Clinical and microbiological effect of scaling and root planing in smoker and non‐smoker chronic and aggressive periodontitis patients

Darby, Ivan; Hodge, Penny; Riggio, Marcello P.; Kinane, Denis F.

doi:10.1111/j.1600-051x.2005.00644.x

Cited by 109 publications

(142 citation statements)

References 47 publications

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“…Some authors showed that, although S may exhibit a worse periodontal clinical condition, their response to periodontal therapy is somewhat similar to that obtained in NS. 4,19 Finally, considering the interdependence between tooth sites, teeth and patients, 20 a multilevel analysis was performed using all six tooth sites. In sequence, the analysis took into consideration the approximal and free surfaces as a whole.…”

Section: Discussionmentioning

confidence: 99%

Response of molars and non-molars to a strict supragingival control in periodontal patients

et al. 2013

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The posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month period in 25 smokers (S) and 25 never-smokers (NS) with moderate-to-severe periodontitis. One calibrated examiner assessed visible plaque (VPI) and gingival bleeding (GBI) indexes, periodontal probing depth (PPD), bleeding on probing (BOP), and clinical attachment loss (CAL) at days 0 (baseline), 30 and 180. At baseline, M showed significantly higher mean values of VPI (p = 0.017) and PPD (p < 0.001) compared with NM; CAL was also greater in M (p < 0.001) and was affected by smoking (p = 0.007). The reductions obtained for periodontal indicators at day 180 showed similar responses between M and NM. For CAL, M (NS 0.57 ± 0.50; S 0.67 ± 0.64) and NM (NS 0.38 ± 0.23; S 0.50 ± 0.33) reached an almost significant difference (p = 0.05). Smoking did not influence the response to treatment. Multilevel analysis revealed that, only for PDD reductions, the interaction between sites, teeth and patient was significant (p < 0.001). It was concluded that M benefit from an adequate regimen of supragingival biofilm control; therefore, supragingival condition should be considered in the prognosis of molar teeth.

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Section: Discussionmentioning

confidence: 99%

Response of molars and non-molars to a strict supragingival control in periodontal patients

et al. 2013

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“…13,35 In the current study, the reduction in the levels of periodontopathogens (A. actinomycetemcomitans, P. gingivalis, and T. forsythia) in both groups (SM and NS) was 100% after 6 months of therapy. A significant reduction of T. forsythia and A. actinomycetemcomitans levels in both SM and NS, absence of P. gingivalis among NS, and very low detection of P. gingivalis among SM (less than 10%) were observed after 6 months of periodontal treatment in a study conducted by Aptzidou et al 14 The same magnitude of microbiological response was observed for P. gingivalis and T. forsythia 6 months after periodontal treatment in SM and NS by Renvert et al 35 However, these authors observed that A. actinomycetemcomitans increased in SM, demonstrating that this pathogen is more difficult to be eradicated among tobacco users.…”

Section: Discussionmentioning

confidence: 98%

“…2 It remains unclear whether there are differences in the subgingival biofilm composition between SM and NS. Some studies have shown no differences in the prevalence of periodontal pathogens 13,14,15 while other studies have demonstrated higher levels of periodontal pathogens belonging to the red and orange complexes 10,11,12 in SM compared to NS. The present study assessed the prevalence of A. actinomycetemcomitans, P. gingivalis, and T. forsythia at baseline and at 3 and 6 months of treatment and found that only A. actinomycetemcomitans was statistically higher at baseline in SM compared to NS.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have reported a high number of pathogens belonging to the red and orange complexes at periodontal sites in smokers 10,11,12 while others have not found any differences between smokers and nonsmokers. 13,14,15 The presence of cigarette components could alter the oral environment and trigger the colonization of periodontal sites by uncommon pathogens, as shown by Kamma et al, 16 who compared the microbial profile of smokers and nonsmokers in a group of patients with early-onset periodontitis and found significant levels of E. coli, C. albicans, S. aureus, and other exogenous pathogens in smokers' microbiota.…”

Section: Introductionmentioning

confidence: 98%

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Prevalence of periodontopathogens and Candida spp. in smokers after nonsurgical periodontal therapy – a pilot study

et al. 2016

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This pilot study aimed to evaluate the influence of smoking on clinical and microbiological parameters after nonsurgical periodontal therapy. Forty-eight subjects were grouped into smokers (SM, n = 24) and nonsmokers (NS, n = 24) and paired according to gender, age, ethnicity, and periodontal status. Both groups received oral hygiene education and scaling and root planing. Clinical evaluation was performed using plaque index (PI), bleeding on probing (BOP), pocket probing depth (PPD), gingival recession (GR), and clinical attachment level (CAL) before instrumentation (baseline) and at 3 and 6 months. The prevalence of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Candida albicans, Candida glabrata, Candida tropicalis, and Candida dubliniensis in subgingival biofilm was determined by polymerase chain reaction. The data were statistically analyzed considering p < 0.05. Clinical conditions improved between baseline and 3 months after periodontal treatment. However, NS had a better clinical response, presenting greater PPD reduction and CAL increase in comparison to SM. Periodontal treatment reduced the levels of P. gingivalis, A. actinomycetemcomitans, and T. forsythia individually after 3 months for the NS group and after 6 months for both groups. The prevalence of Candida species was markedly higher in SM than in NS at all time points evaluated. Periodontopathogens associated or not with C. albicans or C. dubliniensis were more prevalent in SM than in NS at baseline and after 3 months. It was concluded that smoking impairs clinical and microbiological responses to periodontal therapy. Periodontopathogens combined or not with some Candida species are resistant to short-term periodontal therapy in SM.

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“…Klinisch gezien zijn er weinig significante verschillen tussen rokers en niet rokers zijn voor wat betreft het resultaat na initiële behandeling (Preber & Bergström, 1985;. Bij patiënten met een ernstige gegeneraliseerde EOP werd wel gevonden dat rokers minder verbeteren na initiële behandeling dan niet rokers (Darby et al, 2005). De schaarse langetermijnstudies tonen aan dat rokers echter meer kans hebben op verder botverlies één jaar na de behandeling dan nietrokers (Meinberg et al, 2001).…”

Section: Roken En Behandeling Van Parodontitis Initiële Behandelingunclassified

19 Modificerende factoren: diabetes, roken en stress

Bruyn¹,

Velden²

2009

Parodontologie

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Parodontitis is een multifactoriele aandoening waarvan wordt verondersteld dat deze start als een door plaque veroorzaakte gingivitis. Epidemiologisch gezien is er een duidelijke relatie tussen de mate van mondhygiëne en de ernst van de parodontitis. Er is echter een aanzienlijke variatie in de populatie. Er zijn mensen die vatbaar zijn voor parodontitis en al op jeugdige leeftijd ernstige parodontitis kunnen ontwikkelen. Daar tegen over zijn er mensen die zeer resistent zijn. Deze verschillen zijn gedeeltelijk toe te schrijven aan de hoeveelheid plaque en de aanwezigheid van paropathogene bacteriën daarin, de mate waarin iemand tandsteen vormt en de effectiviteit van de immuunrespons. Daarnaast spelen andere ziekten en levensstijl factoren een belangrijke rol bij het ontstaan en progressie van parodontitis. De belangrijkste zijn: diabetes, roken en stress (zie ook elders in dit boek, onder andere het hoofdstuk Parodontitis in relatie tot algemene gezondheid).

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Clinical and microbiological effect of scaling and root planing in smoker and non‐smoker chronic and aggressive periodontitis patients

Cited by 109 publications

References 47 publications

Response of molars and non-molars to a strict supragingival control in periodontal patients

Response of molars and non-molars to a strict supragingival control in periodontal patients

Prevalence of periodontopathogens and Candida spp. in smokers after nonsurgical periodontal therapy – a pilot study

19 Modificerende factoren: diabetes, roken en stress

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