Therapeutic and prophylactic effect on periodontal on the background of refusal of smoking

Introduction. The article discusses a new method for estimating the saturation of a therapeutic and prophylactic effect on periodontal on the background of refusal of smoking and its application to assess the parameters of periodontal transitions from the stage of exacerbation to the stage of remission.

The objective was to improve the accuracy of low-cost prediction of the effectiveness of interventions in inflammatory periodontal diseases in smoking patients based on the development of a new method for assessing the saturation of therapeutic and prophylactic effects.

Methods and materials. To determine the saturation of therapeutic and prophylactic effects on periodontal in smoking patients, it was proposed to estimate the weighted average increase in the reduction of a new series of indicators (concentration of carbon monoxide in exhaled air, clinical indices and frequency of occurrence and nature of exudate of periodontal spaces).

Results. The saturation of the therapeutic and prophylactic effect on periodontal on the background of quitting (using anti-tobacco patches) when conducting events with xanthan gel with chlorhexidine or photo-activated disinfection occurs much earlier than the two-week interval. Estimates of the relative frequencies and intensities of therapeutic and prophylactic transitions are obtained when performing procedures against the background of nicotine replacement therapy.

Conclusion. The proposed method for assessing the saturation of the therapeutic and prophylactic effect on periodontal in smoking patients allows to take into account additional features of the analyzed process and to carry out a low-cost prediction of the effectiveness of complex therapy.

Authors declare no conflict of interest.

The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.

1. Grudianov A. I., Kemulariia I. V. Lazer’s doppler estimation of the influence of tobacco-smoking on the blood’s microcirculation in the periodont at the patients with the different stages of periodontal diseases. Stomatologia. 2010;89(6):10–14. (In Russ.).

2. Iordanishvili A. K., Tihonov A. V., Soldatov S. V. The age epidemiology of periodontal diseases. Parodontologiya. 2010;54(1):25–28. (In Russ.).

3. Orekhova L. Yu., Osipova M. V. Clinical features and tendencies of change of periodontal status of smokers. Parodontologiya. 2011;56(4):47–50. (In Russ.).

4. Orekhova L. Yu., Osipova M. V., Belova E. A. Influence of components of the tobacco smoke on development and course of periodontal diseases. Parodontologiya. 2014;72(3): 18–23. (In Russ.).

5. Soldatova Yu. O., Bulgakova A. I., Zubairova G. Sh. Clinical characteristics of the oral cavity in persons with tobacco dependence. Meditsinskii vestnik Bashkortostana. 2014;9(1):60–63. (In Russ.).

6. Suhovskaya O. A. Help while smoking cessation. Doctor. Ru. 2010;57(6):41–44. (In Russ.).

7. Titova O. N. Zasuhina T. N., Kulikov V. D. et al. Organizations in smoking cessation in St. Petersburg: problems and solutions. Medicinskij al’yans. 2016;2:71–75. (In Russ.).

8. Chen X. Cigarette smoking salivary/gingival crevicular fluid continine and periodontal status. A 10-year longitudinal study. J. Clin. Periodontol. 2001;28(4):331–339. Doi: https:// doi.org/10.1034/j.1600-051x.2001.028004331.x.

9. Johnson G. K., Hill M. Cigarette smoking and the periodontal patient. J. Periodont. 2004;75(2):196–209. Doi: https:// doi.org/10.1902/jop.2004.75.2.196.

10. Middleton T. E., Morice A. H. Breath Carbon Monoxide as an Indication of Smoking Habit. Chest Journal. 2000;117(3):758–763. Doi: https://doi.org/10.1378/chest.117. 3.758.

11. Muller H. P., Stadermann S., Heinecke A. Bleeding on probing in smokers and non-smokers in a steady state plaque environment. Clin. Oral. Investig. 2001;5(3):177–184. Doi: https://doi.org/10.1007/s007840100126.

12. Nosratzehi T., Arbabi-Kalati F., Alijani E., Tajdari H. Comparison of Cotinine Salivary Levels in Hookah Smokers, Passive Smokers, and Non-Smokers. Addict Health. 2015 Summer-Autumn;7(3–4):184–191. Doi: https://doi. org/10.12816/0044349.

13. Zeng J., Williams S. M., Fletcher D. J. et.al. Reexamining the association between smoking and periodontitis in the dunedin study with an enhanced analytical approach. Journal of Periodontology. 2014;85(10):1390–1397. Doi: https://doi. org/10.1902/jop.2014.130577.

14. Orekhova L. Yu., Prohorova O. V., Osipova M. V. Development of recommendations for the use of preventive and therapeutic modalities in cases of inflammatory diseases of parodontium based on mathematical modeling. Stomatologiya. 2006;6:14–18. (In Russ.).

15. Orekhova L. Yu., Osipova M. V. Tooth decay and its complication prognosis in smokers. Stomatologiya. 2014; 93(1):21–24. (In Russ.).

16. Silin A. V., Nekhoroshev A. S., Danilova N. B., Morozova E. I., Lubskaya E. Yu. Modern view on dental status in smokers according to preventive medicine. Profilakticheskaya i klinicheskaya medicina. 2018;66(1):5–10. (In Russ.).

17. Orekhova L. Yu., Osipova M. V., Belova E. A. Features of the influence of nicotine replacement therapy on the dynamics of the periodontal indicators. Parodontologiya. 2013;68(3):47–50. (In Russ.).

18. Osipova M. V., Orekhova L. Yu., Belova E. A. Epidemiological indicators and the pattern of development, prevention and treatment of inflammatory periodontal diseases in the smoking population. Problemy stomatologii. 2018;4:38–44. (In Russ.). Doi: https://doi.org/10.18481/2077- 7566-2018-14-4-38-44.

19. Osipova M. V., Orekhova L. Yu., Belova E. A. Myths, realities and prospects for nicotine replacement therapy in patients with periodontal disease. Stomatolog (Minsk). 2018; 31(4):94–100. (In Russ.). Doi: https://doi.org/10.32993/ stomatologist.2018.4(31).17.

20. Periodontology: national leadership. Ed. by O. O. Yanushevich, L. A. Dmitrieva. 2nd ed. Moscow, GEOTAR-Media, 2018:752. (In Russ.).