Host Modulation for Smokers Undergoing Periodontal Maintenance: A Review of Current Evidence

Clinical Advances in Periodontics
Maria L GeisingerMichael S Reddy

Abstract

Focused Clinical Question In patients presenting with generalized moderate to severe chronic periodontitis and continuing to smoke, does host modulation improve the maintenance of alveolar bone support and clinical attachment level? Clinical Scenario A 45-year-old woman with a 25-pack-year history of smoking presents for comprehensive periodontal therapy including four quadrants of regenerative surgery and is now receiving supportive care at 3-month intervals. Clinical examination reveals excellent oral hygiene, and the patient resists a referral for smoking cessation. The patient is anxious about the potential for tooth loss. See Figures 1 to 3 for clinical presentation.

References

Apr 1, 1986·Journal of Clinical Periodontology·H Preber, J Bergström
May 1, 1997·The Journal of the American Dental Association·S G GrossiG Harrap
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May 11, 2005·Journal of Clinical Periodontology·Philip M PreshawMark H Bradshaw
Feb 28, 2007·Journal of Clinical Periodontology·Ian NeedlemanMartin Jarvis

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