Influence of smoking on the outcome of periodontal surgery. A 5-year follow-up

Journal of Clinical Periodontology
L BoströmJ Bergström

Abstract

The 5-year outcome following periodontal surgery was evaluated in 57 patients that had received regular maintenance care throughout the follow-up period. The study population included 20 smokers, 20 former smokers and 17 non-smokers in the age range 37-77 years. The clinical characteristics evaluated were supragingival plaque, gingival bleeding and pocket probing depth. The region assigned for surgery was, in addition, radiographically evaluated in terms of periodontal bone height. Furthermore, the occurrence of the periopathogens Actinobacillus actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg) and Prevotella intermedia (Pi) and the gingival crevicular fluid (GCF) levels of tumor necrosis factor alpha (TNF-alpha) were assessed at follow-up. Plaque index was 28.5% at baseline and 32.9% at follow-up, indicating a good standard of oral hygiene, and gingival bleeding 31.7% and 24.9%, respectively, suggesting a low to moderate level of gingival inflammation. In regions assigned for surgery, pocket probing depth decreased significantly from on average 5.6 mm to 4.3 mm (p<0.0001) and periodontal bone height increased significantly from on average 62.5% to 67.5% (p<0.0001). In terms of bone height, the outcome was less favorabl...Continue Reading

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Citations

Oct 31, 1998·Journal of Clinical Periodontology·L BoströmJ Bergström
Jan 1, 2004·Tobacco Induced Diseases·Brian H Mullally
Jan 13, 2001·Journal of Periodontology·T HaniokaS Shizukuishi
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Feb 6, 2004·Journal of Clinical Periodontology·Catherine GiannopoulouAndrea Mombelli
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