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Influence of smoking habits on the prevalence of dental caries : a register-based cohort study

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorNobre, Miguel A. de Araújo
dc.contributor.authorSezinando, Ana M.
dc.contributor.authorFernandes, Inês C.
dc.contributor.authorAraújo, Andreia C.
dc.date.accessioned2025-09-19T13:44:39Z
dc.date.available2025-09-19T13:44:39Z
dc.date.issued2021-10
dc.description.abstractObjective: This study aimed to evaluate the influence of smoking habit on the prevalence of dental caries lesions in a follow-up study. Materials and Methods: A total of 3,675 patients (2,186 females and 1,489 males) with an average age of 51.4 years were included. Outcome measures were the incidence of dental caries defined as incipient noncavitated, microcavitated, or cavitated lesions which had been diagnosed through clinical observation with mouth mirror and probe examination evaluating change of texture, translucency, and color; radiographic examination through bitewing radiographs; or secondary caries through placement of a new restoration during the follow-up of the study. Statistical Analysis: Cumulative survival (time elapsed with absence of dental caries) was estimated through the Kaplan–Meier product limit estimator with comparison of survival curves (log-rank test). A multivariable Cox proportional hazards regression model was used to evaluate the effect of smoking on the incidence of dental caries lesions when controlled to age, gender, systemic status, frequency of dental hygiene appointments, and socioeconomic status. The significance level was set at 5%. Results: Eight hundred sixty-three patients developed caries (23.5% incidence rate). The cumulative survival estimation was 81.8% and 48% survival rate for nonsmokers and smokers, respectively (p < 0.001), with an average of 13.5 months between the healthy and diseased state diagnosis. Smokers registered a hazard ratio for dental caries lesions of 1.32 (p = 0.001) when controlled for the other variables of interest. Conclusion: Within the limitations of this study, it was concluded that smoking habit might be a predictor for dental caries.eng
dc.identifier.citationde Araújo Nobre MA, Sezinando AM, Fernandes IC, Araújo AC. Influence of Smoking Habits on the Prevalence of Dental Caries: A Register-Based Cohort Study. Eur J Dent. 2021 Oct;15(4):714-719. doi: 10.1055/s-0041-1729458
dc.identifier.doi10.1055/s-0041-1729458
dc.identifier.issn1305-7456
dc.identifier.urihttp://hdl.handle.net/10400.26/58745
dc.language.isoeng
dc.peerreviewedyes
dc.publisherThieme
dc.relation.hasversionhttp://doi.org/10.1055/s-0041-1729458
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectdental caries
dc.subjectsmoking
dc.subjectsocioeconomic factors
dc.subjectrisk
dc.titleInfluence of smoking habits on the prevalence of dental caries : a register-based cohort studyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage719
oaire.citation.issue4
oaire.citation.startPage714
oaire.citation.titleEuropean Journal of Dentistry
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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