An overview of oral mucosa condition of shisha smoker

Objective: Aim of this study is to describe the oral mucosa condition of shisha user. A preliminary observasional study was conducted at several sisha cafe at South Jakarta. Under informed consent, subject with habit of tobacco and shisha smoker were included. Material and Methods: Shisha is a water pipe that contains tobacco extract and flavored.It is burnt using coal. It produces the smoke through the vessel and inhaled using a hose which gives good aroma. The culture of shisha smoking is popular in Midle East country that curently has been also entering Indonesia. Results: The side effect of shisha smoking habit is still very rarely reported. Sociodemographic data (age, gender, durationand frequency of smoking), salivary flow rate and oral mucosa changes were documented. Eighteen subjects were recruited into this study. Most of shisha smoker was also tobacco smoker. Shisha was more practiced by males at age (15–24 years old). The oral mucosa changes such as keratosis, melanosis, leukoedema, coated tongue, gingivitis and xerostomia were found on subject with habit of tobacco smoking or both shisha and tobacco smoking. Conclusion: Apparently the shisha smoking habit may casue oral mucosa changes almost the same with tobacco smoking habit.