Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Caries | Research

Dental caries experience among qat chewers in dental college clinics, Jazan, Saudi Arabia

Authors: Esam Halboub, Abdulwahab Ahmed Alamri, Ghazi Kamili, Ahmed Shaher Alqahtani

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Aims

There is a considerable debate on the impact of qat chewing on dental and oral health. Thereby, this study aimed at assessing the dental caries among qat chewers (QC) and non-qat chewers (NQC) who attend outpatient dental clinics, College of Dentistry, Jazan, Saudi Arabia.

Materials and methods

A sample of 100 QC and 100 NQC were recruited amongst those attended dental clinics, college of dentistry, Jazan University during the 2018–2019 academic year. Their dental health was assessed by three pre-calibrated male interns using DMFT index. The Care Index, Restorative Index and Treatment Index were calculated. Comparisons between both subgroups were done using independent t test. Multiple linear regression analyses were further conducted to stand on the independent determinants of the oral health among this population.

Results

QC were unintentionally older (36.55 ± 8.74 years) than NQC (32.96 ± 8.49 years; P = 0.004). Fifty-six percent of QC reported brushing their teeth compared to only 35% (P = 0.001). NQC with university and postgraduate educational levels were more than QC. The mean Decayed [5.91 (5.16)] and DMFT [9.15 (5.87)] were higher among QC compared to NQC [3.73 (3.62) and 6.7 (4.58); P = 0.001 and 0.001, respectively]. The other indices were not different between both subgroups. The multiple linear regression revealed that qat chewing and age, individually or together, as independent determinants for the dental decay, missing, DMFT and TI.

Conclusion

Qat chewing habit has a detrimental impact on dental health. It is associated with higher dental caries and missing teeth, and a lower treatment index.
Literature
1.
2.
go back to reference Cochrane L, O’Regan D. Legal harvest and illegal trade: trends, challenges, and options in khat production in Ethiopia. Int J Drug Policy. 2016;30:27–34.CrossRefPubMed Cochrane L, O’Regan D. Legal harvest and illegal trade: trends, challenges, and options in khat production in Ethiopia. Int J Drug Policy. 2016;30:27–34.CrossRefPubMed
3.
go back to reference Halboub E, Dhaifullah E, Abdulhuq M. Khat chewing and smoking effect on oral mucosa: a clinical study. Acta Medica (Hradec Kralove). 2009;52(4):155–8.CrossRefPubMed Halboub E, Dhaifullah E, Abdulhuq M. Khat chewing and smoking effect on oral mucosa: a clinical study. Acta Medica (Hradec Kralove). 2009;52(4):155–8.CrossRefPubMed
5.
go back to reference Almashraqi AA, Ahmed EA, Mohamed NS, Al-Maweri SA, Halboub ES. Evaluation of the effects of chronic qat chewing on lateral pterygoid muscle using MRI. Cranio. 2022;40(2):135–43.CrossRefPubMed Almashraqi AA, Ahmed EA, Mohamed NS, Al-Maweri SA, Halboub ES. Evaluation of the effects of chronic qat chewing on lateral pterygoid muscle using MRI. Cranio. 2022;40(2):135–43.CrossRefPubMed
6.
go back to reference Almashraqi AA, Ahmed EA, Mohamed NS, Halboub ES. An MRI evaluation of the effects of qat chewing habit on the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(3):272-282.e272.CrossRefPubMed Almashraqi AA, Ahmed EA, Mohamed NS, Halboub ES. An MRI evaluation of the effects of qat chewing habit on the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126(3):272-282.e272.CrossRefPubMed
7.
go back to reference Almashraqi AA, Barngkgei I, Halboub ES, Al-Maweri SA, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in the temporomandibular joints of chronic qat chewers: radiographic bone density and trabecular microstructural analyses. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132(4):465–74.CrossRefPubMed Almashraqi AA, Barngkgei I, Halboub ES, Al-Maweri SA, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in the temporomandibular joints of chronic qat chewers: radiographic bone density and trabecular microstructural analyses. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132(4):465–74.CrossRefPubMed
8.
go back to reference Almashraqi AA, Halboub ES, Al-Maweri SA, Barngkgei I, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in temporomandibular joint of chronic qat chewers: dimensional and osteoarthritic changes. J Oral Rehabil. 2020;47(12):1538–49.CrossRefPubMed Almashraqi AA, Halboub ES, Al-Maweri SA, Barngkgei I, Al-Wesabi MA, Al-Kamel A, Alhammadi MS, Alamir AH. Cone beam computed tomography findings in temporomandibular joint of chronic qat chewers: dimensional and osteoarthritic changes. J Oral Rehabil. 2020;47(12):1538–49.CrossRefPubMed
9.
10.
go back to reference Alsanosy RM, Mahfouz MS, Gaffar AM. Khat chewing among students of higher education in Jazan region, Saudi Arabia: prevalence, pattern, and related factors. Biomed Res Int. 2013;2013: 487232.CrossRefPubMedPubMedCentral Alsanosy RM, Mahfouz MS, Gaffar AM. Khat chewing among students of higher education in Jazan region, Saudi Arabia: prevalence, pattern, and related factors. Biomed Res Int. 2013;2013: 487232.CrossRefPubMedPubMedCentral
12.
go back to reference Mahfouz MS, Rahim BE, Solan YM, Makeen AM, Alsanosy RM. Khat chewing habits in the population of the Jazan Region, Saudi Arabia: prevalence and associated factors. PLoS ONE. 2015;10(8): e0134545.CrossRefPubMedPubMedCentral Mahfouz MS, Rahim BE, Solan YM, Makeen AM, Alsanosy RM. Khat chewing habits in the population of the Jazan Region, Saudi Arabia: prevalence and associated factors. PLoS ONE. 2015;10(8): e0134545.CrossRefPubMedPubMedCentral
13.
go back to reference Sheikh KA, El-Setouhy M, Yagoub U, Alsanosy R, Ahmed Z. Khat chewing and health related quality of life: cross-sectional study in Jazan region, Kingdom of Saudi Arabia. Health Qual Life Outcomes. 2014;12:44.CrossRefPubMedPubMedCentral Sheikh KA, El-Setouhy M, Yagoub U, Alsanosy R, Ahmed Z. Khat chewing and health related quality of life: cross-sectional study in Jazan region, Kingdom of Saudi Arabia. Health Qual Life Outcomes. 2014;12:44.CrossRefPubMedPubMedCentral
15.
go back to reference Al-Maweri SA, Warnakulasuriya S, Samran A. Khat (Catha edulis) and its oral health effects: an updated review. J Investig Clin Dent. 2018;9(1):e12288.CrossRef Al-Maweri SA, Warnakulasuriya S, Samran A. Khat (Catha edulis) and its oral health effects: an updated review. J Investig Clin Dent. 2018;9(1):e12288.CrossRef
17.
go back to reference Borg-Bartolo R, Roccuzzo A, Molinero-Mourelle P, Schimmel M, Gambetta-Tessini K, Chaurasia A, Koca-Unsal RB, Tennert C, Giacaman R, Campus G. Global prevalence of edentulism and dental caries in middle-aged and elderly persons: a systematic review and meta-analysis. J Dent. 2022;127: 104335.CrossRefPubMed Borg-Bartolo R, Roccuzzo A, Molinero-Mourelle P, Schimmel M, Gambetta-Tessini K, Chaurasia A, Koca-Unsal RB, Tennert C, Giacaman R, Campus G. Global prevalence of edentulism and dental caries in middle-aged and elderly persons: a systematic review and meta-analysis. J Dent. 2022;127: 104335.CrossRefPubMed
18.
go back to reference Shiferaw A, Alem G, Tsehay M, Kibret GD. Dental caries and associated factors among diabetic and nondiabetic adult patients attending Bichena Primary Hospital’s Outpatient Department. Front Oral Health. 2022;3: 938405.CrossRefPubMedPubMedCentral Shiferaw A, Alem G, Tsehay M, Kibret GD. Dental caries and associated factors among diabetic and nondiabetic adult patients attending Bichena Primary Hospital’s Outpatient Department. Front Oral Health. 2022;3: 938405.CrossRefPubMedPubMedCentral
19.
go back to reference Guracho TT, Atomssa EM, Megersa OA, Tolossa T. Determinants of dental caries among adolescent patients attending Hospitals in West Wollega Zone, Western Ethiopia: a case-control study. PLoS ONE. 2021;16(12): e0260427.CrossRefPubMedPubMedCentral Guracho TT, Atomssa EM, Megersa OA, Tolossa T. Determinants of dental caries among adolescent patients attending Hospitals in West Wollega Zone, Western Ethiopia: a case-control study. PLoS ONE. 2021;16(12): e0260427.CrossRefPubMedPubMedCentral
20.
go back to reference Al-Haddad KA, Al-Hebshi NN, Al-Ak’hali MS. Oral health status and treatment needs among school children in Sana’a City, Yemen. Int J Dent Hyg. 2010;8(2):80–5.CrossRefPubMed Al-Haddad KA, Al-Hebshi NN, Al-Ak’hali MS. Oral health status and treatment needs among school children in Sana’a City, Yemen. Int J Dent Hyg. 2010;8(2):80–5.CrossRefPubMed
21.
go back to reference Halboub E, Dhaifullah E, Yasin R. Determinants of dental health status and dental health behavior among Sana’a University students, Yemen. J Investig Clin Dent. 2013;4(4):257–64.CrossRefPubMed Halboub E, Dhaifullah E, Yasin R. Determinants of dental health status and dental health behavior among Sana’a University students, Yemen. J Investig Clin Dent. 2013;4(4):257–64.CrossRefPubMed
22.
go back to reference Hill CM, Gibson A. The oral and dental effects of q’at chewing. Oral Surg Oral Med Oral Pathol. 1987;63(4):433–6.CrossRefPubMed Hill CM, Gibson A. The oral and dental effects of q’at chewing. Oral Surg Oral Med Oral Pathol. 1987;63(4):433–6.CrossRefPubMed
23.
go back to reference World Medical A. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4.CrossRef World Medical A. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4.CrossRef
24.
go back to reference Gupta E, Innes N, Schuller AA, Vermaire JH, Marshman Z. A scoping review of the uses of the care index in children. Commun Dent Health. 2017;34(3):131–6. Gupta E, Innes N, Schuller AA, Vermaire JH, Marshman Z. A scoping review of the uses of the care index in children. Commun Dent Health. 2017;34(3):131–6.
25.
go back to reference Alebachew W, Semahegn A, Ali T, Mekonnen H. Prevalence, associated factors and consequences of substance use among health and medical science students of Haramaya University, eastern Ethiopia, 2018: a cross-sectional study. BMC Psychiatry. 2019;19(1):343.CrossRefPubMedPubMedCentral Alebachew W, Semahegn A, Ali T, Mekonnen H. Prevalence, associated factors and consequences of substance use among health and medical science students of Haramaya University, eastern Ethiopia, 2018: a cross-sectional study. BMC Psychiatry. 2019;19(1):343.CrossRefPubMedPubMedCentral
26.
go back to reference Bogale B, Engida F, Hanlon C, Prince MJ, Gallagher JE. Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia. BMC Public Health. 2021;21(1):180.CrossRefPubMedPubMedCentral Bogale B, Engida F, Hanlon C, Prince MJ, Gallagher JE. Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia. BMC Public Health. 2021;21(1):180.CrossRefPubMedPubMedCentral
27.
go back to reference Noman NA, Aladimi AA, Alkadasi BA, Alraawi MA, Al-Iryani GM, Shaabi FI, Khalid A, Moaleem MMA. Social habits and other risk factors that cause tooth loss: an associative study conducted in taiz governorate, Yemen. J Contemp Dent Pract. 2019;20(4):428–33.CrossRefPubMed Noman NA, Aladimi AA, Alkadasi BA, Alraawi MA, Al-Iryani GM, Shaabi FI, Khalid A, Moaleem MMA. Social habits and other risk factors that cause tooth loss: an associative study conducted in taiz governorate, Yemen. J Contemp Dent Pract. 2019;20(4):428–33.CrossRefPubMed
28.
go back to reference Santos PS, Barasuol JC, Moccelini BS, Magno MB, Bolan M, Martins-Junior PA, Maia LC, Cardoso M. Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig. 2022;26(2):1105–19.CrossRefPubMed Santos PS, Barasuol JC, Moccelini BS, Magno MB, Bolan M, Martins-Junior PA, Maia LC, Cardoso M. Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig. 2022;26(2):1105–19.CrossRefPubMed
29.
go back to reference Wang L, Cheng L, Yuan B, Hong X, Hu T. Association between socio-economic status and dental caries in elderly people in Sichuan Province, China: a cross-sectional study. BMJ Open. 2017;7(9): e016557.CrossRefPubMedPubMedCentral Wang L, Cheng L, Yuan B, Hong X, Hu T. Association between socio-economic status and dental caries in elderly people in Sichuan Province, China: a cross-sectional study. BMJ Open. 2017;7(9): e016557.CrossRefPubMedPubMedCentral
30.
go back to reference Giugliano D, d’Apuzzo F, Majorana A, Campus G, Nucci F, Flores-Mir C, Perillo L. Influence of occlusal characteristics, food intake and oral hygiene habits on dental caries in adolescents: a cross-sectional study. Eur J Paediatr Dent. 2018;19(2):95–100.PubMed Giugliano D, d’Apuzzo F, Majorana A, Campus G, Nucci F, Flores-Mir C, Perillo L. Influence of occlusal characteristics, food intake and oral hygiene habits on dental caries in adolescents: a cross-sectional study. Eur J Paediatr Dent. 2018;19(2):95–100.PubMed
31.
go back to reference Zeng L, Peng Y, Xu T, Wen J, Wan L, Ou X, Zhou X. Dental caries and associated factors among adolescents aged 12 to 15 in Jiangxi Province, China. J Public Health Dent. 2020;80(3):217–26.CrossRefPubMed Zeng L, Peng Y, Xu T, Wen J, Wan L, Ou X, Zhou X. Dental caries and associated factors among adolescents aged 12 to 15 in Jiangxi Province, China. J Public Health Dent. 2020;80(3):217–26.CrossRefPubMed
32.
go back to reference Suzuki H, Sugimoto K, Kubota-Miyazawa A, Noritake K, Umemori S, Araki K, Adachi N, Otsuka H, Yoshida N. A survey of oral health status, subjective oral symptoms and oral health behaviors among first-year dental students at a Japanese university. J Oral Sci. 2022;64(1):85–90.CrossRefPubMed Suzuki H, Sugimoto K, Kubota-Miyazawa A, Noritake K, Umemori S, Araki K, Adachi N, Otsuka H, Yoshida N. A survey of oral health status, subjective oral symptoms and oral health behaviors among first-year dental students at a Japanese university. J Oral Sci. 2022;64(1):85–90.CrossRefPubMed
33.
go back to reference Moussa DG, Ahmad P, Mansour TA, Siqueira WL. Current state and challenges of the global outcomes of dental caries research in the meta-omics era. Front Cell Infect Microbiol. 2022;12: 887907.CrossRefPubMedPubMedCentral Moussa DG, Ahmad P, Mansour TA, Siqueira WL. Current state and challenges of the global outcomes of dental caries research in the meta-omics era. Front Cell Infect Microbiol. 2022;12: 887907.CrossRefPubMedPubMedCentral
34.
go back to reference Sathiyakumar T, Vasireddy D, Mondal S. Impact of sociodemographic factors on dental caries in children and availing fluoride treatment: a study based on National Survey of Children’s Health (NSCH) data 2016–2019. Cureus. 2021;13(9): e18395.PubMedPubMedCentral Sathiyakumar T, Vasireddy D, Mondal S. Impact of sociodemographic factors on dental caries in children and availing fluoride treatment: a study based on National Survey of Children’s Health (NSCH) data 2016–2019. Cureus. 2021;13(9): e18395.PubMedPubMedCentral
Metadata
Title
Dental caries experience among qat chewers in dental college clinics, Jazan, Saudi Arabia
Authors
Esam Halboub
Abdulwahab Ahmed Alamri
Ghazi Kamili
Ahmed Shaher Alqahtani
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Caries
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02804-7

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue