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The Effect of Professional Tooth Cleaning and Plaque Control Instruction according to the Smoking Behavior  

Han, Gyeong-Soon (Department of Dental Hygiene, Gachon University of Medicine and Science)
Bae, Kwang-Hak (Department of Preventive and public Health Dentistry, School of Dentistry, Seoul National University)
Kwon, Soon-Bok (Department of Dental Hygiene, Kyungbok Collage)
Han, Su-Jin (Department of Dental Hygiene, Gachon University of Medicine and Science)
Choi, Jun-Seon (Department of Dental Hygiene, Gachon University of Medicine and Science)
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Abstract
Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI), $L\ddot{o}e$ & Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.
Keywords
Smoking; Professional tooth cleaning; Plaque control instruction;
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