Declaration of Nonsmoking of The Japan Health Care Dental Association

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Declaration of Nonsmoking

This declaration was adopted at the Autumn Meeting in Osaka held in October 21, 2001.

The Japan Health Care Dental Association
October 21, 2001

Declaration of Nonsmoking

The Japan Health Care Dental Association, which has pursued "popularizing dental care focused on keeping and promoting health", has carried various activities and made several proposals since its establishment aiming to improve various problems which obstruct people from maintaining oral health.

According to the survey on dental disease conducted by Labour and Health and Welfare Ministry in 1999, about 5 teeth in average were lost during a decade after 50 years old. The data obtained by the survey conducted on the member clinics of The Japan Health Care Dental Association indicated similar trend. This rapid tooth-loss over middle age is due to caries and periodontal diseases in most cases. And, it has been indicated in many studies that the largest risk factor of periodontal disease is smoking habit.

However, both caries and periodontal disease are caused in relation to multiple factors, and therefore, it makes it difficult to evaluate how smoking habit contributes to tooth-loss. Especially, under such circumstances in Japan that dental care has been heavily inclining to restorative treatment, the risk of smoking habit is masked by the factors derived from these treatments and then, it is not always evident. According to the survey by The Japan Health Care Dental Association, it has been indicated that the attachment loss of the first visit smoking-patient has progressed faster for approximately 10 years than those who do not smoke.

When the both groups have been kept under the same control after periodontal treatment, it has been brought to light that the ratio of these smokers' tooth-loss is about twofold of non-smokers.

In cognition of these circumstances, the Japan Health Care Dental Association declares to tackle actively with smoking problem.

  1. Let all patients know about harmful effect caused by active and passive smoke and for those who have smoking habit, provide instruction and support for them to secede smoking.
  2. Utilize every possible opportunity in the school and community in order to carry educational activities towards younger generations such as schoolchildren not to start smoking.
  3. Conduct surveys to find smoking ratio, effect of nonsmoking instruction and support, and effect of nonsmoking education targeting patients who visit the association' member's clinics.
  4. Compile and report clinical epidemiological data for relationship between oral diseases and smoking habit and the effect of nonsmoking for health.