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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Consider the prevalence of tobacco use among teenagers in the United States (2009 study):
26% of high school students report some tobacco use (cigarettes, smokeless tobacco, cigars).
19.5% of high school students were current cigarette smokers.
14% of high school students reported cigar use.
8.9% of all high school students used smokeless tobacco.

Oral Effects of Tobacco
Tobacco has a direct carcinogenic effect on the epithelial cells of the oral mucous membranes and may cause oral cancer.

Tobacco can also have the following oral effects:

  • Tooth stains and discoloration
  • Halitosis
    Halitosis: A condition of having fetid breath.
  • Calculus formation
    Calculus: A concretion on teeth; an incrustation on the teeth consisting of plaque that has become hardened by the deposition of mineral salts.
Encouraging patients to quit smoking or using chewing tobacco can have positive effects on both their general and oral health.
Fast Facts
26% of high school students in the United States report some tobacco use.
Tobacco use promotes calculus formation, which in turn, increases the risk for periodontal disease.
All forms of tobacco are carcinogenic.
8.9% of all high school students used smokeless tobacco.

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