Abstract
Tobacco use is a primary cause of many oral diseases and adverse oral conditions and it is a risk factor for oral cancer, periodontal diseases, congenital defects such as cleft lip and palate in children whose mother smokes during pregnancy. A cross sectional study was conducted among 190 adult tobacco users in Charpaterdoho Union, Madarganj Upazilla, Jamalpur District, during the period from July 2013 to December 2013 to assess the oral health status of the adult tobacco users in rural area of Bangladesh. Data were collectedby using pre tested interview administered questionnaire andto assess the oral health status intra oral examination was performed by a dental surgeon assisted by two trained and calibrated investigators. Both descriptive and inferential statistics has been used for analysis of data with the help of Statistical Package for Social Science SPSS (Version 21) software on the basis of different variables. The study result revealed that out of 190 respondents maximum 61 (32.1%) belongs to 18-28 years age group, majority 116 (61.1) % were male. Among the respondents tobacco used in different ways like cigarette, ‘Gul’, ‘Zorda’, betel leaf, ‘Sadapata’ consumption where cigarette was the commonly used form of tobacco and the least commonly used form of tobacco was betel leaf and ‘Sadapata’. In intra oral examination this study result revealed that around 50 (26%) respondents dentition condition was healthy, and 121 (63.7%) respondents had less than 25% decayed teeth, 115(60.5%) respondents had periodontitis, around less than three fourth 132 (69.5%)had gingivitis,almost all (95.3%) had dental deposition or plaque and 155 (81.6%) respond- ents had no functional prosthesis. In logistic regression analysis monthly family income level (p =.004) was significantly associated with oral health status when the adjusted with other variables (education, sex, age). Sex and age were not associated with oral health status. Exposure to tobacco is a signifi- cant, modifiable risk factor for different oral diseases, so the changing attitude can be occurred by giving adequate information and motivation to the mass people along with dental health education.Update Dent. Coll. j: 2017; 7 (2): 04-08
Highlights
The use of tobacco is a major public health threat all over the world
Consumption level ranges between 55% and 80% among adult men and 3% and 71% among women[1].Tobacco use is a primary cause of many oral diseases and adverse oral conditions and it is a risk factor for oral cancer, oral cancer recurrence, adult periodontal diseases, congenital defects such as cleft lip and palate in children whose mother smokes during pregnancy
On average a smoker consumed 9.3 sticks a day with males, [11] which supports this study result where 81 (42.6%) consumed cigarette as a form of using tobacco, male respondents were in 116 (61.1%)(Fig 1) and 60 (31.5%) respondents were uses less than 5 stick per day .In intra oral examination this study result revealed that around 50 (26%) respondents dentition condition was healthy, and 121 (63.7%) respondents have less than 25% decayed teeth, 115 ( 60.5%) respondents had periodontitis, around 70% respondents had gingivitis, almost all the respondents 181 (95.3%) had dental deposition or plaque and in 155 (81.6%) respondents functional prosthesis were absent
Summary
The use of tobacco is a major public health threat all over the world. According to WHO estimates, nearly one third of the global adult population 1.1 billion people, of whom 200 million are female (nearly 47% of men and 12% of women user). The adult groups are conceded as the important population of the country and prevalence of tobacco use in recent year had an increasing trend in this age group especially among the adult population. The aim of this cross sectional study was to assess the oral health status of the adult tobacco users in rural area of Bangladesh which covers the pattern of tobacco uses with duration and daily consumption, the association between oral health status with other socio-demographic variables
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