Journal of Conservative Dentistry
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Year : 2018  |  Volume : 21  |  Issue : 6  |  Page : 597-601

Influence of tobacco dependence on caries development in young male adults: A cross-sectional study

1 Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
2 Department of Medicine, Psychiatry Unit, MLN Medical College, Allahabad, Uttar Pradesh, India

Correspondence Address:
Dr. Shreya Sharma
D-401, Sangam Link Apartments, Near Baghambari Gaddi, Allahpur, Allahabad - 211 006, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCD.JCD_218_18

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Background: A definite cause and effect relationship between tobacco use and caries are lacking in literature. Aim: The aim of this study is to determine the influence of tobacco dependence on caries development in young male adults. Materials and Methods: Three hundred healthy adult males in the age group of 20–40 years were divided into three groups containing 100 participants each. Group A: participants using smokeless tobacco; Group B: participants who smoke tobacco; and Group C: participants who have never used tobacco. Their dependence on tobacco was assessed using the Fagerstrom test for nicotine dependence. Their dental caries status was assessed using decayed-missing-filled teeth/decayed-missing-filled surfaces (DMFT/DMFS) index adopted by the WHO (1987). Observations were statistically analyzed using Mann–Whitney test, and P < 0.05 was considered statistically significant. Results: Mean DMFT/DMFS was significantly higher for Groups A and B as compared to Group C. Within Group A, mean DMFT/DMFS increased significantly with increased dependence on smokeless tobacco. Within Group B, highest DMFT/DMFS was found in participants with low dependence on smoked tobacco while least mean DMFT/DMFS was found in participants with high dependence. Conclusion: Both forms of tobacco proved to be a significant risk factor for increased caries development. Thus, tobacco use should be an important factor in caries risk assessment of patients.

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