Smoking and Patterns of Bone Loss in Early‐Onset Periodontitis

Abstract

It is concluded that young adults with early-onset forms of periodontitis often have advanced periodontal destruction before they are referred for specialist care. In addition, there was a relationship between smoking and severe bone destruction in subjects with EOP, particularly those with generalized disease.

Cigarette Smoking and Alveolar Bone in Young Adults: A Study Using Digitized Radiographs

“…The impact of cigarette smoking on the overall prevalence of periodontitis in a young adult population has gathered some attention in the last decade, and some studies have evaluated the relationship between smoking and periodontal tissues in young adults. The association between smoking and periodontal bone loss was reported by Mullally et al 25 in young subjects diagnosed with aggressive periodontitis. Recently, a relatively high prevalence of aggressive periodontitis associated with smoking, among others risk factors, was found in young Israeli army recruits by Levin et al 26 and in an urban population in southern Brazil by Susin and Albandar 27 .…”

“…These studies were mainly concerned with adult populations, generally heavy smokers with many years of cigarette consumption in whom other risk factors, such as age or systemic diseases, may coexist. Some reports 25–27 showed the association between smoking and some forms of aggressive periodontal diseases in young populations. Cross‐sectional studies 30–33 of clinical parameters in young individuals with minimal or no periodontal destruction have been published.…”

Polymorphisms of TLR4 but not CD14 are associated with a decreased risk of aggressive periodontitis

“…The increased prevalence of periodontitis in young smokers was highlighted by Haber et al (1993), who reported that in the 19–30‐year olds that they investigated, current smokers were almost four times more likely to have periodontitis than never smokers. Studies in Northern Irish populations have confirmed the importance of smoking as a factor in severe loss of periodontal attachment in young adults (Linden & Mullally 1994) and in generalized AgP (Mullally et al 1999).…”

The Fcγ receptor III genotype as a risk factor for aggressive periodontitis in Korean patients

“…Smoking has been shown to be associated with increased disease severity of G-EOP, 30,31 So, we further analyzed the as- …”