The effect of smoking on the response to periodontal therapy.
The effect of smoking on the response to periodontal therapy.
复制标题
吸烟对牙周治疗反应的影响。
DOI：
10.1111/j.1600-051x.1994.tb00285.x
复制
发表时间：
1994
影响因子：
6.7
通讯作者：
Kalkwarf,KL
中科院分区：
文献类型：
--
作者：
Ah,MK;Johnson,GK;Kaldahl,WB;Patil,KD;Kalkwarf,KL
这项研究评估了吸烟对非手术和手术牙周治疗的临床反应的影响。74名患有中度至晚期牙周炎的成人受试者根据裂口设计进行治疗，包括以下治疗方式：冠状刮治、根面平整、改良Widman手术和骨切除术皮瓣。评估的临床参数包括探诊深度、探诊附着水平、根分叉部位水平附着水平、退缩、龈上菌斑的存在和探诊出血。收集数据：最初，I期治疗后4周，II期治疗后10周，6年维持治疗期间每年一次。数据分析表明，与非吸烟者相比，吸烟者在积极治疗后即刻和6年维持期内的每一年，探测深度减少显著较少，探测附着水平增加较少（p< 0.05）。在维持治疗期间，吸烟者在每年的检查中水平附着水平的丢失更明显（p< 0.05）。两组在衰退变化方面没有差异。一般而言，这些结果适用于所有4种治疗方式的结局，并且在最深探测深度类别（≥ 7 mm）中最为明显。统计分析显示，吸烟者的龈上菌斑和探诊出血倾向略多。总之，吸烟者对牙周治疗（包括3个月的维持随访）的反应不如非吸烟者。
This study evaluated the effect of smoking on the clinical response to non‐surgical and surgical periodontal therapy. 74 adult subjects with moderate to advanced periodontitis were treated according to a split‐mouth design involving the following treatment modalities: coronal scaling, root planing, modified Widman surgery, and flap with osseous resectional surgery. Clinical parameters assessed included probing depth, probing attachment level, horizontal attachment level in furcation sites, recession, presence of supragingival plaque and bleeding on probing. Data were collected: initially, 4 weeks following phase‐I therapy, 10 weeks following phase‐II therapy and on a yearly basis during 6 years of maintenance care. Data analysis demonstrated that smokers exhibited significantly less reduction of probing depth and less gain of probing attachment level when compared to non‐smokers immediately following active therapy and during each of the 6 years of maintenance (p< 0.05). A greater loss of horizontal attachment level was evident in smokers at each yearly exam during maintenance therapy (p< 0.05). There were no differences between groups in recession changes. In general, these findings were true for the outcomes following all 4 modalities of therapy and were most pronounced in the deepest probing depth category (≥ 7 mm). Statistical analysis showed a tendency for smokers to have slightly more supragingival plaque and bleeding on probing. In summary, smokers responded less favorably than non‐smokers to periodontal therapy which included 3‐month maintenance follow‐up.