Periodontal Diseases, Smoking Cessation
Conditions
Keywords
Smoking Cessation, Periodontal Diseases, Inflammatory Markers, Interleukin-1beta, Prostaglandin E2, Non-surgical therapy, Smoking
Brief summary
The aim of this study is to evaluate the effect of smoking cessation on inflammatory markers following non-surgical treatment of periodontal disease. This is to assess the period of smoking abstinence needed before any periodontal surgery in order to reverse the negative effects of the reported increased levels of inflammatory markers (IL-1β and PGE2 in this study) associated with smoking on the healing and the periodontium.
Interventions
Minimally invasive non-surgical periodontal therapy
Conventional non-surgical periodontal therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with advanced chronic periodontitis upon clinical examination with clinical attachment loss (CAL) more than 5 mm. * Patients willing to quit smoking to be included in two groups, while patients unwilling to quit smoking to be included in the third group, and the non-smokers as the fourth group.
Exclusion criteria
* Any systemic illness known to affect the outcome. * Systemic antimicrobial or anti-inflammatory drug therapy within the last 3 months prior to the study. * Patients unable to perform routine oral hygiene procedures. * Patients using other forms of tobacco.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Levels of Prostaglandin E2 | Baseline and 2 months | Salivary biochemical analysis |
| Interleukin 1 beta (in PG/ml) | Baseline and 2 months | Salivary biochemical analysis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bone gain (in mm) | Baseline and 9 months | Periodontal clinical parameter |
| Pocket depth (in mm) | Baseline and 9 months | Periodontal clinical parameter |
| Periodontal clinical parameters | Baseline and 9 months | Gingival index (scores) |
| Plaque index (scores) | Baseline and 9 months | Periodontal clinical parameters |
| clinical attachment level (in mm) | Baseline and 9 months | Periodontal clinical parameter |
Countries
Egypt