engleski

Comparison of initial periodontal therapy outcome in smoking and non-smoking patients with chronic periodontits

Cigarette smoking is accepted as an important factor that increases the risk for initiation and progression of chronic periodontitis (CP). The aim of this study was to evaluate the success of initial periodontal therapy (IPT) in smoking (S) and nonsmoking (NS) individuals with CP. Material and Methods: A comparative study was carried out on a systematically selected sample of 43 patients, 22 S (51.2%, median age 40) and 21 NS patients (48.8%, median age 43). Exclusion criteria for the study included: pregnancy, chronic use of antibiotics, significal illness or condition that could affect periodontal status. Subjects were interviewed about their smoking habits and clinical examination was performed by a qualified periodontist. We used periodontal pockets probing depth (PD) before and three months after the therapy, being the most important clinical index for prediction of further disease progression. Four PD measurements were recorded (buccal, lingual, mesial and distal) for each tooth. Results: Effectiveness of the IPT was tested by comparing the PD values before and after the therapy. By analyzing the number of tooth surfaces that showed reduction of PD more than 1.5 mm, we found statistically significant reduction in group of S patients (v2 = 6.62, P = 0.010). Conclusion: IPT was successful in S and NS patients. The reduction of periodontal pocket depth was significally higher in smoking patients that can be related to initial higer probing depths in this group of patients.

cigarette smoking; chronic periodontitis

Ref no: EUABS065676