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Cigarette smoking negatively affects healing response following flap debridement surgery

DC FieldValueLanguage
dc.contributor.author김종관-
dc.contributor.author조규성-
dc.date.accessioned2016-02-19T11:08:47Z-
dc.date.available2016-02-19T11:08:47Z-
dc.date.issued2001-
dc.identifier.issn0022-3492-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/142499-
dc.description.abstractBACKGROUND: The purpose of the present parallel design, controlled clinical trial was to evaluate the treatment outcome following flap debridement surgery (FDS) in cigarette smokers compared to non-smokers. METHODS: After initial therapy, 57 systemically healthy subjects with moderate to advanced periodontitis who presented with one area (at least 3 teeth) where surgery was required were selected. Twenty-eight patients (mean age: 39.6 years, 20 males) were smokers (> or = 10 cigarettes/day); 29 patients (mean age: 43.9 years, 7 males) were non-smokers. Full-mouth plaque (FMP) and bleeding on probing (BOP) scores, probing depth (PD), clinical attachment level (CAL), and recession depth (RD) were assessed immediately before and 6 months following surgery. Only sites with presurgery PD > or = 4 mm were used for statistical analysis. RESULTS: Presurgery FMP and BOP were similar in smokers and non-smokers and significantly decreased postsurgery in both groups. Overall, PD reduction and CAL gain were greater, although not significantly, in non-smokers (2.4 +/- 0.9 mm and 1.6 +/- 0.7 mm, respectively) than in smokers (1.9 +/- 0.7 mm and 1.2 +/- 0.7 mm, respectively). For moderate sites (PD 4 to 6 mm), no significant differences in PD and CAL changes were found between groups. For deep sites (PD > or = 7 mm), PD reduction was 3.0 +/- 1.0 mm in smokers and 4.0 +/- 0.8 mm in non-smokers, and CAL gain amounted to 1.8 +/- 1.1 mm in smokers and 2.8 +/- 1.0 mm in non-smokers (P = 0.0477). In smokers, 16% of deep sites healed to postsurgery PD values < or = 3 mm as compared to 47% in non-smokers (P = 0.0000); 58% of deep sites in smokers showed a CAL gain > or = 2 mm, as compared to 82% in non-smokers (P = 0.0000). CONCLUSIONS: Results of the study indicated that: 1) FDS determined a statistically significant PD reduction and CAL gain in patients with moderate to advanced periodontitis; 2) smokers exhibited a trend towards less favorable healing response following FDS compared to non-smokers, both in terms of PD reduction and CAL gain; and 3) this trend reached clinical and statistical significance at sites with initial deep PD.-
dc.description.statementOfResponsibilityopen-
dc.format.extent43~49-
dc.relation.isPartOfJOURNAL OF PERIODONTOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHConfidence Intervals-
dc.subject.MESHDebridement*-
dc.subject.MESHDental Plaque Index-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHGingival Hemorrhage/surgery-
dc.subject.MESHGingival Recession/surgery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPeriodontal Attachment Loss/surgery-
dc.subject.MESHPeriodontal Index-
dc.subject.MESHPeriodontal Pocket/surgery-
dc.subject.MESHPeriodontitis/surgery*-
dc.subject.MESHSingle-Blind Method-
dc.subject.MESHSmoking/adverse effects*-
dc.subject.MESHStatistics as Topic-
dc.subject.MESHSurgical Flaps*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHWound Healing-
dc.titleCigarette smoking negatively affects healing response following flap debridement surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Dentistry (치과대학)-
dc.contributor.departmentDept. of Periodontology (치주과학)-
dc.contributor.googleauthorAlessandro Scabbia-
dc.contributor.googleauthorKyoo-Sung Cho-
dc.contributor.googleauthorThorarinn J. Sigurdsson-
dc.contributor.googleauthorChong-Kwan Kim-
dc.contributor.googleauthorLeonardo Trombelli-
dc.identifier.doi10.1902/jop.2001.72.1.43-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03810-
dc.contributor.localIdA00914-
dc.relation.journalcodeJ01697-
dc.identifier.eissn1943-3670-
dc.identifier.pmid11210072-
dc.identifier.urlhttp://www.joponline.org/doi/abs/10.1902/jop.2001.72.1.43-
dc.subject.keywordPeriodontal diseases/surgery-
dc.subject.keywordsmoking/adverse effects-
dc.subject.keywordclinicaltrials, controlled-
dc.subject.keywordsurgical flaps-
dc.subject.keywordfollow-up studies-
dc.contributor.alternativeNameKim, Chong Kwan-
dc.contributor.alternativeNameCho, Kyoo Sung-
dc.contributor.affiliatedAuthorCho, Kyoo Sung-
dc.contributor.affiliatedAuthorKim, Chong Kwan-
dc.rights.accessRightsnot free-
dc.citation.volume72-
dc.citation.number1-
dc.citation.startPage43-
dc.citation.endPage49-
dc.identifier.bibliographicCitationJOURNAL OF PERIODONTOLOGY, Vol.72(1) : 43-49, 2001-
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers

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