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Research Shows Smoking Profoundly Changes Oral Microbiome

Sharing the news that smoking negatively impacts the oral microbiome may help push patients toward tobacco cessation.

Smoking remains a significant public health issue, contributing to an estimated 8 million deaths each year globally, with around 1.3 billion individuals still using tobacco products, per the World Health Organization. While the dangers of smoking are widely recognized, the impact of tobacco on the oral microbiome often goes overlooked. This is where dental hygienists can play a pivotal role in addressing smoking-related oral health issues.

Research shows that smoking disrupts the delicate balance of the oral microbiome, leading to an overgrowth of harmful bacteria such as Fusobacterium, Campylobacter, and Tannerella forsythia. These bacteria not only contribute to periodontal diseases but also trigger systemic inflammation, potentially increasing the risk for serious conditions like cardiovascular disease and oral cancer. The toxic substances in tobacco products, including nicotine and tar, alter the oral environment by reducing oxygen levels, lowering pH, and decreasing saliva production, which are crucial for maintaining oral health.

Dental hygienists can leverage this information to educate patients on the importance of smoking cessation. By explaining how smoking adversely affects oral health and its connection to chronic diseases, hygienists can motivate patients to take action.

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