DOI: 10.2105/ajph.83.9.1271. Tobacco use: a modifiable risk factor for dental disease among the elderly.

Tobacco use: a modifiable risk factor for dental disease among the elderly.

10.2105/ajph.83.9.1271

Crossref journal-article

American Public Health Association

American Journal of Public Health (844)

Abstract

OBJECTIVES. Because the public health literature contains few analytic studies of modifiable behavioral risk factors for dental disease among older community-dwelling populations, the New England Elders Dental Study was undertaken as an epidemiologic study of the oral health status of a representative sample of older adults living within the six New England states. METHODS. Five dentists conducted comprehensive in-home oral health examinations on 1156 community-dwelling adults aged 70 and older to determine whether lifetime use of tobacco products was a significant risk factor for tooth loss, caries, and periodontal disease. RESULTS. Among New England elders, tobacco use was more common among men (18.1%) than women (7.9%), with a combined rate of 12.3%. Further, 64.7% of men and 36.6% of women were previous tobacco users. Years of exposure to tobacco products was a statistically significant risk factor for tooth loss, coronal and root caries, and periodontal disease, regardless of other social and behavioral factors. CONCLUSIONS. Lifelong tobacco use is a modifiable risk factor for poor dental health among older adults. Dental practitioners need to intervene with all their adult patients to discourage use of tobacco products for oral as well as general preventive health care.

Bibliography

Jette, A. M., Feldman, H. A., & Tennstedt, S. L. (1993). Tobacco use: a modifiable risk factor for dental disease among the elderly. American Journal of Public Health, 83(9), 1271â1276.

Authors 3

A M Jette (first)
H A Feldman (additional)
S L Tennstedt (additional)

References 19 Referenced 79

Gift H. The seventh age of man: oral health and the elderly. JAm Coil Dent. 1979;46: 204-213.
Douglass C, Giings D, Sollecito W, Gammon M. The potential for increase in the periodontal diseases of the aged population. JPe,iodontoL 1983;54:721-728. (10.1902/jop.1983.54.12.721)
{'key': 'p_3', 'first-page': '231', 'volume': '38', 'author': 'Beck J', 'year': '1988', 'journal-title': 'IntDentJ.'} / IntDentJ. by Beck J (1988)
Sintonen H, Tuominen R. Exploring the 238. determinants of periodontal treatment Soc Sci MedL 1989;29:8354844. costs: a special focus on cigarette smoking. (10.1016/0277-9536(89)90082-8)
10.1177/00220345680470031901
Ismail A, Burt B, Eklund S. Epidemiologic patterns of smoking and periodontal disease in the United States. JAm Dent Assoc. 1983;106:617-621. (10.14219/jada.archive.1983.0137)
10.14219/jada.archive.1968.0331
Sheiham A. Periodontal disease and oral cleanliness in tobacco smokers. J PerodontoL 1971;42:259-263. (10.1902/jop.1971.42.5.259)
Feldman R, Bravacos J, Rose C. Association between smoking different tobacco products and periodontal disease indexes. JPeaiodontoL 1983;54:481-487. (10.1902/jop.1983.54.8.481)
BeckJ, Koch G, Rozier R, Tudor G. Prevalence and risk indicators for periodontal attachment loss in a population of older community-dwelling Blacks and Whites. J PerOdontL 1990,61:521-528. (10.1902/jop.1990.61.8.521)
OsterbergT, Mellstrom D. Tobacco smoking: a major risk factor for loss of teeth in Dent Oal EpdLemiL 1986;14:367-370. three 70-year-old cohorts. Community (10.1111/j.1600-0528.1986.tb01093.x)
{'issue': '2', 'key': 'p_13', 'first-page': 'M39', 'volume': '48', 'author': 'Carlos JP', 'year': '1993', 'journal-title': 'Omal Health J Gmxmob Med So'} / Omal Health J Gmxmob Med So by Carlos JP (1993)
{'key': 'p_14', 'first-page': '281', 'volume': '32', 'author': 'Ainamo J', 'year': '1982', 'journal-title': 'Int Dent J.'} / Int Dent J. by Ainamo J (1982)
{'key': 'p_15', 'author': 'Joshi A', 'year': '1993', 'journal-title': 'J Publc Health Dent.'} / J Publc Health Dent. by Joshi A (1993)
Mcguire S, Fox C, Tennstedt S, Feldman H, Douglass C. Beneath the surface of coronal caries: primary decay, recurrent decay, and filled restorations in a population-based survey of New England elders. JPublic Health Dent. 1993;53(2): 76-82. (10.1111/j.1752-7325.1993.tb02679.x)
Miller A, Brunelle J, Carlos J, Brown L, L45e H. Oral Health of United States Adults: The National Survey of Oral Health in US Employed Adults and Seniors: 198-86 Bethesda, Md: National Inpublication 87-2868. stitutes of Health; 1987. National Findings
Solng and Health, a Report to the Surgeon GeneraL Washington, DC: US Dept of Health, Education and Welfare; 1979. DHEW publication PHS 79-50066.
{'key': 'p_19', 'first-page': '242', 'volume': '3', 'author': 'Beck J', 'year': '1987', 'journal-title': 'Gerodontics.'} / Gerodontics. by Beck J (1987)
{'key': 'p_20', 'first-page': '191', 'volume': '3', 'author': 'Painquist S', 'year': '1987', 'journal-title': 'Gerdontics.'} / Gerdontics. by Painquist S (1987)

Dates

Type	When
Created	16 years, 9 months ago (Nov. 29, 2008, 8:18 a.m.)
Deposited	3 years, 3 months ago (May 9, 2022, 2:33 p.m.)
Indexed	2 days, 19 hours ago (Sept. 3, 2025, 6:08 a.m.)
Issued	32 years ago (Sept. 1, 1993)
Published	32 years ago (Sept. 1, 1993)
Published Print	32 years ago (Sept. 1, 1993)

Funders 0

None

BibTeX

@article{Jette_1993, title={Tobacco use: a modifiable risk factor for dental disease among the elderly.}, volume={83}, ISSN={1541-0048}, url={http://dx.doi.org/10.2105/ajph.83.9.1271}, DOI={10.2105/ajph.83.9.1271}, number={9}, journal={American Journal of Public Health}, publisher={American Public Health Association}, author={Jette, A M and Feldman, H A and Tennstedt, S L}, year={1993}, month=sep, pages={1271–1276} }

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