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Article: Comparison of Treatment Response Patterns Following Scaling and Root Planing in Smokers and Non-smokers with Untreated Adult Periodontitis

TitleComparison of Treatment Response Patterns Following Scaling and Root Planing in Smokers and Non-smokers with Untreated Adult Periodontitis
Authors
Issue Date2000
PublisherProfessional Audience Communications, Inc. The Journal's web site is located at http://jclindent.com
Citation
Journal Of Clinical Dentistry, 2000, v. 11 n. 2, p. 35-41 How to Cite?
AbstractThe present study was conducted to compare short-term treatment response patterns following scaling and root planing in smoking and non-smoking Chinese patients with untreated adult periodontitis. Thirteen smokers and twelve periodontally matched non-smokers with untreated advanced adult periodontitis were evaluated prior to and at one, three, and six months after scaling and root planing. Probing depths (PD), probing attachment level (PAL) and gingival height (GH) were assessed at clinically healthy, gingivitis and periodontitis sites. PD and PAL were measured using electronic Florida pocket and disk probes, respectively. Non-smokers consistently showed significant gingival shrinkage in gingivitis sites, whereas smokers had no significant change in GH. In periodontitis sites, both groups exhibited significant decreases in PD (p < 0.001 ) at one month, and a greater reduction of PD was found in non-smokers than in smokers (p < 0.05), the difference being most notable at three months (2.4 ± 0.2 mm vs. 1.1 ± 0.3 mm, p < 0.001). Non-smokers showed a consistent gain of attachment in periodontitis sites from 0.5 ± 0.2 mm at one month (p < 0.05) to 1.2 ± 0.3 mm at six months (p < 0.001), whereas no significant gain of attachment was found in smokers until six months (0.5 ± 0.2 mm; p < 0.05). Overall, the reduction of PD positively correlated with baseline PD in both smokers (p < 0.01) and non-smokers (p < 0.001), but when only the sites with an initial PD ≥ 5 mm were considered, such a significant correlation was found only in non-smokers (p < 0.05). A positive correlation was also found between the change in PAL and baseline PD solely in non-smokers (p < 0.05). This study indicates that smokers have different treatment response patterns and healing dynamics compared to non-smokers following scaling and root planing, suggesting that for smoking patients a more intensive treatment regimen is needed for a better treatment outcome and reduced risk for further periodontal disease progression.
Persistent Identifierhttp://hdl.handle.net/10722/67233
ISSN
1998 Impact Factor: 0.424
2015 SCImago Journal Rankings: 0.455
References

 

DC FieldValueLanguage
dc.contributor.authorJin, Len_HK
dc.contributor.authorWong, KYNen_HK
dc.contributor.authorLeung, WKen_HK
dc.contributor.authorCorbet, EFen_HK
dc.date.accessioned2010-09-06T05:53:06Z-
dc.date.available2010-09-06T05:53:06Z-
dc.date.issued2000en_HK
dc.identifier.citationJournal Of Clinical Dentistry, 2000, v. 11 n. 2, p. 35-41en_HK
dc.identifier.issn0895-8831en_HK
dc.identifier.urihttp://hdl.handle.net/10722/67233-
dc.description.abstractThe present study was conducted to compare short-term treatment response patterns following scaling and root planing in smoking and non-smoking Chinese patients with untreated adult periodontitis. Thirteen smokers and twelve periodontally matched non-smokers with untreated advanced adult periodontitis were evaluated prior to and at one, three, and six months after scaling and root planing. Probing depths (PD), probing attachment level (PAL) and gingival height (GH) were assessed at clinically healthy, gingivitis and periodontitis sites. PD and PAL were measured using electronic Florida pocket and disk probes, respectively. Non-smokers consistently showed significant gingival shrinkage in gingivitis sites, whereas smokers had no significant change in GH. In periodontitis sites, both groups exhibited significant decreases in PD (p < 0.001 ) at one month, and a greater reduction of PD was found in non-smokers than in smokers (p < 0.05), the difference being most notable at three months (2.4 ± 0.2 mm vs. 1.1 ± 0.3 mm, p < 0.001). Non-smokers showed a consistent gain of attachment in periodontitis sites from 0.5 ± 0.2 mm at one month (p < 0.05) to 1.2 ± 0.3 mm at six months (p < 0.001), whereas no significant gain of attachment was found in smokers until six months (0.5 ± 0.2 mm; p < 0.05). Overall, the reduction of PD positively correlated with baseline PD in both smokers (p < 0.01) and non-smokers (p < 0.001), but when only the sites with an initial PD ≥ 5 mm were considered, such a significant correlation was found only in non-smokers (p < 0.05). A positive correlation was also found between the change in PAL and baseline PD solely in non-smokers (p < 0.05). This study indicates that smokers have different treatment response patterns and healing dynamics compared to non-smokers following scaling and root planing, suggesting that for smoking patients a more intensive treatment regimen is needed for a better treatment outcome and reduced risk for further periodontal disease progression.en_HK
dc.languageengen_HK
dc.publisherProfessional Audience Communications, Inc. The Journal's web site is located at http://jclindent.comen_HK
dc.relation.ispartofJournal of Clinical Dentistryen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAnalysis of Varianceen_HK
dc.subject.meshCase-Control Studiesen_HK
dc.subject.meshDental Scalingen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPeriodontal Indexen_HK
dc.subject.meshPeriodontitis - therapyen_HK
dc.subject.meshRoot Planingen_HK
dc.subject.meshSmoking - adverse effectsen_HK
dc.subject.meshStatistics, Nonparametricen_HK
dc.titleComparison of Treatment Response Patterns Following Scaling and Root Planing in Smokers and Non-smokers with Untreated Adult Periodontitisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0895-8831&volume=XI &issue=2&spage=35&epage=41&date=2000&atitle=Comparison+of+treatment+response+patterns+following+scaling+and+root+planing+in+smokers+and+non-smokers+with+untreated+adult+periodontitisen_HK
dc.identifier.emailJin, L:ljjin@hkucc.hku.hken_HK
dc.identifier.emailLeung, WK:ewkleung@hkucc.hku.hken_HK
dc.identifier.emailCorbet, EF:efcorbet@hku.hken_HK
dc.identifier.authorityJin, L=rp00028en_HK
dc.identifier.authorityLeung, WK=rp00019en_HK
dc.identifier.authorityCorbet, EF=rp00005en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid11460281-
dc.identifier.scopuseid_2-s2.0-0034570348en_HK
dc.identifier.hkuros58174en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034570348&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue2en_HK
dc.identifier.spage35en_HK
dc.identifier.epage41en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridJin, L=7403328850en_HK
dc.identifier.scopusauthoridWong, KYN=7404759415en_HK
dc.identifier.scopusauthoridLeung, WK=25224691800en_HK
dc.identifier.scopusauthoridCorbet, EF=35609873200en_HK

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