The Tobacco Reference Guide by David Moyer

The Tobacco Reference Guide

by David Moyer, MD.

Chapter 11 Other health problems

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Other health problems: Dental Problems

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Smokers are up to four times more likely than nonsmokers to develop gum disease.

46% of smokers ages 19 to 30 compared to 12% of nonsmokers had gum disease.

Between ages 31 and 41, 86% of smokers had gum disease compared to 33% of

nonsmokers.

San Francisco Chronicle, February 1, 1993, p. A4

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Tobacco use plays a significant role in refractory periodontitis, with tobacco users

having a 90% refractory rate, compared to only 30% in non tobacco users. Smokers

also have poorer success rates for soft tissue and bone graft procedures and

implants.

Larry Williams, D.D.S., Norfolk, Virginia

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In a study from the University of Buffalo, 80% of patients with periodontitis, a gum

disease that can lead to the loss of teeth, were smokers of 10 cigarettes a day or

more.

Minneapolis-St. Paul Star Tribune, October 12, 1997

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Tobacco use is a significant risk factor for poor dental health among older adults,

including tooth loss, periodontal disease, and cavities or caries.

American Journal of Public Health, September 1993, p. 1271

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Smoking is a strong risk factor for periodontal disease; nicotine is a potent

vasoconstrictor, and reduces blood flow to the gingiva, or gums. Independent of oral

hygiene, smokers' teeth have more brown staining, plaque accumulation (soft

bacterial deposits), and calculus, or calcified deposits on the teeth.

Cigarettes, p. 130

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