Evidence map›Paper›PMID 39707762›Full record

ArticleJournal of clinical periodontology2025

Causal Effect of Smoking and Cessation on Tooth Loss.

Sebastian-Edgar Baumeister, Stefan Listl, Birte Holtfreter, Gustavo G Nascimento, Fabio R M Leite

Abstract read
In one paragraph

Article in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sebastian-Edgar BaumeisterInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID 0000-0002-9391-6602
Stefan ListlHeidelberg Institute of Global Health - Section for Oral Health, Heidelberg University Hospital, Heidelberg University, Heidelberg, Germany.
Birte HoltfreterDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.
Gustavo G NascimentoNational Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.ORCID 0000-0002-4288-6300
Fabio R M LeiteNational Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo estimate the causal effects of smoking and cessation on tooth loss using instrumental variable (IV) analysis. MATERIAL AND

methodsData from the Behavioural Risk Factor Surveillance System (BRFSS), conducted from 1995 to 2006, 2008, 2010, and 2012 in 50 U.S. states and Washington DC, were merged with cigarette pack prices and smoking ban data from the CDC 'Tax Burden on Tobacco' and 'State Tobacco Activities Tracking and Evaluation' (STATE) System. Prices and bans served as IVs for ever smoking and cessation in a control function IV model for self-reported edentulism and loss of 6+ teeth. IV models were adjusted for age, sex, race/ethnicity, educational attainment, type 2 diabetes, state unemployment rates, state health expenditures, and state fixed effects.

resultsEver smoking cigarettes increased the risk of edentulism by 2.6% (95% CI: 2.3%-2.8%) and the risk of loss of 6+ teeth by 10.7% (95% CI: 10.0%-11.3%). Smoking cessation reduced risks of edentulism and loss of 6+ teeth by 7.6% (95% CI: -7.8% to -742%) and 13.5% (95% CI: -13.7% to 13.3%), respectively.

conclusionThis study provides robust evidence that smoking increases tooth loss risk, while cessation significantly reduces it, emphasizing the oral health benefits of tobacco control policies.

Indexed as

SmokingSmoking CessationTooth LossAdultAgedBehavioral Risk Factor Surveillance SystemFemaleHumansMaleMiddle AgedRisk FactorsUnited Statescigarette priceinstrumental variablesmokingsmoking banstooth loss

Identifiers

PMID39707762
PMCPMC11949599

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.