• 제목/요약/키워드: oral implant

검색결과 1,688건 처리시간 0.03초

분사처리 후 양극산화 처리한 임플란트 표면이 골모 유사 세포의 반응에 미치는 영향 (The effect of blasting and anodizing-combined treatment of implant surface on response of osteoblast-like cell)

  • 서보용;김영민;최재원;윤미정;전영찬;정창모;김규천;허중보
    • 대한치과보철학회지
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    • 제53권1호
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    • pp.9-18
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    • 2015
  • 목적: 본 연구는 Tricalcium phosphate 입자를 사용한 모재분사 후 양극산화처리를 한 임플란트 표면의 특성을 분석하고, 골모유사세포의 반응을 평가하고자 하였다. 재료 및 방법: 직경 10 mm, 두께 3.0 mm 크기의 Grade IV 타이타늄 디스크를 시편으로 사용하였으며, 양극산화처리(ASD)군, 모재 분사 후 양극산화(RBM/ASD)군, 대조군(machined surface)으로 나누어 표면처리하였다. 표면처리 후 FE-SEM, 에너지분산분광기와 주사전자현미경을 사용하여 표면특성을 평가하였다. 세포의 부착을 평가하기 위해 골모유사세포를 이용해 crystal violet assay를 통해 세포부착을 평가하고, 세포 형태는 공초점 레이저 현미경을 사용하여 관찰하였다. 세포증식을 평가하기 위해 XTT 시험을, 세포분화는 역전사 중합효소연쇄반응을 사용하였으며 침착된 칼슘의 양을 측정하기 위해 Alizarin red S stain 을 이용하였다. 비교분석은 one-way ANOVA (SPSS version 18.0)로 유의수준 5%에서 검정하였다. 결과: ASD군과 RBM/ASD군에서, 분화구 모양의 표면 형상이 나타났으며, 대조군과 비교하여 산소와 인산 이온이 관찰되었다. 단위면적당 거칠기는 대조군에서 $0.08{\pm}0.04{\mu}m$, ASD군에서 $0.52{\pm}0.14{\mu}m$, RBM/ASD군에서 $1.45{\pm}0.25{\mu}m$를 보였다. 세포반응실험에서, ASD군과 RBM/ASD군이 대조군에 비해 세포의 부착정도가 높았으며 대조군이 세포증식에서 가장 높은 값을 보였다(P<.05). RT-PCR 실험에서, RBM/ASD군이 다른 군들보다 높은 ALP를 보였다(P<.05). ASD군과 비교했을 때 RBM/ASD군은 세포부착과 증식 정도에서 큰 값을 보였다(P<.05). 결론: 본 연구의 한계내에서 모재분사 후 양극산화 처리한 티타늄 표면 처리 방식이 단순 양극산화 처리한 군이나 대조군보다 골모유사세포의 반응에 효과적인 방법임을 확인하였다.

예비치과위생사의 취업에 관한 의식 조사 (A Survey on Preliminary Dental Hygienists' Senses of Employment)

  • 한수진;이선미;임미희
    • 한국치위생학회지
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    • 제7권4호
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    • pp.583-594
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    • 2007
  • The purpose of this study was to conduct a survey on the senses that preliminary dental hygienists have on employment, who applied for the National Dental Hygienist Examination, so that it could provide a basic reference required for fostering good human resources specializing in oral health with a sense of mission and responsibility as professional. To meet these goals, a self-administered questionnaire survey was conducted for participants in a refresher education meeting for preliminary dental hygienists across three major regions(Seoul, Daejeon and Busan), which was held by the Korean Dental Hygienists Association(KDHA) on Jan. 15, 2006. Total 289 sheets of questionnaire were collected, and 262 sheets except invalid or incomplete ones were used for examination and analysis. As a result, this study came to the following conclusions: First, it was found that 40.4% respondents wanted to be employed in dental clinic or hospital. Most respondents(90.1%) answered that faithfulness is most valued as prerequisite qualification for employment in hospital, and highest percentage of respondents(39.3%) wanted to earn 16 to 17 million Korean won annually. For internship opportunities, 61.9% respondents replied that they could willingly accept the internship, provided that basic pay and switchover to regular employee are all assured. Second, as the results of survey on employment circumstances around respondents, it was found that most respondents(58.3%) were employed in dental clinic or hospital, and highest percentage of respondents(35.0%) earned 15 to 16 million Korean won. Third, it was found that interpersonal relationships among employees had most significant effects(4.81) on selection of employment, which was followed by in-house welfare benefits 1(monthly/annual vacation, resting room, etc; 4.56). For possible influential factors on the selection of employment depending on whether employed or not, it was found that there were Significant differences in pay, welfare benefit 2(seminar, orientation, refresher training opportunities, etc), post-wedding continued employment and merit system between employees and non-employees(pE0.05). Fourth, the survey on respondents' occupational senses of dental hygienist showed that major tasks of dental hygienists were represented by oral disease prevention(92.6%), case management(71.5%), oral health education(66.3%), hospital/clinic management and dental management support(10.4%) and public oral health activities(6.7%) respectively. For job satisfaction, it was found that almost half respondents(48.9%) showed satisfaction at their job and 32.6% felt satisfied at and proud of their job. That is, majority of respondents(81.5%) felt satisfied at their job as dental hygienist. For follow-up requirements to qualify for dental hygienists, it was found that 73.3% felt it necessary to give more investments to self-development, 62.2% respondents considered protection of membership's rights as one of future assignments that KDHA should be more committed to. For future social awareness about dental hygienists as occupation, 69.2% respondents expected that they would be better developed and treated as professional. And desired training courses as a part of qualification for professional dental hygienists were represented by case management(services, manners, etc; 33.3%), implant(28.9%), esthetics(correction, prosthesis, whitening; 18.9%) and so on. For an item on working years, it was noted that 75.9% respondents would keep working as dental hygienists as long as they could.

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가토 상악동 점막 거상 후 DBBP를 이식재로 사용시 BMP4, BMP6의 발현 (EXPRESSION OF BMP4, BMP6 FOLLOWING SINUS ELEVATION WITH DBBP IN RABBIT)

  • 이현석;허현아;표성운;이원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권6호
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    • pp.467-473
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    • 2007
  • 이 실험은 이식재로 Deproteinated Bovine Bone Powder (DBBP)를 사용하였을 때와 골 이식재를 사용하지 않고 단순히 Absorbable Gelatin Sponge(AGS)만을 사용하였을 때의 BMP4와 BMP6의 상대적인 발현량을 real-time RT-PCR을 이용하여 비교해 보기 위한 것으로 다음과 같은 결과를 얻었다. 1. BMP4의 경우 처음 1일째와 3일째의 경우 DBBP군과 AGS군 모두 일정하게 증가하였으나 5일째 AGS군에서 감소하다가 7일째 다시 증가하였으며 9일째 다시 감소하였다. DBBP군에서는 7일까지 계속하여 증가하다가 9일째 감소하였다. DBBP군이 AGS군에 비해 발현의 양이 많은 경우가 많았지만 유의성은 없었다 (p>0.05). 2 BMP6의 경우 처음 1일째와 3일째의 경우 DBBP군과 AGS군 모두 일정하게 증가하였으나 5일째 AGS군에서 감소하다가 7일째 다시 증가하였으며 9일째 다시 감소하였다. DBBP군에서는 7일까지 계속하여 증가하다가 9일째 감소하였다. AGS군이 DBBP군에 비해 발현의 양이 많은 경우가 많았지만 유의성은 없었다 (p>0.05). 3. 두 군간에 동일시기에 BMP발현이 유의할 만한 차이를 보이지 않는 것은 DBBP와 AGS 모두 space retainer로서 작용을 하여 혈병중의 BMP발현의 양상이 비슷하기 때문으로 여겨진다. 4. 따라서 DBBP가 AGS에 비해 초기 골재생에 크게 유리한 점은 없는 것으로 여겨지며 초기 골 형성에서 BMP의 발현은 이식재의 종류가 아니라 물리적인 carrier로서의 작용이 더 중요한 것으로 여겨진다.

성견의 하악골에 식립된 Miniplate에 가한 조기 부하의 영향에 관한 실험적 연구 (The experimental study of early loading on the Miniplate in the beagle dog)

  • 정용구;이영준;정규림
    • 대한치과교정학회지
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    • 제33권4호
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    • pp.307-317
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    • 2003
  • 본 연구는 miniplate(Titanium C-tube, Martin Co., Germany)를 교정적 고정원으로 사용하여 교정력 및 악정형력을 즉시 가했을 때 miniplate의 안정성 및 주위 조직 반응을 관찰하여 고정원으로서의 유용성을 밝히고자 시행되었다. 네 마리의 비글 성견을 대상으로 하악의 좌우 협측 제3소구치와 제4소구치 사이에 두개의 titanium miniscrew(직경 2.0mm, 길이 7.0mm)에 의해 고정되는 miniplate를 식립하여 15주 동안 200-250gm의 힘을 가한 교정력 적용군과 8주 동안 400-450gm의 힘을 가한 악정형력 적용군으로 분류하였고 대조군은 제4소구치와 제1대구치사이에 식립하고 힘을 가하지 않았다. 동요도는 식립 직후와 희생 직전에 측정하여 비교하였고 희생 후 제작된 조직 절편을 방사선적으로 검사하여 주위 골의 흡수 여부를 관찰하였다. 실험 동물은 관류 고정하고 조직 절편은 레진 포매하여 비탈회 경조직 표본을 제작하였다 miniplate 제거 후의 조직의 치유와 연조직의 관찰을 위해 일부 조직편은 탈회 표본으로 제작하였다. 표본은 H&E 염색 후 광학 현미경하에서 검경하였고 위의 실험내용을 통해 다음과 같은 결과를 얻었다. 1. 교정력과 악정형력을 적용한 두 그룹 모두 miniscrew와 골간의 계면에는 직접적인 골유착이 일어났다. 힘의 크기에 따른 차이는 관찰되지 않았고, 힘의 적용기간이 증가함에 따라 골침착이 증가되었으며, 하중이 가해지지 않은 대조군이 실험군에 비해 골조직이 덜 침착되었다. 2. Miruplate와 miniscrew를 피개하고 있는 연조직은 염증소견 없이 모두 치유가 잘 일어났다. 3. 모든 실험군에서 동요도는 발생되지 않았고, 하중이 가해지지 않은 대조군의 경우 경미한 동요도를 보였으며, 교합력이 직접 가해진 대조군에서 고정원이 탈락될 정도의 동요도를 보였다. 4. Miniscrew 제거 후의 연조직 및 경조직은 정상조직의 형태와 구조로 치유되었다. 이상의 결과로 miniplate(Titanium C-tube, Martin Co., Germany)는 식립 즉시 악정형력 정도의 힘까지 수용할 수 있고, 인접 조직에 자극이 적은 골내 고정원으로서 충분한 가치가 있다고 판단되어 진다.

일부 성인의 치과진료비 부담에 따른 치과 건강보험 확대 및 민영치과보험 가입 의사 (Some Adults' Opinions about Private Dental Insurance and National Dental Insurance according to Stress of Dental Treatment Cost)

  • 김윤경;김은지;노수현;백은진;신민서;황수정
    • 치위생과학회지
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    • 제15권6호
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    • pp.703-711
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    • 2015
  • 본 연구는 편의 추출된 30대~50대 성인 남녀 266명을 대상으로 치과치료비 본인부담금 스트레스, 비급여 치과치료 건강보험 확대, 민영 치과단독의료보험 가입 의사를 설문조사하였다. 건강보험 비급여 본인부담금 스트레스가 급여 본인부담금 스트레스에 비해 높으며, 교정, 임플란트, 틀니, 보철, 비급여재료 치아우식증 치료 순으로 스트레스 수준이 높았다. 치과치료에 있어서 건강보험확대는 필요하며 필요 순으로는 비급여재료 치아우식증 치료, 보철, 교정 순이었다. 연령제한이 있는 급여항목에 대해서는 적절하다는 응답이 치석제거 57.1%, 틀니 23.3%, 임플란트 14.3%였다. 구강상태가 나쁘다고 응답한 대상자는 급여 본인부담금과 비급여 본인부담금 모두에서 스트레스 정도가 유의하게 높으며 보철, 치아교정에 대한 건강보험 확대요구가 유의하게 높았다. 민영의료보험 가입자 중 치과치료를 보장하는 대상자는 18.3%, 민영 치과단독의료보험에 가입한 가입자는 8.3%였으나, 민영 치과단독의료보험 가입의사는 68.4%였다. 일반적 특성에 따른 민영 치과단독의료보험 가입의사 차이는 나타나지 않았고, 치과치료비의 부담정도와 민영 치과단독의료보험 가입필요 정도의 상관분석 결과, 임플란트 0.408, 비급여 치아우식증 치료는 0.404, 틀니 0.394, 보철치료 0.375, 치아교정 0.313 순으로 나타났다. 따라서, 적기치료가 가능하도록 급여 치과치료 본인부담금에 대한 부담 감소를 위해 치과치료 건강보험 급여 확대, 민영 치과단독의료보험 개발과 이에 따른 정부의 감독이 필요할 것으로 생각되었다.

제작방법에 따른 임플란트 수술 가이드의 정확성비교: stereolithography와 positioning device로 제작한 수술 가이드 (Evaluation of the accuracy of two different surgical guides in dental implantology: stereolithography fabricated vs. positioning device fabricated surgical guides)

  • 권창렬;최병호;정승미;주상돈
    • 대한치과보철학회지
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    • 제50권4호
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    • pp.271-278
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    • 2012
  • 연구 목적: 최근 정확하면서도 외상이 적은 임플란트 식립을 위해 임플란트 수술용 가이드가 많이 쓰이고 있다. 그 중 대표적인 방식이 stereolithography 방식과 positioning device로 제작한 방식이다. 본 연구는 이 두 가지 방식의 정확성을 비교하기 위하여 4 가지 형태의 치아상실 모델에서 실험 후 정확성에 관하여 분석하였다. 연구 재료 및 방법: 4가지 형태 치아 결손 모델 각각에 대하여 stereolithography 방법과 positioning device를 이용한 방법으로 수술 가이드를 제작하였다. 제작된 수술 가이드를 제작에 사용되었던 치아모델에 장착하여 수술 가이드의 내면과 모델의 치아표면 사이 공간크기를 측정하여 가이드의 적합도를 평가하였다. 또한 이 수술 가이드를 이용하여 총 40개 모델에서 임플란트 시술을 진행하고, 시술 후 모델을 다시 cone-beam computed tomography촬영 하여 수술 전후 영상을 중첩시켜 계획 상의 임플란트와 실제 시술한 임플란트의 위치를 비교하였다. 통계학적인 검증을 위하여 PASW Statistics$^{(R)}$ 18.0을 이용하여서 Mann-Whitney U 검정을 사용하였다. 결과: 수술 가이드 내면과 모델 사이 공간크기가 stereolithography는 $1.4{\pm}0.3mm$이고, positioning device는 $0.4{\pm}0.3mm$로 통계학적으로 유의한 차이를 보였다(P<.05). Stereolithography는 오차가 근원심 측에서 $3.9{\pm}1.6^{\circ}$, 협설 측에서 $2.7{\pm}1.5^{\circ}$, 깊이에서 $1.9{\pm}0.9mm$였다. 반면 positioning device는 오차가 근원심 측에서 $0.7{\pm}0.3^{\circ}$였고, 협설측에서 $0.3{\pm}0.2^{\circ}$, 깊이에서 $0.4{\pm}0.2mm$였다. 두 수술 가이드 제작방법은 모든 방향에서의 오차에서 통계학적으로 유의한 차이를 보였다(P<.05). 결론: 본 연구의 결과는stereolithography방법보다 positioning device를 이용하여 수술 가이드를 제작할 때 C.T.와 임플란트 치료 계획 프로그램을 이용하여 미리 계획한 임플란트 식립 위치와 방향으로 더 정확하게 식립 할 수 있음을 보여 주었다.

Interleukin-10 이 $interleukin-1{\beta}$로 유도되는 골흡수에 미치는 효과 (EFFECT OF INTERLEUKIM-10 ON THE BONE RESORPTION INDUCED BY INTERLEUKIN-1B)

  • 유윤정;강윤선;이승일
    • Journal of Periodontal and Implant Science
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    • 제24권2호
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    • pp.321-339
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    • 1994
  • The cytokines released by osteoblasts induce bone resorption via the differentiation of osteoclast precursors. In this process, $interleukin-1{\beta}$($IL-1{\beta}$)-induced bone resorption is mediated by granulocyte macrophage-colony stimulation factor(GM-CSF), interleukin-6 (IL-6), and tumor necrosis factor ${\alpha}$($TNF-{\alpha}$) released from osteoblasts. Since these cytokines (GM-CSF, IL-6, $TNF-{\alpha}$) are produced by not only osteoblasts but also monocytes, and interleukin-10(I1-10) inhibits the secretion of these cytokines from monocytes, it may be speculated that IL 10 could modulate the production of GM-CSF, IL-6, and $TNF-{\alpha}$ by osteoblasts, then control $IL-1{\beta}-induced$ bone resorption. Therefore, the aims of the present study were to examine the effects of IL-10 on bone resorption. The sixten or seventeen-day pregnant ICR mice were injected with $^{45}Ca$ and sacrificed one day after injection. Then fetal mouse calvaria prelabeled with $^{45}Ca$ were dissected out. In order to confirm the degree of bone resorption, mouse calvaria were treated with Lipopolysaccharide(LPS), $TNF-{\alpha}$, $IL-1{\alpha}$, IL-8, $IL-1{\beta}$, and $IL-1{\alpha}$, Then, IL-10 and $interferon-{\gamma}$ ($IFN-{\gamma}$) were added to calvarial medium, in an attempt to evaluate the effect of $IL-1{\beta}-induced$ bone resorption. In addition, osteoclasts formation in bone marrow cell cultures, and the concentration of IL-6, $TNF-{\alpha}$, and GM-CSF produced from mouse calvarial cells were investigated in response to $IL-1{\beta}$ alone and simultaneously adding f $IL-1{\beta}$ and IL-10. The degree of bone resorption was expressed as the ratio of $^{45}Ca$ release(the treated/the control). The osteoclasts in bone marrow cultures were indentified by tartrate resistant acid phosphatase(TRAP) stain and the concentration of the cytokines was quantified using enzyme linked immunosorbent method. As results of these studies, bone resorption was induced by LPS(1 ng/ml ; the ratio of $^{45}Ca$ release, $1.14{\pm}0.07$). Also $IL-1{\beta}$(1 ng/ml), $IL-1{\alpha}$(1 ng/ml), and $TNF-{\alpha}$(1 ng/ml) resulted in bone resorption(the rations of $^{45}Ca$ release, $1.61{\pm}0.26$, $1.77{\pm}0.03$, $1.20{\pm}0.15$ respectively), but IL-8 did not(the ratio of $^{45}Ca$ release, $0.93{\pm}0.21$). The ratios of $^{45}Ca$ release in response to IL-10(400 ng/ml) and $IFN-{\gamma}$(100 ng/ml) were $1.24{\pm}0.12$ and $1.08{\pm}0.04$ respectively, hence these cytokines inhibited $IL-1{\beta}$(1 ng/ml)-induced bone resorption(the ratio of $^{45}Ca$ release $1.65{\pm}0.24$). While $IL-1{\beta}$(1 ng/ml) increased the number of TRAP positive multinulcleated cells in bone marrow cultures($20{\pm}11$), simultaneously adding $IL-1{\beta}$(1 ng/ml) and IL-10(400 ng/ml) decreased the number of these cells($2{\pm}2$). Nevertheless, IL-10(400 ng/ml) did not affect the IL-6, GM-CSF, and $TNF-{\alpha}$ secretion from $IL-1{\beta}$(1 ng/ml)-activated mouse calvarial cells. From the above results, it may be suggested that IL-10 inhibites $IL-1{\beta}-induced$ osteoclast differntiation and bone resorption. However, the inhibitory effect of IL-10 on the osteoclast formation seems to be mediated not by the reduction of IL-6, GM-CSF, and $TNF-{\alpha}$ production, but by other mechanisms.

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편측성 완전 구순구개열 환자의 포괄적 치료 (COMPREHENSIVE TREATMENT OF UNILATERAL COMPLETE CLEFT LIP AND PALATE)

  • 이정근;황병남;최은주;김용빈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권4호
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    • pp.430-435
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    • 2000
  • Cleft lip and palate is one of the congenital anomalies which need comprehensive and multidisciplinary treatment plan because 1) oral cavity is an important organ with masticatory function as a start of digestive tract, 2) anatomic symmetry and balance is esthetically important in midfacial area, and 3) it is also important to prevent psycho-social problems by adequate restoration of normal facial appearance. There are many different protocols in the treatment of cleft lip and palate, but our department has adopted and modified the $Z{\"{u}}rich$ protocol, as published in the Journal of Korean Cleft Lip and Palate Association in 1998. The first challenge is feeding. Type of feeding aid ranges from simple obturators to active orthopedic appliances. In our department we use passive-type plate made up of soft and hard acrylic resin which permits normal maxillary growth. We use Millard's method to restore normal appearance and function of unilateral complete cleft lip. In consideration of both maxillary growth and phonetic problems, we first close soft palate at 18 months of age and delay the hard palate palatoplasty until 4 to 5 years of age. When soft palate is closed, posterior third of the hard palate is intentionally not denuded to allow normal maxillary growth. In hard palate palatoplasty the mucoperiosteum of affected site is not mobilized to permit residual growth of the maxilla. We have treated a patient with unilateral complete cleft lip and palate by Ajou protocol, which is a kind of modified $Z{\"{u}}rich$ protocol. It is as follows: Infantile orthopedics with passive-type plate such as Hotz plate, cheiloplasty with Millard's rotation-advancement flap, and two stage palatoplasty. It is followed by orthodontic treatment and secondary osteoplasty to augment cleft alveolus, orthognathic surgery, and finally rehabilitation with conventional prosthodontic treatment or implant installation. The result was good up to now, but we are later to investigate the final result with longitudinal follow-up study according to master plan by Ajou protocol.

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Effects of platelet-rich plasma on tooth replantation in dogs: a histologic and histomorphometric analysis

  • Yang, Jun-Mo;Yang, Keon-Il;Lee, Kyung-Hyun;Choi, Seong-Ho;Kim, Byung-Ock;Park, Joo-Cheol;Yu, Sang-Joun
    • Journal of Periodontal and Implant Science
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    • 제48권4호
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    • pp.224-235
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    • 2018
  • Purpose: The purpose of this study was to evaluate the effects of platelet-rich plasma (PRP) on periodontal healing of replanted root surfaces in dogs histologically and histomorphometrically. Methods: A total of 36 roots of mandibular incisors and premolars from 6 mongrel dogs were used. The roots were randomly divided into 3 groups: 1) a positive control group (n=12), in which the periodontal ligament (PDL) and cementum were retained and the roots were soaked in saline; 2) a negative control group (n=12), in which the PDL and cementum were removed and the roots were soaked in saline; and 3) an experimental group (n=12), in which the PDL and cementum were removed and the roots were soaked in PRP. After soaking the root surfaces, the extracted roots were replanted into the extraction sockets. The roots were covered using a coronally repositioned flap Results: Histologically, irregular-thickness PDL-like and cementum-like tissues were observed in the 4-week experimental group and the positive control group. PDL-like tissue and cementum-like tissue with a more uniform thickness were observed at 8 weeks. In the negative control group, PDL-like tissue and cementum-like tissue were rarely found, and root resorption and ankylosis were observed. In the cross-sectional histomorphometric analysis, the experimental group demonstrated a higher rate of formation of cementum-like tissue and a lower tooth ankylosis rate than the positive and negative control groups at 4 and 8 weeks. Although there was a significant difference in the tooth ankylosis rate and the formation of cementum-like tissue across the 3 groups (P<0.05), no statistical significance was observed between any pair of groups (P>0.017). Conclusions: Applying PRP to root surfaces during tooth replantation in dogs can reduce tooth ankylosis and increase PDL-like and cementum-like tissue formation.

흡연이 치주 판막술후 치유에 미치는 영향 (The effect of smoking on the healing response following flap debridement surgery)

  • 조규성;이정태;최성호;이승원;채중규;김종관
    • Journal of Periodontal and Implant Science
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    • 제29권1호
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    • pp.103-115
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    • 1999
  • The ultimate goal of periodontal therapy is the regeneration of periodontal tissue which has been lost due to destructive periodontal disease. Various periodontal procedures have been used throughout the years in an attempt to reestablish attachment of periodontal tissues to root surfaces affected by periodontitis. Flap debridement surgery has been demonstrated to be a successful procedure in gaining the probing attachment level and reducing probing depth. A tendency towards impaired wound healing following periodontal procedures in smokers has been clinically documented. But, previous clinical studies on healing response in smokers are based on a retrospective design. The purpose of this study was to evaluate the treatment outcome following flap debridement surgery in smokers compared to nonsmokers. 25 patients with moderate to advanced periodontitis were included for study. Among these patients, 13 patients were smokers, and 12 patients were nonsmokers. Mucoperiosteal flap was raised with the sulcular incision. No antibiotic treatment was administered postsurgery. The patients was recalled at monthly intervals during a period of 6 months following the surgery. The patients were received supragingival scaling and oral hygiene reinforcement. All the recordings, including modified O' Leary plaque control record, bleeding on probing, probing pocket depth, probing attachment level,were recorded, presurgery and 6 months postsurgery. The changes of all the recordings at 6 months after flap debridement surgery revealed the following results: 1. PI on all the dentitions and surgical sites showed no statistical significance between smokers and nonsmokers at presurgery. But, smokers demonstrated a significantly lower % of PI than nonsmokers at 6 months postsurgery. 2. Smokers demonstrated a greater % of BOP sites than nonsmokers on the surgical sites and all the dentitions, presurgery and 6 months postsurgery. But, there was no statistical significance between two groups. 3. Smokers exhibited significantly less reduction of probing depth in the 3 mm or less probing pocket depth(PPD) group, 6mm or more PPD group and total PPD group when compared to nonsmokers at 6 months postsurgery. 4. Smokers exhibited significantly less gain of probing attachment level(PAL) in the 3mm or less PPD group, 6 mm or more PPD group and total PPD group when compared to nonsmokers at 6 months postsurgery.

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