EFFECT OF DIFFERENT DOSES OF CIGARETTE SMOKING ON PERIODONTAL HEALTH STATUS AND ALVEOLAR BONE LEVEL AMONG DIFFERENT GROUPS OF CURRENT SMOKER PATIENTS (COMPARATIVE STUDY)

B. HASHIM, FIRAS

	EFFECT OF DIFFERENT DOSES OF CIGARETTE SMOKING ON PERIODONTAL HEALTH STATUS AND ALVEOLAR BONE LEVEL AMONG DIFFERENT GROUPS OF CURRENT SMOKER PATIENTS (COMPARATIVE STUDY)
AL-TAQANI
Article 1, Volume 24, Issue 4, 2011, Pages 61-70
Author
FIRAS B. HASHIM
Abstract
Background: Cigarette smoking is very common. The aim of this study was to compare the effect of different doses of cigarette smoking on periodontal health status and alveolar bone level among different groups of current smoker patients Materials and Methods: Seventy five subjects were participated in the study, the subjects with an age range (35-55) years old male, twenty five subjects were light smokers, other twenty five were moderate smokers and the last twenty five one were heavy smokers. All periodontal parameters: plaque index (PLI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment loss (CAL) and cemento enamel junction to alveolar crest distance (CEJ-AC) were recorded for all teeth except the third molar which was excluded. The system included in the study was charge-coupled device (CCD) digital intra oral radiography by using digital bitewing radiograph, the unit of measurement was from cemento-enamel junction to alveolar crest distance (CEJ-Ac distance) per site in millimeters. Results: there was high significant difference in mean plaque index between all groups, significant difference in mean gingival index between all groups while there was high significant difference of bleeding sites between all groups. We use scales for ease of estimation for probing pocket depth and clinical attachment loss parameters, it involve the scales (0,1,2,3) for probing pocket depth and scales (1,2,3,4) for clinical attachment level. The results showed that there was high significant difference in all scales between all groups in our study in probing pocket depth and clinical attachment level. High significant difference was found in mean cemento enamel junction –alveolar crest distance between all groups Conclusions: Heavy smokers group revealed more periodontal tissue destruction and alveolar bone loss than moderate and light smokers groups. Moderate smokers group revealed more periodontal tissue destruction and bone loss than light smokers group by clinical examination and digital radiographic analysis.

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