Not only are smokers more likely to develop periodontal disease, they are also more susceptible to treatment failure....

Smokers Have Lower Success Rates with Periodontal Treatment

Not only are smokers more likely to develop periodontal disease and have more severe cases of the disease than nonsmokers are, they are also more susceptible to treatment failure

logoCHICAGO – October 18, 1999 – Not only are smokers more likely to develop periodontal disease and have more severe cases of the disease than nonsmokers are, they are also more susceptible to treatment failure. According to a study published in the current issue of the Journal of Periodontology, smoking impairs healing after non-surgical periodontal treatment, which typically consists of oral hygiene instruction and scaling and root planing to remove plaque and bacteria from below the gum line.

After six to 10 periodontal appointments in which the goal was to reduce inflammation and probing depths (the amount of space between the teeth and gums), nearly 43 percent of smokers in the study required further periodontal treatment, while only about 11 percent of nonsmokers did. The study included 35 smokers and 35 nonsmokers with periodontal disease. Study Abstract *

"Smoking impairs the body's defense mechanisms and interferes with the healing process," explained Robert Genco, D.D.S., Ph.D., editor-in-chief of the Journal of Periodontology. "Smokers should understand that they are at increased risk for treatment failure, treatment complications and increased time to treat periodontal disease. Periodontal treatment of smokers should include serious attempts at smoking cessation."

"The good news is your oral health will begin to improve once you quit smoking," said Jack Caton, D.D.S., M.S., president of the American Academy of Periodontology (AAP). "In addition to reducing such serious threats as heart disease and cancer, quitting will help ensure you keep your teeth for a lifetime."

In conjunction with the Great American Smokeout in November, the AAP has launched a special section on its Web site at www.perio.org to educate people about tobacco's effects on periodontal health. The smoking section provides information on how tobacco use affects oral health and provides links to the following:

A referral to a periodontist in your area and free brochure samples including one titled Tobacco and Gum Disease are available by calling 800-FLOSS-EM or visiting the AAP's Web site at www.perio.org.

About the AAP

The American Academy of Periodontology is an 8,000-member association of dental professionals specializing in the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth and in the placement and maintenance of dental implants. Periodontics is one of nine dental specialties recognized by the American Dental Association.

For more information, contact the AAP Public Affairs Department at 312/573-3242.

* EDITOR'S NOTE: Representatives of the media may contact the AAP Public Affairs Department to receive a copy of the study Smoking Influences Decision Making in Periodontal Therapy: A Retrospective Clinical Study. Abstracts of Journal of Periodontology articles are available to the public online. Full-text of studies may be accessed by AAP members and Journal subscribers or purchased online for $20.

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