Smoking/Perio

Question 1

How does smoking contribute to the pathogenesis of periodontal disease (non biological/molecular)?

Answer 1

• vasoconstriction- stops bleeding; “reduced blood flow to the area”
• this can mask the early stages of the disease- no initial signs of gingivitis hence leads to progression of the disease

Question 2

What are the consequences of smoking on gum health?

Answer 2

• specific bacteria responsivle for periodontitis is 2-3x higher in smolers
• tooth staining
• increased accumulation of calculus
• loose teeth, black triangles
• increased risk of losing teeth

Question 3

What are the implications of smoking on periodontal treatment/other dental treatment?

Answer 3

• increased calculus accumulation can make cleaning harder
• implant failure rates are musch higher in smokers