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Al-Bayaty FH, Wahid NAA et al. J Periodont Res 2008; 43: 9–13

Tobacco smoking increases periodontitis and so may increase tooth loss. Yemenis have virtually non-existent oral hygiene and smoking is widespread. Over a period of 2 years, 2,506 persons were examined in a periodontal clinic in Sana'a.

In 548 smokers, mean tooth loss was 3.56, and in 1,958 never-smokers it was 2.5. In the youngest age group, 15-24, respective scores were 0.8 and 0.4 (P < 0.001), and in the oldest group, 55-64 yrs, they were 9.6 and 6.9 (P < 0.001). In all tooth types except canines, significantly more teeth were lost in smokers. The teeth most frequently missing were first molars.