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Smoking and Periodontal Health

  • Systemic Diseases (N Buduneli, Section Editor)
  • Published:
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Abstract

Purpose of Review

Smoking is a strong and modifiable risk factor for periodontitis. The adverse effects of smoking on oral health are at the center of long-term studies. The aim of this review is to assess these effects with new findings.

Recent Findings

Studies in different populations have demonstrated strong associations between smoking and severity of periodontitis. Additionally, researchers have observed similar effects in various types of smoking such as water pipe smoking and smokeless tobacco. Microbiological analyses recently have shown increased early colonization of periodontal pathogens in smokers. Lower levels of immunoglobulins and impaired fibroblast attachment to matrix proteins are new observations. Smoking markedly influences response to treatment, and smokers are resistant to conventional periodontal therapy. Implant failure and risk of peri-implantitis are higher among smokers.

Summary

Latest data supports that severity of periodontitis is higher in smokers. Smoking cessation is beneficial for improving periodontal status and periodontal therapy outcomes.

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Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Selva Süme Keşir, S., Ebru Olgun, H. Smoking and Periodontal Health. Curr Oral Health Rep 5, 50–62 (2018). https://doi.org/10.1007/s40496-018-0170-6

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