Community dentistry and oral epidemiology
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Community Dent Oral Epidemiol · Feb 2005
Assessment of risk factors for oral leukoplakia in West Virginia.
To assess risk factors associated with oral leukoplakia in a US population with high use of smoked tobacco and smokeless tobacco. ⋯ Generalizability is an issue when studying risk factors associated with oral leukoplakia because of geographical variations in the composition of smokeless tobacco (i.e. betel, lime, ash, and N-nitrosamines) and cultural variations in the use of tobacco (i.e. reverse smoking). Snuff was the main smokeless tobacco product currently used in West Virginia, and was strongly associated with oral leukoplakia, after adjusting for potential explanatory variables.