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Host Modulation for Smokers Undergoing Periodontal Maintenance: A Review of Current Evidence
Author(s) -
Geisinger Maria L.,
Holmes Carolyn M.,
Geurs Nicolaas C.,
Vassilopoulos Philip J.,
Reddy Michael S.
Publication year - 2011
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2011.100008
Subject(s) - medicine , oral hygiene , periodontitis , dentistry , dental alveolus , referral , chronic periodontitis , smoking cessation , tooth mobility , periodontal surgery , intensive care medicine , nursing , pathology
Focused Clinical Question In patients presenting with generalized moderate to severe chronic periodontitis and continuing to smoke, does host modulation improve the maintenance of alveolar bone support and clinical attachment level? Clinical Scenario A 45‐year‐old woman with a 25–pack‐year history of smoking presents for comprehensive periodontal therapy including four quadrants of regenerative surgery and is now receiving supportive care at 3‐month intervals. Clinical examination reveals excellent oral hygiene, and the patient resists a referral for smoking cessation. The patient is anxious about the potential for tooth loss. See Figures 1 to 3 for clinical presentation.