Background
Tobacco use, whether through cigarettes or waterpipes, has been associated with the development of oxidative stress and a reduction in antioxidant defense. There is dearth of information on the impact of smoking frequency and duration among individuals of close age brackets. This study therefore aimed to assess salivary Total Antioxidant Capacity (TAOc) concentration among male dental students of different narrow age range with different smoking habits, including non-smokers, cigarette smokers, waterpipe users, and dual users.
Methods
In this cross-sectional study, 89 male dental students aged approximately 21.3 years were divided into four groups: non-smokers (n=14), cigarette smokers (n = 39), waterpipe users (n=11), and dual users (n=25). Smoking frequency and duration were recorded, and TAOc levels were measured. Data were analyzed using one-way ANOVA and post hoc Tukey tests.
Results
A significant difference in TAOc levels was observed among the four groups (P < 0.05). Non-smokers exhibited the highest antioxidant levels (27.93±3.79 U/ml), followed by waterpipe smokers (17.40±6.02 U/ml), cigarette smokers (15.59±7.45 U/ml), and dual users (9.68±6.89 U/ml). Post hoc analysis revealed that non-smokers had significantly higher TAOc levels compared to all smoking groups (P ≤ 0.001). Additionally, dual users had significantly lower TAOc than both single-type smokers. Smoking duration and frequency also influenced antioxidant levels, with a significant reduction observed in those with longer durations of use or higher frequency of smoking consumption.
Conclusion
Smoking, particularly dual use of cigarettes and waterpipes, is associated with a significant decline in salivary antioxidant capacity. Longer smoking duration and higher frequency further exacerbate this decline, highlighting the potential oxidative damage associated with tobacco use in young adults.
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