Effect of smoking cessation on non-surgical periodontal therapy: results after 24 months.

Abstract

AIM:

The aim of this 24-month prospective study was to assess the effect of smoking cessation on non-surgical periodontal therapy (NSPT) in adult subjects with chronic periodontitis.

MATERIALS AND METHODS:

Relative to a previous 12-month follow-up study, recruitment and follow-up period were extended, resulting in 116 eligible among the 286 screened subjects. They received NSPT and concurrent smoking cessation interventions. Periodontal maintenance was performed every 3 months. A calibrated examiner, blinded to smoking status, performed full-mouth periodontal examination in six sites per tooth at baseline, 3, 12 and 24 months of follow-up. Expired air carbon monoxide concentration measurements and interviews were performed to gather demographic and behavioural information.

RESULTS:

From the 116 enrolled subjects, 61 remained up to 24 months of follow-up. Of these, 18 quit smoking (Q), 32 continued smoking (NQ) and 11 oscillated (O) at 24 months of follow-up. Thereby, Q showed significantly higher mean CAL gain in diseased sites and higher reduction in the proportion of sites with CAL ≥ 3 mm, when compared to NQ. In addition, Q presented significantly higher mean probing depth reduction relative to NQ(p ≤ 0.05).

CONCLUSION:

Smoking cessation promoted additional benefits on NSPT in chronic periodontitis subjects.

• Authors: Ecinele Francisca Rosa, Priscila Corraini, Gislene Inoue, Elaine Fueta Gomes, Mariana Rocha Guglielmetti, Sheila Regina Sanda, João Paulo Becker Lotufo, Giuseppe Alexandre Romito, Cláudio Mendes Pannuti
• Journal: Journal of clinical periodontology (J Clin Periodontol) Vol. 41 Issue 12 Pg. 1145-53 (Dec 2014) ISSN: 1600-051X [Electronic] United States
• PMID: 25265872 (Publication Type: Comparative Study, Journal Article)
• Copyright: © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Chemical References

• Carbon Monoxide

Topics

• Adult
• Aged
• Carbon Monoxide (analysis)
• Chronic Periodontitis (prevention & control, therapy)
• Dental Calculus (classification)
• Dental Plaque Index
• Female
• Follow-Up Studies
• Gingival Hemorrhage (therapy)
• Gingival Recession (therapy)
• Health Behavior
• Humans
• Male
• Middle Aged
• Oral Hygiene (education)
• Periodontal Attachment Loss (therapy)
• Periodontal Debridement (methods)
• Periodontal Pocket (therapy)
• Prospective Studies
• Smoking
• Smoking Cessation
• Treatment Outcome