Preber H, Bergström J
Department of Periodontology, School of Dentistry, Karolinska Institutet, Stockholm, Sweden.
J Clin Periodontol. 1990 May;17(5):324-8. doi: 10.1111/j.1600-051x.1990.tb01098.x.
The influence of cigarette smoking on the outcome of surgical therapy was investigated in 54 patients, 24 of whom were smokers. The patients had moderate to severe periodontitis with persisting diseased pockets after non-surgical therapy. The surgical modality used was the modified Widman flap operation and the pockets under scrutiny were those with an initial probing depth of 4-6 mm. Re-examination was made 12 months following the completion of surgery. The probing depth reduction at the 12-month follow-up was 0.76 +/- 0.36 mm (mean +/- SD) in smokers as compared to 1.27 +/- 0.43 mm in non-smokers. The difference was statistically significant (P less than 0.001) and persisted after accounting for plaque. The results suggest that smoking may impair the outcome of surgical therapy.
对54例患者进行了研究，以探讨吸烟对外科治疗效果的影响，其中24例为吸烟者。这些患者患有中度至重度牙周炎，在非手术治疗后仍存在患病牙周袋。所采用的手术方式为改良Widman瓣手术，所检查的牙周袋初始探诊深度为4 - 6毫米。在手术完成12个月后进行复查。吸烟者在12个月随访时探诊深度减少0.76±0.36毫米（均值±标准差），而非吸烟者为1.27±0.43毫米。差异具有统计学意义（P＜0.001），且在考虑菌斑因素后依然存在。结果表明，吸烟可能会损害外科治疗的效果。
