Oral Health of Tobacco and Non-Tobacco Consumers Inyaounde, Cameroon


  •   Ashu Michael Agbor

  •   Yougang Francine Josepha Jupkwo


Introduction: Tobacco consumption is risk factor of many infectious and endemic diseases. The objective of our study was to compare the oral health of smokers and non-smokers in the city of Yaoundé, Cameroon.

 Methodology: This was a cross-sectional descriptive study using a stratified random sampling that took place between April to September 2014 in which both smokers and non-smokers participated.

Results: Two hundred smokers and 200 non-smokers comprising 341 men and 59 women participated in the study with the 25-35 years age group was most represented. A third of the smokers were unemployed 72 (36.0%), 45(22.5%) had low income employment, 94(51.4%) were initiated into smoking when they were less than 10 years old; 90(45.5%) took between 1 and 15 sticks of cigarettes a day. Supra-gingival calculus, halitosis, xerostomia, periodontal diseases, tooth mobility, painless carious cavitation’s and tooth loss were more frequent in smokers. Toothache from carious cavitations, tooth loss was more frequent in smokers while toothache from deep caries was found more in non-smokers.

Conclusion: The frequency of oral diseases was higher in tobacco smokers than non-smokers. People from low socioeconomic status, males and the unemployed were mostly affected.

Recommendations: The government and stake holders in public health should formulate policies that will reduce cigarette smoking and also involve oral health workers in their campaigns.

Keywords: Tobacco, oral health, smokers, non smokers Cameroon.


J Owens . Oral health promotion for children with disabilities in the Republic of Ireland: independent qualitative evaluation of a multi-sectoral oral health promotion intervention for children with disabilities. Glob Health Promot. Issue 18 ,vol ,pp .69-71,2011

M A Agbor, S Naidoo. Knowledge and practice of traditional healers in oral health in the Bui Division, Cameroon. J Ethnobiol Ethnomed.,pp. 7: 6. ,2011.

CF Ndiaye. Oral Health in the African Region: Progress and perspectives of the Regional Strategy. Afr J Oral Health ,vol 2, issue 2,pp. 2-9,2005.

J Perriot , M Underner , L Doly-Kuchcik. Smoking: what are the health risks? Rev Prat.., vol 62 , issue 3:pp. 333-6, 2012.

MH Cherif .The tobacco problem in French-speaking Africa and regional perspectives of the French-speaking African tobacco observatory. Promot Educ.vol 4, pp. 45-7, 61, 2005.

World Health Organization (WHO). Management of substance abuse. Lexicon of alcohol and drug terms published by the World Health Organization. [Online].http://www.who.int/substance_abuse/terminology/who_lexicon/en/. (Accessed 10/11/2019).

World Bank. Smoking prevalence, males (% of adults). [Online]. http://data.worldbank.org/indicator/SH.PRV.SMOK.MA. (Accessed 10/11/2019).

World Health Organization. WHO Report on the Global Tobacco Epidemic, 2011. Geneva: World Health Organization, 2011, [Online]. https://www.who.int/tobacco/global_report/2011/en/ [(Accessed 10/11/2019).

World Health Organization. WHO report on the global tobacco epidemic, 2013: Enforcing bans on tobacco advertising, promotion and sponsorship. Geneva, Switzerland: WHO. [Online]. http://www.who.int/tobacco/global_report/2013/en/.(Accessed 10/11/2019)

Institut National de la Statistique et des études économiques (INSEE) (2010). Collège des médecins du Québec et Direction de la santé publique. La prévention et l’abandon du tabagisme, 1999. [Online]. https://www.inspq.qc.ca/pdf/publications/324-AvisPreventionTabagismeJeunes.pdf.

Preventing a tobacco epidemic in Africa. A Call for Effective Action to Support Health, Social, and Economic Development. , [Online]. http://www.nationalacademies.org/asadi/Africa%20Tobacco%20Control-FINAL.pdf

World bank. [Online]. http://data.worldbank.org/indicator/SH.PRV.SMOK.MA.

JM Albandar. Global risk factors and risk indicators for periodontal diseases. Periodontology,vol 29:pp. 177-206, 2000.

OA Ayo-Yusuf, HW van den Borne, SP Reddy .Oral Health Promotion and Tobacco Use Prevention in South Africa: towards an integrated educational approach. PhD thesis, University of Pretoria. South Africa, 2008.

J Bergström, S Eliasson, Haber, J Dock .A 10-year prospective study of tobacco smoking and periodontal health. J Periodontol., Vol 71 (8), pp. 1338-47,2000.

WC Gonsalves, AC Chi, BW Neville .Common oral lesions: Part II. Masses and neoplasia. Am Fam Physician., 75, pp. 509-12, 2007.

ASK Sham, LKC heung, LJ Jin, EF Corbet .The effects of tobacco use on oral health. Hong Kong Med J .,vol 9,pp. 4,2003.

CG Puscasu, ITM Gîrdea, AS Dumitriu, C Hanganu. Tobacco Smoking and Periodontal Conditions in an Adult Population from Constanta, Romania, OHDMBSC . vol 7 (3),pp. 1-7,2009.

MA Agbor, CC Azodo, TSM Tefouet Smokeless tobacco use, tooth loss and oral health issues among adults in Cameroon. Afr Health Sci. Sep ,13(3),pp.785-90, 2013.

T Chandola , C Jenkinson. The new UK National Statistics Socio-Economic Classification (NS-SEC); investigating social class differences in self-reported health status. J Public Health Med., 22(2),pp.182-90,2000.

J Ainamo , D Barmes , G Beagrie , T Cutress , J Martin , J Sardo-Infirri . Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J., vol 32(3),pp 281-9,1982.

PD Miller .A classification of marginal tissue recession. Int J Periodontics Restorative Dent.5,pp 8–13,1985.

MP Pignone, DA DeWalt .Literacy and Health Outcomes: Is Adherence the Missing Link? J Gen Intern Med.;vol 21(8), pp. 896–897,2006.

DW Stewart , CE Adams , MA Cano , V Correa-Fernández , Y Li , AJ Waters , DW Wetter , JI Vidrine Associations between health literacy and established predictors of smoking cessation. , vol 103,pp 7, May 16. ,2013.

NL Benowitz, H Porchet, P Jacob, R Allardd. Pharmacokinetics, metabolism, and pharmacodynamics of nicotine. Nicotine psychopharmacology: molecular, cellular, and behavioural aspects. Oxford University Press. pp 1996, pp 112-157.

Axell T, Hedin CA. Epidemiologic study of excessive oral melanin pigmentation with special reference to the influence of tobacco habits. Scand J Dent Res, vol 90(6), pp.434, 1982.

CA Hedin, JJ Pinborg, T Axell. Disappearance of smoker’s melnosis after reducing smoking. J Oral Pathol Med., vol 22: pp.228-30, (1993).

T Saini, PC Edwards, NS Kimmes, LR Carroll, JW Shaner, FJ Doud .Etiology of xerostomia and dental caries among methamphetamine abusers. Oral Health Prev Dent.,3(3),pp,189-95,2005.

HY Sroussi, D Villines, J Epstein, MC Alves, ME Alves .Oral lesions in HIV-positive dental patients. One more argument for tobacco smoking cessation. Oral Dis.,pp. 13:324,2007.

P Holmstrup, M Bessermann .Clinical, therapeutic, and pathologic aspects of chronic multifocal candidiasis. Oral Surg Oral Med Oral Pathol; ,56, pp.388-95,1983.

TZ Zheng , P Boyle , HF Hu , J Duan , PJ Jiang , DQ Ma , LP Shui , SR Niu , B MacMahon ,Tobacco smoking, alcohol consumption, and risk of oral cancer: a case-control study in Beijing, People's Republic of China. Cancer Causes Control., 1(2),pp. 173-9, 1990.

P Axelsson , B Nyström , J Lindhe .The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol., 31(9),pp.749-57,2004).


How to Cite
Agbor, A. M., & Jupkwo, Y. F. J. (2020). Oral Health of Tobacco and Non-Tobacco Consumers Inyaounde, Cameroon. European Journal of Dental and Oral Health, 1(2). https://doi.org/10.24018/ejdent.2020.1.2.3