Smoking and Perio Disease

Smoking and Perio Disease

SMOKING IS PROBABLY THE SINGLE MOST SIGNIFICANT, MODIFIABLE RISK FACTOR FOR PERIODONTAL DISEASE

 

INCREASED RISK OF

  • Developing periodontal disease
  • Developing advanced severe disease
  • Developing Necrotising gum diseases
  • Progression of periodontal disease
  • Tooth loss
  • Implant complications
  • Oral and phayngeal cancer

 

SMOKING REDUCES

  • Response to surgical and non surgical treatment
  • Response to regenerative treatment
  • Increases the risk of having refractory disease
  • Smokers also have less bleeding than non smokers but deeper pockets

 

WHAT IS A HEAVY SMOKER?

  • Smoking over 10 cigarettes is considered heavy smoking
  • Cumulative effect – increased risks from cigarettes smoked/day/year

 

BENEFITS OF QUITTING

Each year from quitting reduces risk of developing periodontal disease significantly.

  • Improved outcome to periodontal treatment
  • Reduced risk oral cancer
  • Reduced risk of tooth loss after 10 years

 

SMOKING CESSATION

Counselling & Pharmotherapy

  • Nicotine Replacement therapy (NRT) patches/sprays/gum…
  • Medications (GP prescribed)

Support

NHS stop smoking service
https://www.nhs.uk/live-well/quit-smoking/nhs-stop-smoking-services-help-you-quit/

 

E CIGARETTES

Available since 2004; third generation ‘JUUL’ Liquid containing

  • 0-36mg/ml Nicotine
  • Glycerine + Propylerne Glycol
  • Flavourings

non combustable + no tar = reduce risk for periodontal disease but long term evidence is lacking. There is some evidence for lung damage.

  • NICE approved as NRT but with reservations
  • Suitable for current smokers only as part of smoking cessation
  • non smokers to be advised of potential risks from nicotine and potential risks from flavourings & other contents.
  • insufficient evidence to date of safety

 

The role of the Dental Team

Evidence suggests a lack of awareness of the risk of periodontal disease & tooth loss among smokers. Speak to your dentist about the risks of smoking on your oral health and ways of quitting.

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