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  • Tobacco Use and Its Effects On The Periodontium and Periodontal Therapy

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    Ranuch Tak
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    This document summarizes the effects of tobacco use on periodontal health and periodontal therapy. It discusses how smoking is a risk factor for periodontitis based on epidemiological research. Smoking is associated with increased periodontal pocket depth, clinical attachment loss, and tooth loss. It also negatively impacts periodontal tissues, increases oral bacteria, and causes poorer responses to periodontal treatments like soft and hard tissue grafts. The conclusion is that smoking significantly increases the progression of periodontal disease and the risk of susceptibility, so both clinicians and patients should be concerned about it during active therapy and health maintenance.

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    This document summarizes the effects of tobacco use on periodontal health and periodontal therapy. It discusses how smoking is a risk factor for periodontitis based on epidemiological research. Smoking is associated with increased periodontal pocket depth, clinical attachment loss, and tooth loss. It also negatively impacts periodontal tissues, increases oral bacteria, and causes poorer responses to periodontal treatments like soft and hard tissue grafts. The conclusion is that smoking significantly increases the progression of periodontal disease and the risk of susceptibility, so both clinicians and patients should be concerned about it during active therapy and health maintenance.

    Copyright:

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    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    77 views8 pages

    Tobacco Use and Its Effects On The Periodontium and Periodontal Therapy

    Uploaded by

    Ranuch Tak
    This document summarizes the effects of tobacco use on periodontal health and periodontal therapy. It discusses how smoking is a risk factor for periodontitis based on epidemiological research. Smoking is associated with increased periodontal pocket depth, clinical attachment loss, and tooth loss. It also negatively impacts periodontal tissues, increases oral bacteria, and causes poorer responses to periodontal treatments like soft and hard tissue grafts. The conclusion is that smoking significantly increases the progression of periodontal disease and the risk of susceptibility, so both clinicians and patients should be concerned about it during active therapy and health maintenance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 8

    Tobacco Use and Its Effects on the Periodontium and Periodontal Therapy

    The Journal of contemporary dental proactice Vandana K. Ranuch TAK ID: 555130017-3

    Objective
    Aim: to present a review of the potential biological mechanisms underlying the effects of tobacco smoking on periodontal health & periodontal therapy US Surgeon Generals reported in 1964
    Smoking causes lung cancer Associated with cardiovascula disease

    Epidemiological research indicates tobacco related with incidence and prevalence of medical problems
    Cancer, low birth weight, pulmonary, CVS & GI disease

    Introduction
    Gelesky reported that smoking is a true risk factor for periodontitis

    Other studies reported that


    Smoking associated with increasing PD, CAL

    1.1 billion smokers worldwide

    182 million (16.6%) live in india (age rank 13 -15 years)


    34% smoke Bidis 31% regular cigarete 35% smokless tobaco

    Smoking & ANUG


    Smoking is related to ANUG reported since 1947 Preexisting gingivitis + emotional/psychic stress + smoking predisposing factor of disease Karadaci notes
    Release epinephrine contraction of peripheral vx Reduce blood flow gingiva

    Interaction bt Smoking and Systemic Health Status


    In Eric County Pennsylvania study
    DM with smoking age > 45 year P.gingivalis, T.forsythesis 30times loss of attachment Bone loss in AIDS & HIV serotype patient

    Age, Sex & Cigarette Smoking


    Carranza reported Female 20 39 & Male 30 59 years
    Twice time to become periodontitis edentulous

    Cigarette smoking & Oral Health


    Increase oral debris and plaque in smoker>non smoke

    Smoker tends to lack of OHI


    Oral Flora
    Smoker>non smoke of putative bacteria No significant subgingival microflora

    Subgingival microflora in Periodontits of smoking pt


    A. actinomycetemcommintans, P.gingivalis and T.forsthesis E.coli and Candida albicans

    Effect of smoking on periodontal tissue


    Smoking reduce gingiva inflammation Inhibited fibroblast growth Smoking Increase risk of tooth loss
    IL-1 + smoking 7.7 time

    Increase clinical parameter


    Soft & hard tissue grafting
    Less root coverage 57% vs non smoking 78%

    Implant failure 0%-17%

    Conclusion
    Smoking is a true risk factor of periodontitis
    Significant increase progressing of periodontal disease Causing poor response to periodontal therapy

    Smoking with environmental factor and genetic factor


    Increase risk of susceptible to periodontal disease

    Both clinicians and patients should concern during


    Active periodontal therapy Health maintenance

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