form ends up with adverse oral outcomes, including bleeding gums: JAMA

Written By : Medha Baranwal |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 11 Dec 2022 2:30 PM  |  Updated On 12 Dec 2022 6:42 AM
Tobacco products use in any form  ends up with adverse oral outcomes, including bleeding gums: JAMA
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • Email

USA: The use of electronic nicotine delivery systems (ENDS) is associated with bleeding after brushing or flossing, a recent study in JAMA Network Open has shown.

The nationally representative cohort study found that combustible tobacco use is linked with the incidence of various adverse oral health outcomes. The findings underscore the importance of longitudinal studies and stress the continued importance of counselling on tobacco cessation in clinical practice.

About 3.5 billion people globally are affected by diseases of the teeth and supporting structures. These conditions can lead to pain, tooth and bone loss, reduced quality of life, and costly treatments when not treated. Tobacco use is tied to oral disease, and the evidence for a causal relationship between smoking cigarettes and periodontal disease is adequate. Findings are similar for pipes, hookah, and cigars. However, most studies on periodontal disease and hookah smoking have been cross-sectional and conducted in only a few countries, limiting generalizability.

There has been an evolution of tobacco-use patterns among current adult smokers, particularly about increasing trends in nondaily cigarette smoking and lesser cigarettes smoked per day. Yet, cigarettes remain the most frequently used product among adults, followed by ENDS. The modifications in use patterns warrant a re-evaluation of the associations between the use of combustible and smokeless tobacco and the prevalence of adverse oral health outcomes using recent data. Also, there needs to be more literature on the oral health effects of ENDS use.

Against the above background, Marushka L. Silveira, National Institutes of Health, Bethesda, Maryland, and colleagues aimed to investigate associations between tobacco product use and the incidence of adverse oral health outcomes.

For this purpose, the researchers used evidence from wave (W) 1 to W5 (2013-2019) of the Population Assessment of Tobacco and Health Study. The W1 cohort included participants aged 18 years and above without a lifespan history of oral health results at W1 or W3, determined by when the effect was first assessed.

The exposures included current (someday or everyday use) established (lifetime use of at least hundred cigarettes or "fairly regular" of other products), use of ENDS, cigarettes, pipes, cigars, snus, smokeless tobacco, and hookah excluding snus at W1 to W4.

The authors recorded the past 12-month diagnosis of gum disease and precancerous oral lesions (W2-W5), loss of bone around teeth, loose teeth, one or more teeth removed, and bleeding after brushing or flossing.

The study led to the following findings:

  • Sample sizes varied across the six oral health outcomes (14 993 respondents for the precancerous oral lesions sample, 15 686 respondents for the loose teeth sample, 16 312 participants for the bone loss around teeth sample, 13 149 participants for the gum disease sample, 10 286 respondents for the bleeding after flossing or brushing sample, and 12 061 respondents for the one or more teeth removed sample). More than half of the adults (52%-54% across the six samples) were women.
  • The authors developed Cox proportional hazards models with covariates that comprised time-dependent tobacco use variables adjusted mutually for each other.
  • There was a positive association between cigarette smoking and the prevalence of the diagnosis of gum disease (adjusted hazard ratio [AHR], 1.33), loose teeth (AHR, 1.35), and one or more teeth removed (AHR, 1.43).
  • Cigar smoking was positively associated with the incidence of oral precancerous lesions (AHR, 2.18).
  • Hookah smoking was positively associated with gum disease diagnosis (AHR, 1.78), and ENDS use was positively related to bleeding after brushing or flossing (AHR, 1.27).
  • The authors did not observe any associations between snus and smokeless tobacco, excluding snus and the incidence of oral health outcomes.

"Our findings confirmed associations of the use of current combustible tobacco with the occurrence of adverse oral health outcomes and also revealed an association between current use of ENDS and the incidence of bleeding after flossing or brushing," the authors wrote.

"In addition to informing tobacco regulatory actions of the FDA, the results emphasize the continued importance of tobacco cessation and resources in clinical practice."

Reference:

Silveira ML, Everard CD, Sharma E, et al. Tobacco Use and Incidence of Adverse Oral Health Outcomes Among US Adults in the Population Assessment of Tobacco and Health Study. JAMA Netw Open. 2022;5(12):e2245909. doi:10.1001/jamanetworkopen.2022.45909

JAMAtobacco useelectronic nicotine delivery systemsoral healthcigarette smokinggum disease
Source : JAMA Network Open
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story

    Editorial

    First Indian Consensus on Managing Refractory Gastroesophageal Reflux Disease Recommends Vonoprazan

    First Indian Consensus on Managing Refractory Gastroesophageal Reflux Disease Recommends Vonoprazan

    Re-visiting the Role of Pneumococcal Vaccination in Patients with Cardiovascular Diseases

    Re-visiting the Role of Pneumococcal Vaccination in Patients with Cardiovascular Diseases

    Prediabetes and the Mind: Unraveling Cognitive and Mental Health Risks

    Prediabetes and the Mind: Unraveling Cognitive and Mental Health Risks

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer - Dr Aditya Murali

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer...

    Aspirin in Primary Prevention- When to Consider?

    Aspirin in Primary Prevention- When to Consider?

    View All

    Journal Club Today

    Midlife Stress Hormone Tied to Alzheimers in Women: Study Finds

    Midlife Stress Hormone Tied to Alzheimer's in Women: Study Finds

    View All

    Health News Today

    Health Bulletin 19/ May/ 2025

    Health Bulletin 19/ May/ 2025

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok