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Original Article Top
Knowledge of Dental patients on Smokeless Tobacco attending Dental College in Darbhanga, India p. 01 - 04
Bhumika Kamal Badiyani, Amit Kumar
DOI:10.4103/0972-124X.1   
Background: Aim and Objectives: To assess the knowledge of Dental Patients on Smokeless Tobacco. Methodology: A questionnaire-based survey was carried out to assess the knowledge among the patients consuming Smokeless Tobacco attending the Outside Patient Department (O.P.D.) of Sarjug Dental College and Hospital, Darbhanga, India. Results: A total number of 2659 participated in this study. It was observed that majority of males 899(53%) consumed it due to addiction followed by workload 343 (20%). Whereas among females it was observed that majority 401(42%) consumed it due to addiction followed by boredom 383 (40%). The source of knowledge on Smokeless Tobacco was obtained from TV, Radio among 24% patients and only 6% got knowledge on smokeless tobacco from Dental Practioner. Conclusion: The patients in this study had less knowledge about the ill effects about tobacco on Oral and General Health. It is vital for a Dental Practioner to educate his patients towards the ill effects of tobacco.
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Original Article Top
Knowledge, Attitude and Practices Regarding Cigarettes and Other Tobacco Products Act among Adults in Bangalore City p. 05 - 08
Shwetha HL, Mayur Nath T Reddy, Rohini Patil, Mrinal Vasant Limaye, Vishwas Kadam, Motilal Jangid
DOI:10.4103/0972-124X.2   
Background: Background: India was one of the first few countries that ratified the FCTC. The Government of India formulated “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act (COTPA)” on May 18, 2003. The implementation of this law remained largely ineffective in the initial years. The Government of India reviewed the situation and revised the law, with effect from 2nd October 2008, making additional provisions to improve the implementation of smoke free law. Materials & Methods: A cross-sectional study was conducted among adults aged 18 years and above to assess the knowledge, attitude and practices regarding cigarettes and other tobacco products act (COTPA). A total of 430 subjects were determined based on an anticipated awareness level of 30%.The subjects were randomly selected from the wards in the jurisdiction of Bruhat Bangalore Municipal Corporation in Bangalore, Karnataka. It focused in particular on specific issues of tobacco control, including burden of tobacco, prevalence of its use, production and control. Results: Among 430 subjects of the study 227 (52.7%) were males. The mean age of the study population was 39.57 ± 15.8 (range 18-72), majority (54.8%) belonged to 18-40 age group. Regarding awareness about Cigarettes and Other Tobacco Products Act (COTPA), 43.2% of the participants were aware of any Act/Legislation related to tobacco products. Regarding use of tobacco products, more than half (66.7%) of the study population was found to be exposed to tobacco products either in past or present. Conclusion: The policy makers should consider newer options such as starting a help line for quitting tobacco to regulate the use of tobacco with consideration that most of the smokers were reluctant in quitting tobacco even after the implementation of various anti-tobacco measures under COTPA.
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Review Article Top
Preventive Strategies in Management of Oral Mucositis p. 09 - 13
Trisha Rastogi, Sunil Kumar K, V Naresh, Rohit Kumar Sahu
DOI:10.4103/0972-124X.3   
Background: Oral mucositis is a painful, debilitating, dose-limiting side-effect of radiotherapy, chemotherapy, and radio-chemotherapy in patients with cancer. Severe oral mucositis can lead to the need to interrupt or discontinue cancer therapy and thus may have an impact on cure of the primary disease. Mucositis may also increase the risk of local and systemic infection and significantly affects quality of life and cost of care. This article reviews the current knowledge on the pathogenesis, clinical presentation, diagnosis, and management of Oral mucositis.
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Review Article Top
Effect of Environmental Tobacco Smoke on General and Oral Health p. 14 - 18
Rohini Patil, Shwetha HL, Kadambari Ambildhok, Mrinal Vasant Limaye, Vishwas Kadam
DOI:10.4103/0972-124X.4   
Background: Secondhand smoke is a mixture of the smoke given off by the burning end of a cigarette, pipe, or cigar (sidestream smoke), and the smoke exhaled by smokers (mainstream smoke). Secondhand smoke is also called environmental tobacco smoke (ETS) and exposure to secondhand smoke is sometimes called involuntary or passive smoking. Exposure to environmental smoke has been implicated with serious health risks in children and adults. Nonsmokers exposed to second hand smoke absorb nicotine and other compounds similar to smokers but the smoke is less concentrated than that inhaled by smokers. Many epidemiological studies have shown a causal relationship between environmental tobacco smoke and lung cancer. Environmental tobacco smoke is classified under Group A carcinogen a category reserved only for the most dangerous cancer causing agents in humans. In children ETS exposure increases the risk of respiratory tract infections. In adults it increases the risk of lung cancer and cardiac disease. There is association between ETS exposure and periodontal disease, dental caries. The health risks of ETS have been a major motivation for smoke-free laws in workplaces and indoor public places and these laws have posed a serious economic threat to tobacco industries.
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Tobacco - The Silent Killer p. 19 - 21
Meera Chandramouli
DOI:10.4103/0972-124X.5   
Background: Smoked and smokeless tobacco use produces profound effects on soft and hard tissues in and around the oral cavity. Because many of these changes are clinically observable, dentists are in ideal positions to give patients specific information concerning the oral ill effects of tobacco use. This article links tobacco use with an effective treatment plan for tobacco intervention for dentists who come across patients with tobacco use in their clinics.
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