Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study

A case-control study was done to assess the influence of smoking on clinical, microbiological, and histopathological parameters. Methods. Two hundred dentate male patients (100 smokers and 100 nonsmokers) ranging between 25 and 50 years were enrolled in the study. Periodontal parameters were recorde...

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Main Authors: Maddipati Sreedevi, Alampalli Ramesh, Chini Dwarakanath
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/571590
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author Maddipati Sreedevi
Alampalli Ramesh
Chini Dwarakanath
author_facet Maddipati Sreedevi
Alampalli Ramesh
Chini Dwarakanath
author_sort Maddipati Sreedevi
collection DOAJ
description A case-control study was done to assess the influence of smoking on clinical, microbiological, and histopathological parameters. Methods. Two hundred dentate male patients (100 smokers and 100 nonsmokers) ranging between 25 and 50 years were enrolled in the study. Periodontal parameters were recorded. Plaque samples were collected for microbial analysis for BANA test. Gingival biopsies were obtained from selected site for assessing histopathological changes. Results. Both groups showed almost similar plaque levels (P=0.258), but smokers had reduced gingival (0.62 ± 0.31) and bleeding indices (28.53 ± 17.52) and an increased calculus index (1.62 ± 0.36). Smokers had an increased probing depth of 4–7 mm (P=0.009) and overall increased CAL. No difference in microbiota was found between the two groups. Histopathologically smokers showed a decreased blood vessel density (8.84 ± 0.96) and inflammatory cells (52.00 ± 9.79). Conclusions. It is quite possible that many of the pathogenic mechanisms involved in tissue degradation in periodontitis in smokers could be quite different from those in nonsmokers.
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spelling doaj-art-b02fe2acbaa0476e90b0223f3d7f97b92025-02-03T06:00:10ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/571590571590Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological StudyMaddipati Sreedevi0Alampalli Ramesh1Chini Dwarakanath2Indira Gandhi Institute of Dental Sciences, Pondicherry 607402, IndiaThe Oxford College of Dental Sciences, Bangalore 560068, IndiaThe Oxford College of Dental Sciences, Bangalore 560068, IndiaA case-control study was done to assess the influence of smoking on clinical, microbiological, and histopathological parameters. Methods. Two hundred dentate male patients (100 smokers and 100 nonsmokers) ranging between 25 and 50 years were enrolled in the study. Periodontal parameters were recorded. Plaque samples were collected for microbial analysis for BANA test. Gingival biopsies were obtained from selected site for assessing histopathological changes. Results. Both groups showed almost similar plaque levels (P=0.258), but smokers had reduced gingival (0.62 ± 0.31) and bleeding indices (28.53 ± 17.52) and an increased calculus index (1.62 ± 0.36). Smokers had an increased probing depth of 4–7 mm (P=0.009) and overall increased CAL. No difference in microbiota was found between the two groups. Histopathologically smokers showed a decreased blood vessel density (8.84 ± 0.96) and inflammatory cells (52.00 ± 9.79). Conclusions. It is quite possible that many of the pathogenic mechanisms involved in tissue degradation in periodontitis in smokers could be quite different from those in nonsmokers.http://dx.doi.org/10.1155/2012/571590
spellingShingle Maddipati Sreedevi
Alampalli Ramesh
Chini Dwarakanath
Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
International Journal of Dentistry
title Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
title_full Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
title_fullStr Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
title_full_unstemmed Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
title_short Periodontal Status in Smokers and Nonsmokers: A Clinical, Microbiological, and Histopathological Study
title_sort periodontal status in smokers and nonsmokers a clinical microbiological and histopathological study
url http://dx.doi.org/10.1155/2012/571590
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AT alampalliramesh periodontalstatusinsmokersandnonsmokersaclinicalmicrobiologicalandhistopathologicalstudy
AT chinidwarakanath periodontalstatusinsmokersandnonsmokersaclinicalmicrobiologicalandhistopathologicalstudy