Long-term Clinical Results of Treatment of Periodontal Tissue Diseases in Teenagers and Young Adults Who Smoke


Diseases of periodontal tissues rank second among dental pathologies after caries and constitute an important medical problem. According to the modern concept, periodontal tissue diseases arise under the influence of many causes, both local and general in nature. The harmful habit of smoking is a manageable risk factor that causes diseases specific to smokers, and also contributes to the occurrence, deepening and progression of dental diseases, such as periodontal tissues. Therefore, the issue of developing effective schemes of a complex of therapeutic and preventive measures for teenagers and young adults who smoke is urgent.

The aim of the study is to study the long-term results of the clinical effectiveness of the proposed complex treatment of periodontal tissue diseases in teenagers and young adults who smoke.

Materials and methods of the study. To achieve the goal, changes in periodontal tissues were studied immediately after treatment and in the long term in 114 teenagers and young adults aged 15 to 24, who were divided into groups: 26 people who regularly smoke traditional cigarettes were included in the first group; group II - 22 people, who smoke Vapes; in the III group - 23 people who regularly smoke devices for heating tobacco (IQOSs); in the IV group - 43 people, without the harmful habit of smoking.The dynamics of the OHI-S, PMA and PBI indexes before, after and in the long term of treatment with the proposed complex were analyzed: in general - "Quertin", "Supervit" and "BioGaya ProDentis"; locally - "Stomolik" and "Holisal" in comparison with the generally accepted treatment protocol for this disease.

Results of the study. In the course of treatment, a positive trend of the studied indices was recorded in all observation groups, however, better results were recorded in the groups where the proposed local treatment was applied, which was confirmed by objective examination data. Analyzing the results obtained in the long term of treatment, it was established that the results achieved immediately after treatment slightly worsened after six months of follow-up. Moreover, worse results were registered in patients of subgroups who received generally accepted treatment, compared with patients who received the proposed complex treatment. These results indicate the high effectiveness of the proposed complex treatment, but the need to repeat the treatment and preventive actions more often after six months.

Conclusions. Comparison of the results of treatment of periodontal tissue diseases in the observation groups in the remote periods of treatment by various methods indicates the advantages of the proposed complex treatment and allows us to conclude about its high clinical effectiveness.

Key words: teenagers and young adults, diseases of periodontal tissues, treatment, smoking.



Antipkin YG, Horban NE, Lutsenko OH, Lukyanova OM. Risk factors for diseases of civilization. Obstetrics, Gynecology, Reproduction. 2021 ;1: 8-11.

Badzai AO, Scherbіna OM. Smoky women: trends, consequences and motivation of smoking cessation. Bulletin of Lviv State University of Life Safety. 2019; 19: 61-67. https://doi.org/10.32447/20784643.19.2019.06

Chaplyak AP, Romanov OP, Nagy B.Ya. Problems of tobacco prevention among adolescents. Economics and health law. 2018; 2(8):142-143.

Decik OZ. Methodical approaches to generalization of scientific research results. Galician Medical Bulletin. 2011; 18 (2): 5-8.

Dobryanskaya OV. Smoking Е-cigarettes as a risk factor for the health of modern adolescents. Child health. 2018; 5(13): 456-461.

Fi C, Wo W. Periodontal disease and systemic diseases: an overview on recent progresses. J Biol Regul Homeost Agents. 2021; 1-2; 35(1):1-9.

Forthofer RN, Lee ES, Hernandez M. Biostatistics: A Guide to Design, Biostatistics. Analysis and Discovery. Amsterdam, etc.: Elsevier Academic Press: 2007. 502 р.

Hlushchenko TA. Clinical assessment of the effectiveness of complex treatment of generalized periodontitis in patients with metabolic syndrome. Actual problems of modern medicine. 2022; 22; 1(77): 72-76. https://doi.org/10.31718/2077-1096.22.1.72

Homenko LO, Bidenko NV, Ostapko OL, Golubeva IM. Pediatric periodontology: the state of problems in the world and in Ukraine. Dentistry news. 2016; 3(88): 67-71.

Ilchyshyn MP, Furdychko AI, Barilyak AY, Fedun IR, Gan IV. Features of the influence of tobacco heating systems (GLO and IQOS) on the condition of oral tissues. Ukrainian Journal of Medicine, Biology and Sports. 2020; 6 (28): 247-251. https://doi.org/10.26693/jmbs05.06.247

Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017; 3: 17038. https://doi.org/10.1038/nrdp.2017.38

Korolyova ND, Chorna VV, Humeniuk NI, Angelska VYU, Khlestova SS. Prevalence of smoking among medical students. Environment and Health. 2019; 3: 28-30.

Krivenko LS, Tishchenko OV, Lepilina KM. Influence of alternative smoking methods on the features of objective and subjective indicators of oral health. Problems of continuing medical education and science. 2020; 2(38): 20-23. https://doi.org/10.31071/promedosvity2020.02.020

Maliy DU, Antonenko MJ. Epidemiology of periodontal disease: age aspect. Ukrainian Scientific_Medical Youth Journal. 2013; 3: 41-43.

Nazarenko ZYu, Tkachenko IM, Marchenko IYa, Lyashenko LI, Brailko NM. Clinical justification for the use of the drug "Oral Blue" for the treatment of chronic catarrhal gingivitis. 2017; 4; 2 (140): 226-229.

Picas OB. Cigarette smoking among the population and its role in the development of diseases. Bulletin of problems of biology and medicine. 2015; 1(126): 48-52.

Popovych IU, Petrushanko TO. Possibilities of treatment of patients with chronic generalized periodontitis. Journal of dentistry. 2020; 2(111): 27-33.

Prevention of dental diseases: textbook. For students. Stom. Faculty. Concl. Higher honey. Education; for ed. Prof. LF Kaskova.; UMSA. - stereotypical edition. - Lviv.: PE "Magnolia 2006", 2019. - 404 p.

Richard Miech, Lloyd Johnston, Patrick M. O'Malley, Jerald G. Bachman. Trends in Adolescent Vaping, 2017-2019. N Engl J Med. 2019; 381: 1490-1491. https://doi.org/10.1056/NEJMc1910739

Sczepanik FSC, Grossi ML, Casati M, Goldberg M, Glogauer M, Fine N, Tenenbaum HC. Periodontitis is an inflammatory disease of oxidative stress: We should treat it that way. Periodontol 2000. 2020; 84(1): 45-68. https://doi.org/10.1111/prd.12342

Sedghi LM, Bacino M, Kapila YL. Periodontal Disease: The Good, The Bad and The Unknow. Front Cell Infect Microbiol. 2021:11:766944. https://doi.org/10.3389/fcimb.2021.766944

Shcherba VV, Lavrin OY. Smoking: prevalence and effects on organs and tissues of the oral cavity (literature review). Clinical dentistry. 2016; 2: 27-33.

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