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Title: Influence of smoking on periodontal healing one year after active treatment

Abstract

Abstract Objective To investigate the impact of smoking on the reduction of pockets >4 mm deep and a composite variable of residual pockets >4 mm and bleeding on probing (BoP) after treatment. Methods Eligible after exclusion due to missing records were 3,535 individuals, referred for periodontal treatment between 1980 and 2015. The number of teeth (NT), probing pocket depth (PPD), proportion of plaque (PLI) and BoP were registered before treatment and 1 year after treatment. To analyse the impact of smoking on PPD reduction, a mixed model adjusted for age, sex, type of therapy, baseline PPD, reduction of PLI, BoP and NT was used. Depending on residual PPD and BoP, two categories were created: good and poor responders. Results PLI was reduced by 20% in non‐smokers and by 18% in smokers, and BoP by 46% and 37%, respectively. In the adjusted mixed model, the mean reduction of PPD > 4 mm among smokers undergoing surgery was 14.4 versus 9.7 in non‐smokers ( p  < .001). The odds ratio for being a poor responder was 2.40 (95% CI 1.99–2.91, p  < .001) for smokers. Conclusion Although surgical treatment reduced PPD >4 mm in smokers more effectively than in non‐smokers, significantly more non‐smokers were good responders after periodontal therapy.

Authors:
ORCiD logo [1];  [2];  [3]
  1. Department of Periodontology Center for Oral Rehabilitation Falun Sweden
  2. Public Dental Service Falun Sweden, Centre for Research and Development Uppsala University Falun Sweden
  3. Department of Periodontology the County Hospital of Gävle Centre for Research and Development Uppsala University/Region of Gävleborg Gävle Sweden
Publication Date:
Sponsoring Org.:
USDOE
OSTI Identifier:
1580531
Resource Type:
Publisher's Accepted Manuscript
Journal Name:
Journal of Clinical Periodontology
Additional Journal Information:
Journal Name: Journal of Clinical Periodontology Journal Volume: 47 Journal Issue: 3; Journal ID: ISSN 0303-6979
Publisher:
Wiley-Blackwell
Country of Publication:
Country unknown/Code not available
Language:
English

Citation Formats

Naji, Aorra, Edman, Kristina, and Holmlund, Anders. Influence of smoking on periodontal healing one year after active treatment. Country unknown/Code not available: N. p., 2019. Web. doi:10.1111/jcpe.13228.
Naji, Aorra, Edman, Kristina, & Holmlund, Anders. Influence of smoking on periodontal healing one year after active treatment. Country unknown/Code not available. https://doi.org/10.1111/jcpe.13228
Naji, Aorra, Edman, Kristina, and Holmlund, Anders. Thu . "Influence of smoking on periodontal healing one year after active treatment". Country unknown/Code not available. https://doi.org/10.1111/jcpe.13228.
@article{osti_1580531,
title = {Influence of smoking on periodontal healing one year after active treatment},
author = {Naji, Aorra and Edman, Kristina and Holmlund, Anders},
abstractNote = {Abstract Objective To investigate the impact of smoking on the reduction of pockets >4 mm deep and a composite variable of residual pockets >4 mm and bleeding on probing (BoP) after treatment. Methods Eligible after exclusion due to missing records were 3,535 individuals, referred for periodontal treatment between 1980 and 2015. The number of teeth (NT), probing pocket depth (PPD), proportion of plaque (PLI) and BoP were registered before treatment and 1 year after treatment. To analyse the impact of smoking on PPD reduction, a mixed model adjusted for age, sex, type of therapy, baseline PPD, reduction of PLI, BoP and NT was used. Depending on residual PPD and BoP, two categories were created: good and poor responders. Results PLI was reduced by 20% in non‐smokers and by 18% in smokers, and BoP by 46% and 37%, respectively. In the adjusted mixed model, the mean reduction of PPD > 4 mm among smokers undergoing surgery was 14.4 versus 9.7 in non‐smokers ( p  < .001). The odds ratio for being a poor responder was 2.40 (95% CI 1.99–2.91, p  < .001) for smokers. Conclusion Although surgical treatment reduced PPD >4 mm in smokers more effectively than in non‐smokers, significantly more non‐smokers were good responders after periodontal therapy.},
doi = {10.1111/jcpe.13228},
journal = {Journal of Clinical Periodontology},
number = 3,
volume = 47,
place = {Country unknown/Code not available},
year = {2019},
month = {12}
}

Journal Article:
Free Publicly Available Full Text
Publisher's Version of Record
https://doi.org/10.1111/jcpe.13228

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Cited by: 6 works
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Works referenced in this record:

Cigarette smoking and alveolar bone height in subjects with a high standard of oral hygiene
journal, September 1987


Effects of Smoking and Smoking Cessation on Healing After Mechanical Periodontal Therapy
journal, May 1997


Systematic review of the effect of smoking on nonsurgical periodontal therapy
journal, February 2005


Tobacco smoking and chronic destructive periodontal disease
journal, September 2004


Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance
journal, August 2008


Healing response of gingival recession defects following guided tissue regeneration procedures in smokers and non-smokers
journal, August 1997


Cigarette Smoking and the Periodontal Patient
journal, February 2004


The effect of smoking on periodontal treatment response: a review of clinical evidence
journal, April 2006


The effect of quitting smoking on chronic periodontitis
journal, August 2005


Smoking-Attributable Periodontitis in the United States: Findings From NHANES III
journal, May 2000


Clinical outcomes following treatment of human intrabony defects with GTR/bone replacement material or access flap alone. A multicenter randomized controlled clinical trial
journal, September 2004


Cigarette Smoking, Plastic Surgery, and Microsurgery
journal, October 1996

  • Chang, Lawrence; Buncke, Gregory; Slezak, Sheri
  • Journal of Reconstructive Microsurgery, Vol. 12, Issue 07
  • DOI: 10.1055/s-2007-1006620

Treatment of Intrabony Defects With Enamel Matrix Proteins or Barrier Membranes: Results From a Multicenter Practice-Based Clinical Trial
journal, May 2004

  • Sanz, Mariano; Tonetti, Maurizio S.; Zabalegui, Ion
  • Journal of Periodontology, Vol. 75, Issue 5
  • DOI: 10.1902/jop.2004.75.5.726

The effect of non-surgical treatment on periodontal pockets in smokers and non-smokers
journal, April 1986


Tooth loss and alveolar bone crest loss during supportive periodontal therapy in patients with generalized aggressive periodontitis: retrospective study with follow-up of 8 to 15 years
journal, October 2016

  • Díaz-Faes, Lucía; Guerrero, Adrián; Magán-Fernández, Antonio
  • Journal of Clinical Periodontology, Vol. 43, Issue 12
  • DOI: 10.1111/jcpe.12596

Effects of smoking on periodontal tissues
journal, August 2002


Influence of smoking on marginal bone loss and tooth loss - a prospective study over 20 years
journal, August 2002


Tobacco smoking and risk for periodontal disease
journal, February 2003


Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis
journal, January 1984


Self-Reported Periodontal Disease: Validation in an Epidemiological Survey
journal, July 2007

  • Taylor, George W.; Borgnakke, Wenche S.
  • Journal of Periodontology, Vol. 78, Issue 7s
  • DOI: 10.1902/jop.2007.060481

Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis
journal, February 1981


Smoking as an Additional Risk for Tooth Loss
journal, November 1994


Periodontal Disease in Pregnancy II. Correlation Between Oral Hygiene and Periodontal Condition
journal, January 1964


Cigarette Smoking and Periodontal Bone Loss
journal, April 1991


Impact of Cigarette Smoking on Clinical Outcomes of Periodontal Flap Surgical Procedures: A Systematic Review and Meta-Analysis
journal, February 2015

  • Kotsakis, Georgios A.; Javed, Fawad; Hinrichs, James E.
  • Journal of Periodontology, Vol. 86, Issue 2
  • DOI: 10.1902/jop.2014.140452

Cigarette Smoking Negatively Affects Healing Response Following Flap Debridement Surgery
journal, January 2001

  • Scabbia, Alessandro; Cho, Kyoo-Sung; Sigurdsson, Thorarinn J.
  • Journal of Periodontology, Vol. 72, Issue 1
  • DOI: 10.1902/jop.2001.72.1.43

Cigarette Smoking in a Periodontal Practice
journal, February 1992


Guided tissue regeneration for the treatment of intraosseous defects using a biabsorbable membrane A controlled clinical study
journal, July 1998


Effect of cigarette smoking on periodontal healing following GTR in infrabony defects: A preliminary retrospective study
journal, March 1995


Natural history of periodontitis: Disease progression and tooth loss over 40 years
journal, September 2017

  • Ramseier, Christoph A.; Anerud, Age; Dulac, Mary
  • Journal of Clinical Periodontology, Vol. 44, Issue 12
  • DOI: 10.1111/jcpe.12782