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Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis

INTRODUCTION: Tobacco is responsible for infaust oral conditions and many oral diseases. Dental caries is one of the most prevalent oral diseases. The association between tobacco smoking and dental caries has become an important recent topic of research. A systematic review and meta-analysis was con...

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Autores principales: Jiang, Xue, Jiang, Xiaoge, Wang, Yan, Huang, Ruijie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662788/
https://www.ncbi.nlm.nih.gov/pubmed/31516477
http://dx.doi.org/10.18332/tid/106117
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author Jiang, Xue
Jiang, Xiaoge
Wang, Yan
Huang, Ruijie
author_facet Jiang, Xue
Jiang, Xiaoge
Wang, Yan
Huang, Ruijie
author_sort Jiang, Xue
collection PubMed
description INTRODUCTION: Tobacco is responsible for infaust oral conditions and many oral diseases. Dental caries is one of the most prevalent oral diseases. The association between tobacco smoking and dental caries has become an important recent topic of research. A systematic review and meta-analysis was conducted to evaluate the association between tobacco smoking and dental caries. METHODS: A literature search was conducted in the databases PubMed, EMBASE, Medline and Cochrane, up to December 2018. Original observational articles that estimated relevance between tobacco smoking and dental caries in adults were included. Caries were determined by measurements of decayed, missing or filled teeth (DMFT), or decayed, missing or filled surface (DMFS), or caries-related microflora levels. Trials did not include a non-smoking group, exposure to smokeless tobacco products, or participants under 16 years old. Also, literature reviews, comments, case reports and letters to the editor were not considered. Both methods of systematic review and meta-analysis were adopted. Newcastle-Ottawa Scale (NOS) was used to assess the methodological quality of all the included studies. RESULTS: Ten out of eleven of the included studies indicated a positive association between tobacco smoking and dental caries. Two meta-analyses were performed: one included five studies using DMFT as an outcome; the other included two studies of DMFS. A random effects model was used. Both were highly heterogeneous (I(2)=93%, chi-squared p<0.00001; I(2)=70%, chi-squared p=0.07, respectively) and statistically significant (mean difference, MD=1.20, 95% confidence interval, CI: 0.40–2.00, z-test p=0.003; MD=1.88, 95% CI: 0.99–2.77, z-test p<0.0001, respectively). The quality scores of all varied from 7 to 9. CONCLUSIONS: There is a correlation between tobacco smoking and an increased risk of dental caries. However, the overall representativeness of the studies is not good. More prospective and extensive research on this topic is needed to get validation. Even so, it is imperative that people quit tobacco smoking.
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spelling pubmed-66627882019-09-12 Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis Jiang, Xue Jiang, Xiaoge Wang, Yan Huang, Ruijie Tob Induc Dis Review Paper INTRODUCTION: Tobacco is responsible for infaust oral conditions and many oral diseases. Dental caries is one of the most prevalent oral diseases. The association between tobacco smoking and dental caries has become an important recent topic of research. A systematic review and meta-analysis was conducted to evaluate the association between tobacco smoking and dental caries. METHODS: A literature search was conducted in the databases PubMed, EMBASE, Medline and Cochrane, up to December 2018. Original observational articles that estimated relevance between tobacco smoking and dental caries in adults were included. Caries were determined by measurements of decayed, missing or filled teeth (DMFT), or decayed, missing or filled surface (DMFS), or caries-related microflora levels. Trials did not include a non-smoking group, exposure to smokeless tobacco products, or participants under 16 years old. Also, literature reviews, comments, case reports and letters to the editor were not considered. Both methods of systematic review and meta-analysis were adopted. Newcastle-Ottawa Scale (NOS) was used to assess the methodological quality of all the included studies. RESULTS: Ten out of eleven of the included studies indicated a positive association between tobacco smoking and dental caries. Two meta-analyses were performed: one included five studies using DMFT as an outcome; the other included two studies of DMFS. A random effects model was used. Both were highly heterogeneous (I(2)=93%, chi-squared p<0.00001; I(2)=70%, chi-squared p=0.07, respectively) and statistically significant (mean difference, MD=1.20, 95% confidence interval, CI: 0.40–2.00, z-test p=0.003; MD=1.88, 95% CI: 0.99–2.77, z-test p<0.0001, respectively). The quality scores of all varied from 7 to 9. CONCLUSIONS: There is a correlation between tobacco smoking and an increased risk of dental caries. However, the overall representativeness of the studies is not good. More prospective and extensive research on this topic is needed to get validation. Even so, it is imperative that people quit tobacco smoking. European Publishing on behalf of the International Society for the Prevention of Tobacco Induced Diseases (ISPTID) 2019-04-19 /pmc/articles/PMC6662788/ /pubmed/31516477 http://dx.doi.org/10.18332/tid/106117 Text en © 2019 Jiang X https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License.
spellingShingle Review Paper
Jiang, Xue
Jiang, Xiaoge
Wang, Yan
Huang, Ruijie
Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title_full Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title_fullStr Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title_full_unstemmed Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title_short Correlation between tobacco smoking and dental caries: A systematic review and meta-analysis
title_sort correlation between tobacco smoking and dental caries: a systematic review and meta-analysis
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662788/
https://www.ncbi.nlm.nih.gov/pubmed/31516477
http://dx.doi.org/10.18332/tid/106117
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