Tobacco still is oral health enemy number one
2/7/2006 San Francisco, CA Steven A. Schroeder, MD J Am Dent Assoc, Vol 137, No 2, 144-148 Even though all health professionals understand how injurious smoking is, many may wonder whether the tobacco epidemic is yesterday’s news. After all, adult smoking prevalence is now at an all-time low in the United States—23.4 percent among men, compared with 57 percent in 1955, and 18.5 percent among women, compared with 34 percent in 1965.1,2 Smoking among youths is at a 28-year low. In public health terms, these are spectacular improvements. Furthermore, there is widespread speculation that obesity and physical inactivity soon may overtake tobacco as the most preventable causes of death and disability.3 But, as three articles in this issue of The Journal demonstrate, it is premature to drink a toast to tobacco’s demise, and there is good reason to believe that dentists can do more to reduce the toll from this deadly habit. Dye and colleagues4 analyze the data set for the Third National Health and Nutrition Examination Survey (conducted from 1988–1994) to assess the relationship between cigarette smoking and perceived needs for dental treatment. Compared with nonsmokers, smokers felt they needed more dental care, even when controlling for oral health status (odds ratio = 1.40), though the magnitude of this difference is much smaller than the fourfold risk smokers face of developing periodontal disease. Dye and colleagues call for greater involvement by dentists and dental hygienists in helping smokers quit, while acknowledging the barriers that must be overcome if that [...]