Mittal Swati, Komiyama Maki, Ozaki Yuka, Yamakage Hajime, Satoh-Asahara Noriko, Yasoda Akihiro, Wada Hiromichi, Funamoto Masafumi, Shimizu Kana, Miyazaki Yusuke, Katanasaka Yasufumi, Sunagawa Yoichi, Morimoto Tatsuya, Takahashi Yuko, Nakayama Takeo, Hasegawa Koji
Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Department of Health Informatics, Graduate School of Medicine & School of Public Health, Kyoto University, Kyoto, Japan.
Acta Odontol Scand. 2022 May;80(4):258-263. doi: 10.1080/00016357.2021.1995040. Epub 2021 Dec 10.
Smoking is associated with the deteriorating health of the gingiva and periodontium. The long-term beneficial effects of smoking cessation on oral health are well known. However, the effects of short-term smoking cessation on gingival bleeding and periodontal pocket depth are unknown. The purpose of the present study was to determine the effects of short-term smoking cessation on gingival bleeding and periodontal pocket depth.
Dentate smokers with a mean age of 56.9 ± 14.4 years at an outpatient smoking cessation clinic participated in this study. A professional dentist checked the periodontal pocket depth and gingival bleeding. Patients visited the smoking cessation clinic on their first visit and 2, 4, 8, and 12 weeks (three months). The gingival assessment was re-performed in those who succeeded in smoking cessation 3 months after the baseline.
The baseline data of 83 patients showed that an increase in pocket depth was associated with increasing age and the amount of smoking. A significant increase in gingival bleeding ( = .031) and increase in pocket depth ( = .046) were observed 3 months after the baseline in patients who successfully quit smoking ( = 14).
Short-term smoking cessation increased periodontal pocket depth and gingival bleeding. These findings may reflect healing processes that occur in the healthy gingiva.
Study findings will be useful to advise patients during smoking cessation programs. Dentists can inform patients that an initial increase in gingival bleeding and pocket depth could be associated with smoking cessation. Such advice will prevent patients from any apprehension that may cause them to recommence smoking.
吸烟与牙龈和牙周健康状况恶化有关。戒烟对口腔健康的长期有益影响是众所周知的。然而，短期戒烟对牙龈出血和牙周袋深度的影响尚不清楚。本研究的目的是确定短期戒烟对牙龈出血和牙周袋深度的影响。
在门诊戒烟诊所就诊的平均年龄为56.9±14.4岁的有牙吸烟者参与了本研究。一名专业牙医检查了牙周袋深度和牙龈出血情况。患者在首次就诊时以及第2、4、8和12周（三个月）到戒烟诊所就诊。在基线检查后3个月成功戒烟的患者中重新进行牙龈评估。
83名患者的基线数据显示，牙周袋深度增加与年龄增长和吸烟量有关。在成功戒烟的患者（n = 14）中，基线检查后3个月观察到牙龈出血显著增加（P = .031）和牙周袋深度增加（P = .046）。
短期戒烟会增加牙周袋深度和牙龈出血。这些发现可能反映了健康牙龈中发生的愈合过程。
研究结果将有助于在戒烟计划中为患者提供建议。牙医可以告知患者，牙龈出血和牙周袋深度的最初增加可能与戒烟有关。这样的建议将防止患者产生任何可能导致他们重新开始吸烟的担忧。
