Abstract
Smoking has been identified as the second greatest risk factor for global death and disability and has impacts on the oral cavity from aesthetic changes to fatal diseases such as oral cancer. The paper presents a secondary analysis of the National Adult Dental Health Survey (2009). The analysis used descriptive statistics, bivariate analyses and logistic regression models to report the self-reported oral health status and dental attendance of smokers and non-smokers in England. Of the 9,657 participants, 21% reported they were currently smoking. When compared with smokers; non-smokers were more likely to report ‘good oral health’ (75% versus 57% respectively, p<0.05). Smokers were twice as likely to attend the dentist symptomatically (OR = 2.27, CI = 2.02–2.55) compared with non-smoker regardless the deprivation status. Smokers were more likely to attend symptomatically in the most deprived quintiles (OR = 1.99, CI = 1.57–2.52) and perceive they had poorer oral health (OR = 1.77, CI = 1.42–2.20). The present research is consistent with earlier sub-national research and should be considered when planning early diagnosis and management strategies for smoking-related conditions, considering the potential impact dental teams might have on smoking rates.
Highlights
Smoking has been identified as the second greatest risk factor for global death and disability [1]
The analysis revealed that perceived oral health and dental attendance of smokers differed from non-smokers, irrespective of deprivation
This was a secondary analysis of the National Adult Dental Health Survey (ADHS) (2009) [16], this de-annoymised data is openly available using an end user licence system
Summary
Smoking (including second-hand smoke) has been identified as the second greatest risk factor for global death and disability [1]. Smoking increases the risk of heart disease, stroke, chronic lung disease and is the primary cause of cancer of the lungs, larynx, oesophagus, mouth, and bladder, and has been linked to cancer of the cervix, pancreas and kidneys [2, 3]. In England, 18% of all deaths (aged 35 years and over) were attributed directly to smoking [4]. The impacts from smoking on the oral cavity can include aesthetic changes such as stained teeth, discoloured 'tooth-coloured' restorations and dentures. There are more serious complications related to smoking such as an increased prevalence of periodontitis leading to tooth.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
