Tobacco and Oral Cancer

Tobacco use is the single largest preventable cause of oral cancer. Scientific evidence shows that most oral and lung cancers caused by tobacco can be prevented by avoiding tobacco in all forms.

Odisha has one of the highest rates of smokeless tobacco use in India, placing a large segment of the population at serious risk.

Tobacco Use in Odisha – A Serious Concern

• Approximately 43% of adults use smokeless tobacco
• About 40% of rural women use smokeless tobacco
• Nearly 75% of people in tribal communities use some form of tobacco

Common forms include gutka, khaini, betel quid with tobacco, pan masala with tobacco, zarda, gudakhu, cigarettes and bidis.

How Tobacco Damages the Mouth

• Gum bleeding and periodontal disease
• Bone loss around teeth
• Loose teeth and gum attachment
• Loss of enamel and tooth surface wear
• Potentially malignant oral lesions

Tobacco users have 1.7–2.5 times higher risk of serious oral problems compared to non-users.

Oral Cancer Risk

In the Bhubaneswar (Khordha) region, oral cancer incidence is approximately 11.1 per 100,000 people, with tobacco identified as the primary cause.

• Most common site: inner cheek (gingivobuccal region)
• Oral cancer forms a major share of head and neck cancers
• Both men and women are affected

How to Reduce Your Risk

• Avoid tobacco in all forms
• Limit or avoid alcohol
• Maintain good oral hygiene
• Eat fruits and vegetables rich in antioxidants
• Visit a dentist every 6 months
• Get regular oral cancer screening if high-risk

Related Patient Education

• Oral Health Status in Bhubaneswar
• Is Daily Use of Mouthwash Safe?
• Gum Disease Treatment
• Preventive Dentistry