The effects of tobacco use on oral health.
OBJECTIVE
To review the effects of tobacco use on oral health, with particular emphasis on the effects of periodontal diseases, dental implant failures, and risk of development of oral cancers and precancers.


METHODS
Medline literature search (1977-2002).


METHODS
Key words for the literature search were 'tobacco smoking', 'periodontal disease', 'dental implant', and 'oral cancers and precancers'.


METHODS
Evidence-based literature review.


RESULTS
The prevalence and severity of periodontal diseases in their various forms are higher among smokers than among non-smokers. The success of dental implant treatments is significantly influenced by addiction to tobacco smoking. The failure rate of implant osseointegration is considerably higher among smokers, and maintenance of oral hygiene around the implants and risk of peri-implantitis are adversely affected by smoking. The risks of developing oral cancers and precancers are greater in smokers. Betel nut chewing and smokeless tobacco produce similar risk to cancer incidence as tobacco smoking. Cessation of tobacco use has a beneficial effect on halting the progression of periodontal diseases and on the outcome of periodontal therapy.


CONCLUSIONS
Medical and dental teams should be aware of oral problems associated with tobacco use. Counselling on smoking cessation and smoking prevention programmes should be an integral component of medical and dental teaching and practice.
Sham
A S K
AS
Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong.
Cheung
L K
LK
Jin
L J
LJ
Corbet
E F
EF
D002294:Carcinoma, Squamous Cell / Q000209:etiology* / Q000473:pathology; D003376:Counseling; D015921:Dental Implants; D006801:Humans; D009062:Mouth Neoplasms / Q000209:etiology* / Q000473:pathology; D009909:Oral Health; D010510:Periodontal Diseases / Q000209:etiology* / Q000473:pathology; D011475:Prosthesis Failure; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation; D014029:Tobacco Use Disorder / Q000150:complications* / Q000628:therapy; D014030:Tobacco, Smokeless / Q000009:adverse effects
D015921:Dental Implants