ORIGINAL ARTICLE - Considerations for Periodontal Treatment and Implant Therapy in Smoking Patient

Park,  Jung-Chul; Hwang,  Ji-Wan; Jung,  Ui-Won; Kim,  Chang-Sung; Cho,  Kyoo-Sung; Choi,  Seong-Ho

J Korean Dent Assoc > Volume 49(10); 2011 > Article

The Journal of The Korean Dental Association 2011;49(10):618-627.
Published online October 31, 2011.

ORIGINAL ARTICLE - 흡연 환자에서의 치주치료와 임플란트 수술

박정철¹, 황지완², 정의원³, 김창성⁴, 조규성⁵, 최성호⁶

^¹연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^²연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^³연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁴연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁵연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁶연세대학교 치과대학 치주과학교실, 치주조직재생연구소

ORIGINAL ARTICLE - Considerations for Periodontal Treatment and Implant Therapy in Smoking Patient

Jung-Chul Park¹, Ji-Wan Hwang², Ui-Won Jung³, Chang-Sung Kim⁴, Kyoo-Sung Cho⁵, Seong-Ho Choi⁶

¹Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
²Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
³Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁴Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁵Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
⁶Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University

Abstract

Cigarette smoking is a significant risk factor for periodontaldiseases and implant treatments. Smoking control is regarded as a key to the success of dental treatments as well as the well-being of the patients. The aim of this study was to reviewthe effects of smoking on periodontal health, and the results of periodontal therapy and implant treatments. Also, in vitro, microbiological, immunological and epidemiological relationships were studied. In vitro studies show that smoking interferes with normal healing process and increased tissue destruction. There is still controversy on the population of microbes of smokers. Smokers showed significantly less gingival inflammation and bleeding on probing compared with non-smokers. After periodontal treatments, a compromised clinical outcome was noted for smokers in terms of pocket depth reduction and gain in attachment levels. In conclusion, data from in vitro, epidemiological, cross-sectional and case-control studies strongly suggest that quitting smoking is beneficial to patients before periodontal and implant treatments.

Key Words: smoking;periodontal disease;dental implant;