Practice abstract


British Dental Journal 189, 200 - 206 (2000)
Published online: 26 August 2000 | doi:10.1038/sj.bdj.4800721

Tobacco Intervention: 
Tobacco and oral disease

N W Johnson1 & C A Bain2

The EU-Working Group on Tobacco and Oral Health found:

  • Smoking often results in discolourations of teeth and dental restorations.
  • Halitosis, diminished taste and smell acuity are common side effects of smoking.
  • Periodontal disease is increased both in prevalence and severity in smokers. Smoking cessation may halt disease progression and improve the outcome of periodontal treatment.
  • Oral cancer and precancer occurs much more frequently in smokers than in non-smokers. Smoking cessation significantly decreases the increased risk of oral cancer within 5–10 years.
  • Dental implant failure rates are significantly higher in smokers than in non-smokers.
  • The entire dental team should be aware of the relationship between smoking and dental problems and should convey the message that non-smoking is the norm.
  • Smoking counselling should be a fundamental part of the dental curriculum and any practice prevention programme.


This document was produced by the 'EU-Working Group on Tobacco and Oral Health' supported by the EU Commission (the 'Europe Against Cancer' programme).

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  1. Department of Oral & Maxillofacial Medicine & Pathology, WHO Collaborating Centre for Oral Cancer & Precancer, The Guy's, King's & St Thomas' Schools of Medicine, Dentistry & Biomedical Sciences, King's Dental Institute, Caldecot Road, London SE5 9RW;
  2. University of Glasgow

Correspondence to: N W Johnson1 e-mail: newell.johnson@kcl.ac.uk


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