Publication details

Kouření a ztráty zubů

Title in English Smoking and teeth loss
Authors

HRUBÁ Drahoslava VONDRÁČEK V. SALAH Nabil

Year of publication 2014
Type Article in Periodical
Magazine / Source Česká stomatologie a Praktické zubní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Other medical specializations
Keywords smoking; oral health; teeth loss; pathways
Description Smoking is the most important single preventable risk factor for many diseases, including impaired oral health. Many studies have repeatedly documented the higher prevalence of caries, periodontitis, tooth loss and head-neck cancer among smokers. Smoking can contribute to the initiation and progression of diseases in oral cavity both indirectly (by smokers' bad nutrition and oral hygiene) and directly. The deleterious effect of smoking in the oral cavity is due to plaque accumulation and increased alveolar bone resorption. Main causal pathways are hypoxemia, inflammation, impaired immunity, mineral and bacterial imbalance. Cytotoxic effect of tobacco smoke on human gingival fibroblasts decreases their capacity for adhesion and proliferation. Compared to no-smokers, the outcome of implant treatment is among smokers usually less successful, as it is associated with many complications and poor healing. In many developed countries, dentists are active in the support of no-smoking behaviour and in motivation their smoking patients to smoking cessation. Such approach may be the challenge also for dentists in the Czech Republic.

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