Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024

Background and purpose: Smoking is a major risk factor for poor oral health. This study aimed to compare periodontal indices, salivary pH, xerostomia, and the Decayed, Missing, and Filled Teeth (DMFT) index among students using traditional cigarettes and electronic cigarettes at Mazandaran Universit...

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Main Authors: Maedeh Salehi, Melika Mollaei, Negar Mohammadi, Hodis Ehsani, Mohammadjavad Abdoli, Abolfazl Hosseinnataj, Tahereh Mollania
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2025-07-01
Series:Journal of Mazandaran University of Medical Sciences
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Online Access:http://jmums.mazums.ac.ir/article-1-21787-en.pdf
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author Maedeh Salehi
Melika Mollaei
Negar Mohammadi
Hodis Ehsani
Mohammadjavad Abdoli
Abolfazl Hosseinnataj
Tahereh Mollania
author_facet Maedeh Salehi
Melika Mollaei
Negar Mohammadi
Hodis Ehsani
Mohammadjavad Abdoli
Abolfazl Hosseinnataj
Tahereh Mollania
author_sort Maedeh Salehi
collection DOAJ
description Background and purpose: Smoking is a major risk factor for poor oral health. This study aimed to compare periodontal indices, salivary pH, xerostomia, and the Decayed, Missing, and Filled Teeth (DMFT) index among students using traditional cigarettes and electronic cigarettes at Mazandaran University of Medical Sciences in 2024. Materials and methods: In this cross-sectional study, a total of 105 students were included and categorized into three groups: traditional cigarette smokers, electronic cigarette users, and non-smokers. Demographic data were obtained from student records, and clinical oral examinations were conducted to assess the gingival index (GI), plaque index (PI), bleeding on probing (BOP), and the DMFT index. Xerostomia was evaluated using a 9-item questionnaire, and salivary pH was measured using pH indicator strips. Data were analyzed using SPSS version 22, with a significance level set at P< 0.05. Results: The findings indicated a significant difference between the three groups in terms of gender distribution and average duration of smoking (P < 0.05). The GI and PI were significantly higher in the traditional cigarette group compared to both the non-smoker and electronic cigarette groups (P < 0.05). Conversely, the BOP index was significantly lower in the traditional cigarette group than in the non-smoker group (P = 0.009). The DMFT index was significantly lower in the non-smoker group compared to both the traditional cigarette (P = 0.005) and electronic cigarette (P = 0.008) groups. Among all participants, 4.8% reported experiencing dry mouth, with no statistically significant difference observed between the three groups. Conclusion: This study highlights the harmful effects of traditional cigarette use and suggests that electronic cigarettes may be a less harmful alternative. However, both traditional and electronic cigarette use were associated with increased salivary acidity, indicating potential adverse effects on oral health.
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publishDate 2025-07-01
publisher Mazandaran University of Medical Sciences
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spelling doaj-art-2fe41eec9cbd4914acf15ab6c763af2c2025-08-20T03:51:19ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-07-0135246107117Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024Maedeh Salehi0Melika Mollaei1Negar Mohammadi2Hodis Ehsani3Mohammadjavad Abdoli4Abolfazl Hosseinnataj5Tahereh Mollania6 Associate Professor, Department of Oral & Maxillofacial Medicine, Mazandaran University of Medical Sciences, Sari, Iran Dentistry Student, Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran M.A., Sports Management, Marketing Branch, Qaemshahr, Iran Assistant Professor, Department of Periodontics, School of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran Dentistry Student, Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Oral & Maxillofacial Medicine, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Smoking is a major risk factor for poor oral health. This study aimed to compare periodontal indices, salivary pH, xerostomia, and the Decayed, Missing, and Filled Teeth (DMFT) index among students using traditional cigarettes and electronic cigarettes at Mazandaran University of Medical Sciences in 2024. Materials and methods: In this cross-sectional study, a total of 105 students were included and categorized into three groups: traditional cigarette smokers, electronic cigarette users, and non-smokers. Demographic data were obtained from student records, and clinical oral examinations were conducted to assess the gingival index (GI), plaque index (PI), bleeding on probing (BOP), and the DMFT index. Xerostomia was evaluated using a 9-item questionnaire, and salivary pH was measured using pH indicator strips. Data were analyzed using SPSS version 22, with a significance level set at P< 0.05. Results: The findings indicated a significant difference between the three groups in terms of gender distribution and average duration of smoking (P < 0.05). The GI and PI were significantly higher in the traditional cigarette group compared to both the non-smoker and electronic cigarette groups (P < 0.05). Conversely, the BOP index was significantly lower in the traditional cigarette group than in the non-smoker group (P = 0.009). The DMFT index was significantly lower in the non-smoker group compared to both the traditional cigarette (P = 0.005) and electronic cigarette (P = 0.008) groups. Among all participants, 4.8% reported experiencing dry mouth, with no statistically significant difference observed between the three groups. Conclusion: This study highlights the harmful effects of traditional cigarette use and suggests that electronic cigarettes may be a less harmful alternative. However, both traditional and electronic cigarette use were associated with increased salivary acidity, indicating potential adverse effects on oral health.http://jmums.mazums.ac.ir/article-1-21787-en.pdfperiodontal indicessalivary phxerostomiadmftelectronic cigarettes
spellingShingle Maedeh Salehi
Melika Mollaei
Negar Mohammadi
Hodis Ehsani
Mohammadjavad Abdoli
Abolfazl Hosseinnataj
Tahereh Mollania
Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
Journal of Mazandaran University of Medical Sciences
periodontal indices
salivary ph
xerostomia
dmft
electronic cigarettes
title Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
title_full Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
title_fullStr Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
title_full_unstemmed Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
title_short Comparison of Oral Health Indices and Xerostomia in Students Using Traditional and Electronic Cigarettes at Mazandaran University of Medical Sciences, 2024
title_sort comparison of oral health indices and xerostomia in students using traditional and electronic cigarettes at mazandaran university of medical sciences 2024
topic periodontal indices
salivary ph
xerostomia
dmft
electronic cigarettes
url http://jmums.mazums.ac.ir/article-1-21787-en.pdf
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