Localized Gingival Recession Associated with Smokeless Tobacco Placement in the Oral Cavity: A Paired Comparison Study

Authors

  • Bushra Jabeen Dow International Dental College, Dow University of Health Sciences, Karachi
  • Muhammad Yasir Ilyas Department of Prosthodontics, Dow University of Health Sciences, Karachi
  • Rabia Arshad Dow International Dental College, Dow University of Health Sciences, Karachi
  • Salik Rasool Dow International Dental College, Dow University of Health Sciences, Karachi
  • Hira Musharraf Dow International Dental College, Dow University of Health Sciences, Karachi

DOI:

https://doi.org/10.37762/jgmds.13-2.786

Keywords:

Smokeless Tobacco, Chewing Tobacco, Oral Tobacco, Gingival Recession, Receding Gums

Abstract

ABSTRACT

OBJECTIVES

This study aimed to identify the association between smokeless tobacco consumption and localised gingival recession in the oral cavity.

METHODOLOGY

A paired comparison study was conducted in the Oral Diagnosis Departments of Dow University of Health Sciences between 2019 and 2022. In the convenience sampling, 380 participants provided informed consent, and data were collected using a closed-ended questionnaire. Gingival recession was evaluated using the CPITN probe (community periodontal index of treatment needs) procedure with Miller's classification. Data was analysed with SPSS 26 for descriptive and analytical statistics.

RESULTS                                                            
The gingival recession was more prevalent on the side exposed to chewing tobacco (p=0.019). Variables such as age and smoking also showed statistically significant results with gingival recession (P<0.001). Binary logistic regression analysis demonstrated that chewing tobacco habits were significantly associated with gingival recession (B = 1.063, SE = 0.265, Wald = 16.151, p < 0.001). The odds ratio indicated that individuals with a chewing tobacco habit had 0.345 times the odds of the outcome compared with those without the habit.

CONCLUSION

Smokeless tobacco consumption is strongly associated with gingival recession.

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Author Biographies

Bushra Jabeen, Dow International Dental College, Dow University of Health Sciences, Karachi

Associate Professor,
Department of Prosthodontics,
Dow International Dental College, Dow University of Health Sciences, Karachi

Muhammad Yasir Ilyas, Department of Prosthodontics, Dow University of Health Sciences, Karachi

MSC Prosthodontics,
Department of Prosthodontics, Dow University of Health Sciences, Karachi

Rabia Arshad, Dow International Dental College, Dow University of Health Sciences, Karachi

Professor,
Department of Pharmacology,
Dow International Dental College, Dow University of Health Sciences, Karachi

Salik Rasool, Dow International Dental College, Dow University of Health Sciences, Karachi

Associate Professor,
Department of Pathology,
Dow International Dental College, Dow University of Health Sciences, Karachi

Hira Musharraf, Dow International Dental College, Dow University of Health Sciences, Karachi

Assistant Professor,
Department of Prosthodontics,
Dow International Dental College, Dow University of Health Sciences, Karachi

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Published

2026-04-01

How to Cite

Jabeen, B., Ilyas, M. Y., Arshad, R., Rasool, S., & Musharraf, H. (2026). Localized Gingival Recession Associated with Smokeless Tobacco Placement in the Oral Cavity: A Paired Comparison Study. Journal of Gandhara Medical and Dental Science, 13(2), 98–103. https://doi.org/10.37762/jgmds.13-2.786