The recurrent aphthous stomatitis frequency in the smoking cessation people

Abstract

This study was aimed to evaluate the frequency of recurrent aphthous stomatitis (RAS) within the 6-week period after quitting smoking. The study group consisted of 90 subjects. Oral, medical findings and tobacco habits were recorded for all subjects. Nicotine replacement therapy (NRT) and behavioral treatment were applied to some of the subjects by a family physician. All subjects were evaluated for their RAS and periodontal measurements on baseline, 1, 3, 6 weeks by a periodontist. While the subjects were in this smoking cessation programme, 64 of the 90 smokers successfully quit smoking within the 6 weeks and 26 smokers dropped out during the third week of the study. Point prevalence of RAS among the subjects on the first day of the quitting period and at the end of the first, third and sixth week after smoking cessation was 3.3% (3/90), 18.9% (17/90), 21.1% (19/90) and 17.1 (11/64), respectively. In the following weeks, aphthous ulcer point prevalence was significantly higher than the quitting level (p < 0.05). As the time after quitting increased, the incidence of aphthous ulcer decreased. Of 64 patients, 35 (54.6%) completed the 6 weeks using NRT and 29 (45.4%) of them did not use any medication. The aphthous ulcer frequency observed in the patients taking NRT [11.4% (4/35)] was lower when compared with the subjects taking no NRT [24.1% (7/29)] (p > 0.05). The results of this study confirm that RAS is a complication of quitting smoking. Further studies are needed to identify the effects of NRT on RAS.

Evaluation of Smoking Among Pregnant Women in a Central Anatolian City of Turkey: Comparison with Other Countries

“…The se re sult co uld sug gest that the wo men who re a li zed that they we re pregnant ga ve up smo king con si de ring the he alth of the ir ba bi es. 13,14 As we men ti o ned in the re sults sec ti on, the smo king ra tes of the smo ker preg nant wo men's hus bands we re sig ni fi cantly hig her than the husbands of the ne ver smo ker preg nant wo men. There may be a hig her risk for the smo ker preg nant women if the ir hus bands a re al so cur rent smo kers.…”

“…12 The per cen ta ge of wo men who had smo ked at any ti me du ring preg nancy was fo und 17% in Si vas Ma ter nity Hos pi tal in 2002. 13 In a recent study car ri ed out in Bur sa Me di cal Fa culty Depart ment of Obs tet ric and Gyne co logy in 2005, the smo king ra te among preg nant wo men was 9.8%. 14 The smo king ra te among preg nant wo men was lower in our study.…”

Nicotine replacement therapy as a treatment for complex aphthosis

“…Behçet's disease who stopped smoking and, more recently, Marako glu et al found a similar increase in the frequency of RAS following smoking cessation in a cohort without Behçet's disease (5). In the same study, it was noted that patients who used nicotine replacement therapy had a markedly lower frequency of RAS.…”

A Patient Having Recurrent Aphtous Stomatitis After Three Years of Smoking Cessation

“…The hypothesis is that smokers develop mucosal hyperkeratinization, which protects mucosal surface better from the ulceration [21]. Another explanation is that nicotine triggers adrenal steroid production and influences macrophages directly causing decrease in the cytokine production hence decreases the RAS prevalence [24].…”