title: Oral health of Bangladeshi women tobacco-with-paan users and self-reported oral pain following tobacco cessation.
abstract: OBJECTIVE
  The study objectives were to assess the oral health status of a sample of UK resident Bangladeshi women tobacco-in-paan users and its relationship to participant age and number of daily paan, to determine the prevalence of oral pain at baseline and at the one-week postcessation follow-up, and to explore the relationship between oral health status and changes in self-reported oral pain at baseline and at the one-week postcessation follow-up.
  
  
  METHODS
  Interviews were conducted in Sylheti using fully structured questionnaires and an oral examination was carried out. A quit date was set and nicotine replacement therapy patches (Nicorette 15 mg, Pfizer) were supplied. Age, number of daily paan, and oral pain characteristics, including intensity, frequency, any provoking factors, and associated symptoms were recorded. Oral mucosal lesions (OMLs) and numbers of teeth decayed, missing, filled, and those with recession, abrasion, loss of attachment (LOA), and tooth wear were charted.
  
  
  RESULTS
  Fifty-two women took part. The mean age was 42.8 years and number of daily paan with tobacco was 13. Compared to those aged 18-39 years, those aged 40 years and older had poorer oral health. Older adults were significantly more likely to have higher numbers of teeth with recession, abrasion, and LOA greater than 3.5 mm. They were significantly more likely to have an OML at baseline. The prevalence of self-reported oral pain was 26.9 percent at baseline and 51.9 percent at one-week follow-up. Presence of an OML at baseline was a significant predictor of reports of oral pain at the one-week follow-up. Results of stepwise multiple regression analysis confirmed this finding (OR = 3.66; 95% CI = 1.06, 12.621; P = .04).
  
  
  CONCLUSIONS
  Reports of oral pain at follow-up during a tobacco cessation program correlate with the presence of OMLs at baseline. Further investigation of this relationship is needed. Access to appropriate dental care, as an aid to successful tobacco cessation, is indicated.
authors.affiliation: Barts and the London, Queen Mary's School of Medicine and Dentistry, Turner Street, London E12AD, United Kingdom. r.e.croucher@qmul.ac.uk
authors.forename: Ray
authors.initials: R
authors.lastname: Croucher
authors.forename: Allan K H
authors.initials: AK
authors.lastname: Pau
authors.forename: Matt
authors.initials: M
authors.lastname: Jerreat
authors.forename: Shamsia
authors.initials: S
authors.lastname: Begum
authors.forename: Wagner
authors.initials: W
authors.lastname: Marcenes
mesh_terms: D000293:Adolescent; D000328:Adult; D001114:Areca; D001459:Bangladesh / Q000208:ethnology; D004245:DMF Index; D005157:Facial Pain / Q000453:epidemiology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D009059:Mouth Diseases / Q000453:epidemiology*; D009061:Mouth Mucosa / Q000473:pathology*; D009909:Oral Health; D015995:Prevalence; D012650:Self Disclosure; D011795:Surveys and Questionnaires; D020340:Tobacco Use Cessation; D014030:Tobacco, Smokeless; D014076:Tooth Diseases / Q000453:epidemiology*; D006113:United Kingdom / Q000453:epidemiology