Clinical Effects of Smoking on Initial Periodontal Treatment in Patients with Stage III Grade C Periodontitis

Abstract

Objective: This study aimed to determine the impact of smoking on clinical parameters and GCF volume following initial periodontal therapy (IPT). Material and Methods: A total of 42 participants, 14 non-smoker periodontally healthy and 28 stage III grade C periodontitis (14 non-smokers and 14 smokers) individuals, were included. All clinical periodontal parameters, plaque index (PI), gingival index (GI), bleeding on probing (BoP), pocket depth (PD) and clinical attachment level (CAL), were recorded and gingival crevicular fluid (GCF) samples were collected from all patients at baseline from all participants, and 1 and 3 months after IPT from periodontitis patients. Results: At baseline, all clinical parameters and GCF volume were lower in the healthy group than in the periodontitis groups (p<0.001). 1 and 3 months after IPT, the reductions were seen in all clinical parameters and GCF volüme in non-smoker and smoker stage III grade C periodontitis groups (p<0.001). At 3 months after IPT, GI, PD, and CAL were lower, and GCF volume was higher in the non-smoker stage III grade C periodontitis group compared to the smoking stage III stage C periodontitis group. (p<0.05). Conclusions: Although improvement was observed with IPT in both non-smoker and smoker periodontitis patients, smoking was found to have a negative effect on IPT.

Keywords

• periodontal pocket
• periodontitis
• smoking

Sigaranın Evre III Derece C Periodontitisli Hastalarda Başlangıç Periodontal Tedavi Üzerindeki Klinik Etkileri

Abstract

Amaç: Bu çalışmanın amacı, sigaranın başlangıç periodontal tedavi (BPT) sonrası klinik parametreler ve dişeti oluğu sıvısı (DOS) hacmi üzerindeki etkisini değerlendirmektir. Gereç ve Yöntemler: Çalışmaya 14 sigara içmeyen periodontal sağlıklı ve 28 evre III derece C periodontitisli (14 sigara içmeyen ve 14 sigara içen) birey olmak üzere toplam 60 katılımcı dahil edildi. Başlangıçta, tüm bireylerin plak indeks (Pİ), gingival indeks (Gİ), sondalamada kanama (SK), cep derinliği (CD) ve klinik ataşman seviyesini (KAS) içeren klinik periodontal parametreler kaydedildi ve tüm bireylerden DOS örnekleri toplandı. BPT sonrası 1. ve 3. Ayda periodontitisli bireylerde klinik ölçümler ve DOS örneği alımı tekrarlandı. Bulgular: Başlangıçta tüm klinik parametreler ve DOS hacmi sağlıklı grupta periodontitis gruplarına göre daha düşük görüldü (p<0.001). BPT sonrası 1. ve 3. ayda sigara içmeyen ve sigara içen evre III derece C periodontitis gruplarında tüm klinik parametrelerde ve DOS hacminde azalma meydana geldi (p<0.001). BPT sonrası 3. ayda, sigara içmeyen evre III derece C periodontitis grubunda, sigara içen evre III evre C periodontitis grubuna göre Gİ, CD ve KAS daha düşük, DOS hacmi ise daha yüksek tespit edildi (p<0.05). Sonuç: Sigara içen ve içmeyen periodontitisli hastalarda BPT ile iyileşme görülmesine rağmen, sigaranın BPT üzerinde negatif etkisi olduğu tespit edildi.

Keywords

• periodontal cep
• periodontitis
• sigara

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