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                                                        DR. DAN PETERSON

                                                                      1415 SAGE STREET ~ GERING, NEBRASKA 69341 
      Call: 308-436-3491           

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The life expectancy of people who smoke is decreased by 14 years.

bulletGums that bleed when brushing or spontaneously
bulletRed, swollen or tender gums
bulletGum tissue that has receded away from the teeth exposing root surface
bulletPersistent bad breath or taste
bulletPus between the teeth or at the gum line when the tissue is pressed
bulletTeeth feel loose or are separating leaving gaps between them
bulletChanges in how the top teeth and bottom teeth feel together when you bite.
bulletChanges in how a partial denture fits
bulletThe effects of smoking on periodontal tissues depend on the number of cigarettes smoked daily and the duration of the habit. The effect of tobacco on periodontal tissues seems to be more pronounced in men than in women. ^
bulletThere are over 4,000 chemicals in cigarette smoke including: formaldehyde, carbon monoxide, ammonia, arsenic.  There are other chemicals that slow down healing and gum disease treatment.

It is possible to have periodontal disease and not see any of the warning signs. Periodontal disease is the silent killer of teeth. That is why regular check-ups are important.

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Smoking increases our risk of periodontal disease two to seven-fold

In addition, nicotine can cause blood vessels to constrict, which may mask the signs that you have gum and bone disease. You stop smoking, and the vessels dilate and bleed more! You think that you’ve developed gum disease by stopping smoking, but you’ve only unmasked the signs of it.

Smoking-associated periodontitis is not simply a reflection of oral cleanliness. Smoking extends a favorable habitat for bacteria such as P. gingivalis, P. intermedia, and A.actinomycetemcomitans to shallow sites. Molecular byproducts of smoking interfere with mechanisms that normally contain growth of damaging bacteria at the surface of the oral mucosa in gingival crevices. In this way, smoking can promote early development of periodontal lesions.*

Cigar and pipe smoking have similar adverse effects on periodontal health and tooth loss as cigarette smoking. Smoking cessation efforts should be considered as a means of improving periodontal health and reducing tooth loss in heavy smokers of cigarettes, cigars, and pipes with periodontal disease.**

Smoking is altering the immune response.

      Gingivitis                               Moderate Periodontitis           Advance Periodontitis



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Smoking has not only been shown to increase the severity of periodontal disease, but also to decrease the response of gum tissue to periodontal therapy, resulting in a great incidence of refractory disease..  Smoking cessation leads to improved periodontal health and improved response to periodontal therapy thus improving overall health.

Smoking and Periodontitis, Dr Davis, Dr. Hess Woman Dentist Journal, Pg 19-24 February 2004

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Tobacco Quitline Information

Call 1-866-632-7848 for information, support and follow-up calls as often as you need, anytime, day or night.  Certified counselors will develop a personalized "Quit Plan" to help you by setting specific goals and target dates for quitting and strategies for starving off cravings.  Follow up calls are offered on a regular schedule to provide ongoing support, advice and encouragement.  There is no limit to the number of follow up sessions or calls for support.  All information is confidential.

At our office we use the "Five A's" strategy with ALL patients. 

• ASK patients about their tobacco habits 
• ADVISE them on the importance of giving up 
• AGREE with them a quit date 
• ASSIST them in achieving this goal
• ARRANGE follow-up

When one stops, you have to change their environment. they  need to be away from all of those cues that say light up. Smoking is often a social thing -When you are ready to stop you have to be ready to not be in
those environments because they will defeat you.
You may want to ponder this idea:
 I have stopped smoking but I have not quit. I never quit  I am addicted to cigarettes for life and  similar to how I believe AAs manage their addiction I can never allow  myself to have another puff. Once I have that puff, I believe that I  will be back at it and possibly at a higher level. Almost any smoker will tell you they have quit a dozen times but restarted and
increased how many they smoke. I am a firm believer in thinking that  quitting is a pile of BS and just lulls one into a false sense of control.
Past smoker for 26 years.

Source: Dentistry Today 00

Jasim M. Albandar, Charles F. Streckfus, Margo R. Adesanya, and Deborah M. Winn Cigar, Pipe, and Cigarette Smoking as Risk Factorsfor Periodontal Disease and Tooth Loss, J Periodontol 2000;71

The results support the hypothesis that smoking is a significant risk factor of periodontal disease. [Jansson, Leif& Lavstedt, Stig, Influence smoking on marginal bone loss and tooth loss - a prospective study over 20 years.Journal Of Clinical Periodontology 29 (8), 750-756]

^[Ramón, José-María & Echeverría, José-JavierEffects of smoking on periodontal tissues. J. of Clinical Periodontology 29 (8), 771-776]

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Use of water 'softening and Smoking causes Higher Risk of Periodontal Disease

The objective of this study was to examine the association amongst water softness, risk for periodontitis, and smoking status.In this study it was found that the use of water 'softening and conditioning systems' significantly
increased the risk for periodontitis, and smoking increased this risk.

[Wood N, Johnson RB  Use of water 'softening and conditioning systems' significantly increases the risk of periodontitis: smoking considerations Journal of Periodontal Research 2004; 39(6):367.]

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Clinical studies show smoking is a risk factor for periodontal disease progression. It has also been documented that smoking impairs healing after periodontal therapy.  The present study on a small group of patients treated for advanced periodontal disease and well maintained over 5 to 8 years showed no statistically significant differences between smokers and non-smokers in clinical probing depth and radiographic bone loss measurements. Effect of Periodontal Therapy in Smokers and Non-Smokers With Advanced Periodontal Disease: Results After Maintenance Therapy for a Minimum of 5 Years George H. Papantonopoulos [J Periodontol 2004;75:839-843.]

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New Surgeon General report links smoking and periodontal disease

Cigarette smoking as a definite cause of cancers of the lung and larynx in men and chronic bronchitis in men and women.

The dental section of the 960-page printed report of the U.S. Surgeon General reviews the epidemiologic evidence for smoking as a causal factor for the most common forms of nonmalignant oral disease. Its major conclusions:

        + the evidence is sufficient to infer a causal relationship between smoking and periodontitis;
+ the evidence is inadequate to infer the presence or absence of a causal relationship between smoking and coronal dental caries;
        + the evidence is suggestive but not sufficient to infer a causal relationship between smoking and root-surface caries.

A 1982 Surgeon General's report found that cigarette smoking is a major cause of cancers of the oral cavity in the United States. The 2004 report updates that finding to conclude, "The evidence is sufficient to infer a causal relationship between smoking and cancers of the oral cavity and pharynx."

We've known for decades that smoking is bad for your health, but this report shows it's even worse, the toxins from cigarette smoke go everywhere the blood flows.

The new illnesses and conditions linked to cigarette smoking include:

bulletacute myeloid leukemia
bulletabdominal aortic aneurysm
bulletcancers of the cervix, kidney, pancreas and stomach.
bulletcontributes to wound infections following surgery and
complications from diabetes
bulletharms nearly every major organ of the body causing many diseases
bulletit significantly diminishing the health of smokers in general.

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Stress may enhance nicotine effects on periodontal tissues.  Diabetes mellitus and smoking have been described as important risk factors that may affect  progression of periodontitis. Recent studies have pointed to potentially periodontal risk indicators, which include stress. Stress  significantly enhanced the effects of nicotine on the periodontal tissues
Benatti BB, et al. Journal of Periodontal Research Volume 38 Issue 3 Page 351 - June 2003 

Stop Smoking Facts

Bergström, J.: Tobacco Smoking and Subgingvial Dental Calculus. J Clin Perio 32: 81-88, 2005. cited Hygienetown, PerioReports

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February 06, 2008

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          If you have any questions please e-mail me at:
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PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
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