{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:17Z","timestamp":1787169737626,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Smokeless tobacco (SLT) has been consumed in India since times immemorial. It is the need of an hour to emphasise about awareness and harmful effects of SLT in relation to periodontium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to access the prevalence of periodontitis and its association with SLT amongst the adult population of Greater Noida, India. Settings and Design: Hospital-based study and cross-sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Material:<\/jats:title>\n                    <jats:p>This cross-sectional study included 512 SLT subjects between the ages of 18 and 79 years. The study was carried out from December 2019 to January 2022. A self-designed questionnaire was used for recording demographic details, forms of SLT, frequency, duration of use, and sites of retention of SLT products. The clinical periodontal parameters such as periodontal pocket depth (PPD) and clinical attachment level (CAL) were recorded in a given point of time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Chi-square test and logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The prevalence of periodontitis among SLT was 81.6% with the highest occurrence of Stage III Periodontitis (35.4%). The use of SLT for \u226510 years [odds ratio (OR) = 3.05, 95% confidence interval (CI) 1.86\u20136.27] showed threefold the risk for periodontitis compared to others who consumed SLT for 4\u20135 years.\n                      <jats:italic toggle=\"yes\">Gutkha<\/jats:italic>\n                      consumers [OR = 2.56 (95% CI = 0.75\u20133.48)] were 2.56 times more prone to have periodontitis as compared to other forms of SLT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Periodontitis is positively associated with SLT use. Awareness, timely intervention, and periodic screening in the SLT users will help to prevent the progression of periodontitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijdr.ijdr_351_22","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T08:09:19Z","timestamp":1680163759000},"page":"397-401","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of Periodontitis and its Association with Smokeless Tobacco (SLT) Use Amongst the Adult Population of Greater Noida, India - A Cross-Sectional Study"],"prefix":"10.4103","volume":"33","author":[{"given":"Simoona","family":"Athar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachit A.","family":"Arora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupali","family":"Kalsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Saurav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram","family":"Arora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Baro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240828","doi-asserted-by":"crossref","first-page":"744","DOI":"10.3390\/healthcare9060744","article-title":"Patterns of periodontal destruction among smokeless tobacco users in a central Indian population","volume":"9","author":"Anand","year":"2021","journal-title":"Healthcare"},{"key":"R2-11-20240828","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1177\/0022034514552491","article-title":"Global burden of severe periodontitis in 1990-2010","volume":"93","author":"Kassebaum","year":"2014","journal-title":"J Dent Res"},{"key":"R3-11-20240828","doi-asserted-by":"crossref","first-page":"2146160","DOI":"10.1155\/2020\/2146160","article-title":"Global prevalence of periodontal disease and lack of its surveillance","volume":"2020","author":"Nazir","year":"2020","journal-title":"Sci World J"},{"key":"R4-11-20240828","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s12903-021-01416-3","article-title":"Current status of periodontitis and its association with tobacco use amongst adult population of Sunsari District, in Nepal","volume":"21","author":"Goel","year":"2021","journal-title":"BMC Oral Health"},{"key":"R5-11-20240828","doi-asserted-by":"crossref","first-page":"e113385","DOI":"10.1371\/journal.pone.0113385","article-title":"Systematic review and meta-analysis of association of smokeless tobacco and of betel quid without tobacco with incidence of oral cancer in South Asia and the Pacific","volume":"9","author":"Gupta","year":"2014","journal-title":"PLoS One"},{"key":"R8-11-20240828","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1007\/s12098-020-03200-7","article-title":"An update of B.G. 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