Document Detail


Root coverage outcome may be affected by heavy smoking: a 2-year follow-up study.
MedLine Citation:
PMID:  18380557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although subepithelial connective tissue graft (CTG) has been reported to be a predictable procedure for root coverage, the impact of smoking on the long-term outcome of periodontal plastic surgery is unclear. Hence, the aim of this study was to evaluate the effect of smoking, on a long-term basis, on the stability of gingival tissue following CTG treatment of gingival recession. METHODS: Twenty-two defects were treated by CTG in canine and premolar Miller Class I and II gingival recessions (11 smokers and 11 non-smokers). The following clinical measurements were obtained at baseline and at 1, 2, 3, 4, 6, 12, 18, and 24 months after surgery: plaque and gingival indexes, extension of gingival recession (GR), probing depth (PD), clinical attachment level (CAL), and gingival thickness. Individuals smoking > or =20 cigarettes/day for > or =5 years were considered smokers. RESULTS: Data analysis demonstrated that both groups presented similar plaque and gingival indexes (P >0.05), and an intragroup analysis showed that CTG was able to promote root coverage and increase gingival thickness in both groups over time (P <0.05). However, at 24 months postoperatively, statistical analysis showed that smokers presented poorer outcomes with regard to PD, GR, and CAL (P <0.05); in addition, a more satisfactory stabilization of the gingival tissue was found in the non-smoker group. CONCLUSION: Smoking may represent a challenge to root coverage outcome for CTG because smoking significantly affected the stability of gingival tissue over time.
Authors:
Denise C Andia; Angela G Martins; Márcio Z Casati; Enilson A Sallum; Francisco H Nociti
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of periodontology     Volume:  79     ISSN:  0022-3492     ISO Abbreviation:  J. Periodontol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  647-53     Citation Subset:  D; IM    
Affiliation:
Department of Morphology, University of Campinas, Piracicaba, SP, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bicuspid / pathology
Connective Tissue / transplantation
Cuspid / pathology
Dental Plaque Index
Female
Follow-Up Studies
Gingiva / pathology,  transplantation
Gingival Recession / classification,  surgery*
Humans
Longitudinal Studies
Male
Middle Aged
Periodontal Attachment Loss / classification
Periodontal Index
Periodontal Pocket / classification
Smoking / adverse effects*
Tooth Root / pathology*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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