Cigarette Smoking and Periodontal Diseases: Etiology and Management of Disease

作者: Maurizio S. Tonetti

DOI: 10.1902/ANNALS.1998.3.1.88

关键词:

摘要: Cigarette smoking has long been suspected to be associated with a variety of oral conditions including periodontal diseases. Experimental evidence accumulated over the last 2 decades indicated that cigarette is probably true risk factor for periodontitis. This environmental exposure 2- 3-fold increases in odds developing clinically detectable Smokers have both increased prevalence and more severe extent disease, as well higher tooth loss edentulism, compared non-smokers. The greater severity destruction may partly accounted by reported rate disease progression. noxious effect shown dose dependent particularly marked younger individuals; these subjects, up 51% observed periodontitis was smoking. Much literature also smokers affected respond less favorably non-surgical, surgical, regenerative treatments. success dental implants compromised smokers. Furthermore, longterm studies pointed out recurrence during maintenance; appeared dependent, heavy (> 10 cigarettes/day) presenting levels indication previous lower current considered strongest available cessation will result improved health counseling should an integral part therapy prevention. So far, however, no randomized controlled clinical trial establishing and/or reduction on outcomes reported. Given present state uncertainty about benefits, but light established general gains patient could derived from program, practitioners are incorporating therapy. status represents key parameter assess individual subject therefore make evidence-based decisions.

参考文章(93)
Locker D, Smoking and oral health in older adults. Canadian Journal of Public Health-revue Canadienne De Sante Publique. ,vol. 83, pp. 429- ,(1992)
Polly A. Newcomb, Paul P. Carbone, The health consequences of smoking: Cancer Medical Clinics of North America. ,vol. 76, pp. 305- 331 ,(1992) , 10.1016/S0025-7125(16)30355-8
Smoking, Tobacco, and Cancer Program, Smoking, Tobacco, and Cancer Program : 1985-1989 status report U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. ,(1990)
CW Douglass, Risk assessment in dentistry. Journal of Dental Education. ,vol. 62, pp. 756- 761 ,(1998) , 10.1002/J.0022-0337.1998.62.10.TB03243.X
Pierpaolo Cortellini, Giovan Paolo Pini Prato, Maurizio S. Tonetti, Long‐term stability of clinical attachment following guided tissue regeneration and conventional therapy Journal of Clinical Periodontology. ,vol. 23, pp. 106- 111 ,(1996) , 10.1111/J.1600-051X.1996.TB00542.X
I D Macgregor, Efficacy of dental health advice as an aid to reducing cigarette smoking British Dental Journal. ,vol. 180, pp. 292- 296 ,(1996) , 10.1038/SJ.BDJ.4809067
Hans Preber, Jan Bergstrom, Effect of cigarette smoking on periodontal healing following surgical therapy. Journal of Clinical Periodontology. ,vol. 17, pp. 324- 328 ,(1990) , 10.1111/J.1600-051X.1990.TB01098.X
Jerome Haber, Ralph L. Kent, Cigarette smoking in a periodontal practice. Journal of Periodontology. ,vol. 63, pp. 100- 106 ,(1992) , 10.1902/JOP.1992.63.2.100
Sara G. Grossi, Joseph J. Zambon, Alex W. Ho, Gary Koch, Robert G. Dunford, Eli E. Machtei, Ola M. Norderyd, Robert J. Genco, Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. Journal of Periodontology. ,vol. 65, pp. 260- 267 ,(1994) , 10.1902/JOP.1994.65.3.260
Margareta Ahlqwist, Calle Bengtsson, Lars Hollender, Leif Lapidus, Tor Osterberg, Smoking habits and tooth loss in Swedish women Community Dentistry and Oral Epidemiology. ,vol. 17, pp. 144- 147 ,(1989) , 10.1111/J.1600-0528.1989.TB00009.X