Tobacco has been variously hailed as a gift from the gods, a
miraculous cure-all for life's physical ills, a solace to the
lonely soldier or sailor, a filthy habit, a corrupting addiction,
and the greatest disease-producing product known to man. Tobacco in
any form is a major independent risk factor for the development of
oral and pharyngeal cancer and other malignancies of the upper
aerodigestive tract. Tobacco contains several distinct compounds,
some of which are capable of inducing mutagenesis, and facilitate
tumorigenesis. It is believed that they exert their action by
damaging the DNA and therefore inducing mutations and could
ultimately lead to cancer. The dangers posed to oral health from
smoking and chewing tobacco are well documented within the dental
literature but the public's lack of knowledge of the risks is a
concern. However it is vital that more is done to ensure that
public awareness of tobacco-related oral diseases continues to
improve and more people are regularly screened. The combination of
providing opportunistic advice, together with regular screening
will reduce the overall morbidity and mortality from oral cancer
and other mouth disorders.
General
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