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Tobacco habit-associated oral disease and the negative effects on surgical outcomes

From Volume 44, Issue 11, December 2017 | Pages 1065-1070

Authors

Sara Al–Mahozi

DDS

Masters Clinical Dentistry Diplomat, University Edinburgh/Edinburgh Dental Institute, Lauriston Building, Lauriston Place, Edinburgh EH3 9HA, UK

Articles by Sara Al–Mahozi

Zainab Salim

BDS

Masters Clinical Dentistry Diplomat, University Edinburgh/Edinburgh Dental Institute, Lauriston Building, Lauriston Place, Edinburgh EH3 9HA, UK

Articles by Zainab Salim

Nicholas J Malden

BDS, LDS, FDS (RCPSG), DDS

Consultant in Oral Surgery, Edinburgh Dental Institute

Articles by Nicholas J Malden

Crispian Scully

CBE, DSc, DChD, DMed (HC), Dhc(multi), MD, PhD, PhD (HC), FMedSci, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSEd, FRCPath, FHEA

Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK

Articles by Crispian Scully

Victor Lopes

PhD, FRCS

Senior Lecturer/Consultant Oral and Maxillofacial Surgeon, Edinburgh Dental Institute, Lauriston Building, Lauriston Place, Edinburgh EH3 9HA, UK

Articles by Victor Lopes

Abstract

Abstract: The negative impact on general health of the population of the UK due to the widespread use of tobacco is well documented. In relation to the practice of oral surgery (OS) a tobacco habit can influence the delivery of care in a number of ways. This paper aims to document the oral disease processes and the negative outcomes of oral surgery procedures where a tobacco habit is considered a contributing factor.

CPD/Clinical Relevance: The presence of a tobacco habit cannot only have a negative impact on various aspects of oral health but will also influence the consenting process when considering invasive procedures.

Article

Tobacco is obtained from the leaves of the plant Nicotiana, with nicotine being the main psychoactive alkaloid. Named after the Lisbon based diplomat, Jean Nicot, in the 16th Century, the leaf was chewed, taken nasally in powder form or applied locally in the treatment of cough, asthma, headaches, stomach cramps, gout, diseases of women, intestinal parasites, open wounds and cancers.1 By the latter part of the 16th Century, tobacco was being used mainly for pleasure, with smoking being the dominant mode of administration. Over the following 200 years, evidence of the harmful effects of tobacco on almost every system in the body became documented.2 Tobacco use is now accepted as being a leading cause of preventable illness and premature death and has a significant public health impact. It affects multiple organ systems, resulting in numerous tobacco-related diseases, primarily in the cardiovascular and respiratory systems. Tobacco use is also involved in the causation of numerous types of cancer.3,4

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