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Periodontics II

Smoking and Periodontal Disease

QuestionAnswer
What medical problems are tobacco related to? Cancer, low birth weight, pulmonary disease, cardiovascular disease.
What is a correlation between smoking and periodontal disease? influences outcome of periodontal health (i.e. prevalence, extent, and severity)
Why must we understand the relationship between smoking and periodontal disease? manage the disease as effectively as possible.
What is the correlation between smoking and gingivitis? Inflammatory response is reduced and there is a decrease of expression of clinical inflammation.
Smoking and periodontitis increases your chance of what? prevalence and severity of destruction, increased pocket depth, attachment loss, bone loss, rate of destruction, and tooth loss.
What can smoking due to a periodontal patient? Increased the prevalence and make periodontitis severe
Smoking and periodontitis cessation decreased what? prevalence and severity
What is the NHANES III study come to a result of? Smokers were 4 times as likely to have periodontitis than people who had never smoked.
What were the NHANES III results of perio cases attributable to current smoking? 42%
What were the NHANES III results of perio cases attributable to former smokers? 11%
The number of years of tobacco use if significant factor in what? tooth loss, coronal root caries, and perio disease
What is the five step program? ask, advise, assess, assist, and arrange
Ages 19-30 who smoke are how much more likely to have periodontitis than non-smokers? 3.8 times
Young people who are smoking more than how many cigarettes per day are at risk for what? 15, tooth loss
Alteration of host bacterial interaction must be what? qualitative rather than quantitative
What are the main pathogens in periodontitis? T. Forsythensis, A.a and P. gingivalis
Why do smokers not respond to mechanical therapy as well as nonsmokers? Increased levels of T. Forsythensis, A.a and P. gingivalis microbes after therapy
What protective elements does smoking affect from out immune response? alteration in neutrophil numbers and function, chemotaxis, phagocytosis, and reduced levels of IgG
TNF means what? Tumor Necrosis Factor
What is TNF? a cytokine involved in the inflammatory process
What is Elastase? an enzyme that breaks down proteins
What does matrix MMP do? proliferates cells, migration, and differentiation and host defense
MMP means what? Matrix metalloproteinase
Chemotaxis movement of small organisms and single cells in response to chemical signals from their enviroments
Phagocytosis process in which certain living cells ingest or engulf other cells or particles
IgG stands for what? Immunoglobulin G
IgG found in body fluids, smallest but most common antibodies
What correlates with smoking and the physiology of the mouth? lowered inflammatory response, alterations in vascular response
What is less when smoking is involved with our physiology? GCF. BOP, gingival blood vessels, oxygen concentration in tissues/
What changes occur when smoking changes our physiology? lead to decreased blood flow and decreased signs of inflammation
What is the response of smoking to nonsurgical periodontal therapy? less pocket depth and gain in attachment
What is the response of smoking to surgical periodontal therapy? less favorable response than non-smokers, almost the same as nonsurgical periodontal therapy
Many smokers are what? refractory (90% are smokers)
Smoking and maintenance therapy include what? more plaque, deeper pockets, less gain in attachment
When is smoking more common? low income, less educated
When is smoking higher in prevalence? males than females and non Hispanic black men
T/F Former smokers had lower odds of periodontal disease as the number of years since quitting increased True
T/F Even with the use of antimicrobials, nonsurgical periodontal therapy still has less pocket depth reduction. True
Created by: daisenmurray