The effect of smoking on individuals with minimal periodontal destruction

被引:49
作者
Gunsolley, JC
Quinn, SM
Tew, J
Gooss, CM
Brooks, CN
Schenkein, HA
机构
[1] Univ Maryland, Sch Dent, Dept Periodont, Baltimore, MD 21201 USA
[2] Virginia Commonwealth Univ, Clin Res Ctr Periodont Dis, Richmond, VA USA
关键词
gingival recession/etiology; periodontal diseases/etiology; periodontal attachment loss; smoking/adverse effects;
D O I
10.1902/jop.1998.69.2.165
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
RECENT STUDIES HAVE DEMONSTRATED that smoking is associated with periodontal destruction. The majority of these studies have focused on periodontal disease groups with moderate or severe periodontal destruction. Additionally, there have been few reports investigating the relationship between smoking and gingival recession. The goal of this report was to investigate the effect of smoking on periodontal destruction and recession in subjects with minimal or no interproximal attachment loss. This is a cross-sectional study of 142 non-smoking subjects and 51 smoking subjects. Subjects could have no more than one tooth with a site of interproximal attachment loss greater than or equal to 2 mm. Subjects could, however, have attachment loss associated with recession. For three different methods of summarizing attachment loss measurements at a subject level, including average attachment loss, percentage of teeth with one site of 2 mm of attachment loss, and the percentage of teeth with one site of 5 mm of attachment loss, smoking subjects had approximately twice as much attachment loss than their non-smoking counterparts. Smoking subjects also had significantly greater recession (P < 0.05) (0.056 +/- 0.017 mm) than non-smoking subjects (0.025 +/- 0.005 mm). Recession sites occurred primarily on the facial surface of maxillary molars and bicuspids and mandibular central incisors and bicuspids. The results suggest a strong association between smoking and both attachment loss and recession in subjects who have minimal or no periodontal disease.
引用
收藏
页码:165 / 170
页数:6
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