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Smokers who give up are much less likely to lose their teeth prematurely

Published on July 18, 2005 at 7:47 PM · No Comments

Smokers who give up are much less likely to lose their teeth prematurely than those who don't kick the habit, pioneering research has shown.

Dental researchers at the University of Newcastle upon Tyne, UK, observed a group of cigarette smokers with chronic gum disease over one year and found some symptoms were more likely to improve in the people who quit during the study period.

Chronic gum disease, which is characterised by inflamed gums that increasingly recede from the teeth, can lead to tooth loss in its advanced stages if preventive action is not taken.

The researchers' findings, revealed today in the academic publication, the Journal of Clinical Periodontology, therefore provide yet another reason for the 12 million UK adult smokers (just over one-quarter of the adult population) and smokers worldwide to quit their habit for the good of their health.

Statistics show that smokers are still up to six times more likely to develop gum disease than non-smokers, because the detrimental effect the habit has on their body's immune system makes them less well-equipped to fight back.

The study, which is the first of its kind, followed 49 smokers with chronic gum disease over one year. All were encouraged to stop smoking through counselling and, in some cases, using nicotine replacement therapy and/or medication. All of the patients also received treatment for their gum disease.

One-fifth of the patients quit smoking, and in those patients, gum health was significantly improved compared to those who continued to smoke over the 12 months.

Gum disease is initiated by a build up of bacteria in plaque, the sticky white substance that accumulates on the teeth if they are not properly cleaned. The bacteria cause the gums to become inflamed, and they begin to recede from the teeth. At the same time, the bone that holds the teeth in place is gradually destroyed so that over a number of years, teeth may start to become loose and may fall out, or need to be extracted.

The disease is usually painless and thus only discovered when people visit their dentist. The progression of chronic gum disease can often be prevented by a good, daily oral health routine, together with preventive care by a dentist and dental hygienist.

Dr Philip Preshaw, a clinical lecturer in periodontology (the specialist's term for gum disease) with Newcastle University's School of Dental Sciences, led the research. He said: "Our study shows that people should stop smoking now if they want to increase their chances of keeping their teeth into old age.

"Often the dentist is in the best position to help them stop smoking, because most people, if they are going for regular dental appointments, have more contact with him or her than with their doctor.

"Dentists have known for some time that smokers have worse oral and gum health than non-smokers but for the first time we have shown that quitting smoking together with routine gum treatment results in healthier gums."

Dr Preshaw added: "It is very important to look after your teeth, because losing them will have a huge influence on your life. Not only will this affect your appearance, it can also impact on your confidence, lifestyle, and so much more.

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