Post-surgical wound healing in smokers following periodontal crown lengthening Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female 2. Aged between 18 and 60 years 3. Individuals in good general health with no systemic conditions affecting wound healing 4. Current smokers consuming 10 or more cigarettes per day 5. Referred for crown lengthening surgery 6. Able to understand the study and provide written informed consent 7. Willing and able to attend all scheduled follow-up visits at 2 and 6 weeks post-surgery
Exclusion criteria
Exclusion criteria: 1. Individuals diagnosed with systemic conditions known to impair wound healing (e.g., uncontrolled diabetes, osteoporosis) 2. Pregnant or breastfeeding individuals 3. Recent use of systemic antibiotics or anti-inflammatory drugs within the past 2 months 4. Current use of medications that may alter periodontal healing, such as corticosteroids, immunosuppressants, or bisphosphonates 5. Presence of dental restorations that obstruct accurate probing depth measurements at the surgical site 6. Evidence of untreated active periodontal infection 7. Inability or not willing to provide written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wound healing measured using the Landry healing index at 2 weeks and 6 weeks post-surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain measured using a visual analogue scale (VAS) at 2 weeks and 6 weeks post-surgery 2. Probing pocket depth (PPD) measured using a UNC-15 periodontal probe at baseline, 2 weeks, and 6 weeks post-surgery 3. Plaque Index (PI) measured using the Silness and Loe index at baseline, 2 weeks, and 6 weeks post-surgery 4. Gingival Index (GI) measured using the Loe and Silness index at baseline, 2 weeks, and 6 weeks post-surgery 5. Bleeding on probing (BOP) measured using dichotomous bleeding scores at baseline, 2 weeks, and 6 weeks post-surgery 6. Radiographic bone height measured using standardized vertical bitewing radiographs at baseline and 6 weeks post-surgery | — |
Countries
Saudi Arabia