Comparison of periodontal inflammatory parameters among habitual gutka-chewers and naswar-dippers: a split-mouth retrospective clinical study

Akram, Zohaib; Abduljabbar, Tariq; Hosain, Mervyn; Al-Sowygh, Zeyad H.; Al-Hamoudi, Nawwaf; Vohra, Fahim; Javed, Fawad

doi:10.1080/00016357.2017.1394489

Cited by 18 publications

(19 citation statements)

References 27 publications

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“…27,28 The present results clearly indicates why individuals in CS exhibited fewer percentage of BOP as compared to NTU and STU, it is their oral hygiene that generally contributes in excessive BOP. 10 The present result showed the levels of detrimental proinflammatory biomarkers (IL-1b and MMP-9) were statistically significantly higher among individuals in group-1 and group-2 compared with group-3. One explanation in this regard is that habitual smoking increases the formation and accumulation of AGEs in oral tissues including gingival and periodontal tissues.…”

Section: Discussionsupporting

confidence: 49%

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Clinical and radiographic peri‐implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users

Akram

Vohra

Bukhari

et al. 2017

Clin Implant Dent Rel Res

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Section: Discussionsupporting

confidence: 49%

“…A recent cross-sectional study by Akram and colleagues, 10 showed that clinical and radiographic periodontal parameters are worse among habitual STU. This was further tested in a clinico-laboratory study by Daood and colleagues,11 that reported enhanced collagen breakdown around teeth of STU.…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiographic peri‐implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users

Akram

Vohra

Bukhari

et al. 2017

Clin Implant Dent Rel Res

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“…Further studies are needed to test this hypothesis. Studies 13,20,41,42 have shown that periodontal inflammatory parameters (MBL, PI, BOP, clinical AL, and PD) are poorer in ST-product users compared with controls. This is in contradiction to the results of the present investigation as there was no statistically significant difference in these parameters among shamma users and controls at baseline.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 It has been well documented that intake of smokeless tobacco (ST) products increases the risk of oral-inflammatory disorders such as CP. [11][12][13] Shamma is a form of ST that is composed of ground-tobacco, flavoring oils (such as mint or menthol), ash, carbonate of lime, black pepper, and metals including chromium, copper and lead-oxide. [14][15][16] It is sold in pouches and is frequently consumed in Middle-Eastern countries including Yemen and Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of scaling and root planing with and without adjunct probiotic therapy in the treatment of chronic periodontitis amongshammausers and non‐users: A randomized controlled trial

Vohra

Bukhari

Sheikh

et al. 2020

Journal of Periodontology

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Background Effectiveness of scaling and root planing (SRP) with/without adjunct probiotic (Lactobacillus reuteri) treatment towards the reduction in periodontal inflammatory parameters (clinical attachment loss [AL], marginal bone loss [MBL], plaque index [PI], and bleeding on probing [BOP] in shamma users and non‐users [controls] with chronic periodontitis [CP]) remains uninvestigated. The aim of the present randomized controlled trial was to compare the efficacy of SRP with and without adjunct probiotic therapy (PT) in the treatment of CP among shamma users and controls (individuals not using tobacco in any form). Methods The study was conducted in accordance with the Consolidated Standards of Reporting Trials guidelines. Patient demographics were recorded using a questionnaire. Therapeutically, patients were allotted into four groups as follows: 1) group 1: Shamma chewers that underwent SRP alone; 2) group 2: Shamma‐chewers that underwent SRP + PT; 3) group 3: Non‐chewers that underwent SRP alone; and 4) group 4: Non‐chewers that underwent SRP + PT. Periodontal parameters (PI, BOP, PD, clinical AL and mesial and distal MBL) were measured on all teeth except third molars at baseline and at 3‐ and 6‐month follow‐ups. Level of significance was set at P < 0.05. Results In total, 31, 32, 31, and 33 individuals were included in groups 1, 2, 3, and 4, respectively. Among shamma users, there was no significant difference in the scores of PI, BOP, PD, clinical AL and MBL when SRP was performed with/without adjunct PT. Amongst controls, SRP with adjunct PT was more effective in reducing PI (P < 0.05), BOP (P < 0.05) and PD (P < 0.05) at 3‐month follow‐up. There was no significant difference in periodontal parameters at 3‐ and 6‐month follow‐ups in patients that underwent SRP with and without adjunct PT. Conclusions Habitual shamma use compromises the outcome of SRP in patients with CP. Among patients that do not use any form of ST product, SRP is an effective treatment modality for the treatment of CP, and this relationship is independent of use of adjunct PT.

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“…The kappa statistics for radiographic evaluation was 0.80. Digital periapical radiographs were taken and assessed on a standardized computer display using an image analyzer . These radiographs were further scanned at 800 dots per inch using a scanner .…”

Section: Methodsmentioning

confidence: 99%

Proinflammatory cytokine levels and peri‐implant parameters among cigarette smokers, individuals vaping electronic cigarettes, and non‐smokers

ArRejaie

Al‐Aali

Alrabiah

et al. 2018

Journal of Periodontology

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108

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Background Tobacco smoking compromises the prognosis of dental implant treatment and is associated with increased risk of peri‐implant bone loss and increased implant failure rate. There is a dearth of studies that have compared clinical, radiographic, and immunological peri‐implant parameters among cigarette smokers (CS), individuals vaping e‐cigarettes (e‐cigs), and non‐smokers (NS). This study aimed to compare clinical and radiographic peri‐implant parameters and levels of matrix metalloproteinase (MMP)‐9 and interleukin (IL)‐1β levels among CS, individuals’ vaping e‐cigs, and NS. Methods Thirty‐two CS (group 1), 31 individuals vaping e‐cigs (group 2), and 32 NS (group 3) were included. Demographic‐ and implant‐related data were collected using a structured baseline questionnaire. Peri‐implant plaque index (PI), bleeding on probing (BOP), and probing depth (PD) were recorded and marginal bone loss (MBL) were assessed using standardized digital radiographs. Enzyme‐linked immunosorbent assay was used to assess levels of MMP‐9 and IL‐1β in peri‐implant sulcular fluid. Pearson correlation coefficient was used to analyze for correlations of MMP‐9 and IL‐1β levels with peri‐implant parameters. Results BOP showed significantly higher values in group 3 as compared with groups 1 and 2 (P < 0.01). PI (P < 0.01), PD ≥ 4 mm (P < 0.01), and mean concentrations of MMP‐9 (P < 0.001) and IL‐1β (P < 0.01) were significantly higher in groups 1 and 2 than group 3. MBL was significantly higher in group 1 as compared with group 2 and group 3 (P < 0.01). Significant positive correlations were found between MMP‐9 (P = 0.0198) and IL‐1β (P = 0.0047) levels and MBL in group 1; and a significant positive correlation between IL‐1β and MBL in group 2 (P = 0.0031). Conclusions Peri‐implant health was compromised among CS than vaping individuals and NS. Increased levels of proinflammatory cytokines in CS and vaping individuals may suggest greater peri‐implant inflammatory response.

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Comparison of periodontal inflammatory parameters among habitual gutka-chewers and naswar-dippers: a split-mouth retrospective clinical study

Abstract: Periodontal inflammatory parameters were poorer in the test-sites among gutka-chewers and naswar-dippers compared with the control-sites.

Cited by 18 publications

References 27 publications

Clinical and radiographic peri‐implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users

Clinical and radiographic peri‐implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users

Effectiveness of scaling and root planing with and without adjunct probiotic therapy in the treatment of chronic periodontitis amongshammausers and non‐users: A randomized controlled trial

Proinflammatory cytokine levels and peri‐implant parameters among cigarette smokers, individuals vaping electronic cigarettes, and non‐smokers

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