Question

Can someone rewrite this please for me?

Thank you.

I would start to counsel the patient by simply stating the facts. It would be important to let them know that cigarette smoking is one of the most significant risk factors in the development of periodontal disease and that more than half of the periodontitis cases in the U.S. are associated with smoking. There are many studies that compare smokers with nonsmokers with periodontitis and smokers have more recession of the gingival margin and more attachment loss, they have more bone loss, deeper pocket depths around the tooth, more furcation involvement and more tooth loss. Tobacco smoking plays a role in periodontal disease that does not respond to treatment even with patient compliance and appropriate therapy. There are also studies that show smokers harbor different types of bacteria in the plaque biofilm as well as higher numbers of pathogenic bacteria within the mouth. Smoking also results in changes in the pocket which may lead to the presence and survival or more pathogenic bacteria. I would make sure I inform my patient that clinically smoking may lead to a fibrotic response in the gum tissue with less bleeding, inflammation, and redness, but there can be hidden deep pockets, attachment and bone loss. Smoking and nicotine impair the body’s host defense. Tobacco smoke and nicotine can inhibit the functions of the body’s cells to attack the infection, and may also increase the production of the body’s inflammatory mediators which then begin to attack the surrounding tissue and bone. Smoking impairs healing in all aspects of periodontal treatment. I would then start to discuss with my patient the effects of smoking cessation on the periodontium. The periodontal health status of former smokers is not as good as those that have never smoked, but it is better than those that currently smoke. The effects of smoking cannot be reversed but can be beneficial to the health of the periodontium and the overall health of the individual. Some benefits of tobacco cessation are a reduction of the pathogenic bacteria present in the plaque biofilm, improved circulation to the gingiva and an improvement in the body’s immune response. There are many options to help an individual quit or cut back on smoking. I would inform my patient of the variety of options, such as medications (Chantix), Nicoderm patches and chewing gum, support groups such as the quitline.

Answer 1

Answer: Counseling the patient by explaining the facts of the smoking and it's related consequences on the periodontal diseases. Periodontitis is a kind of severe gum infection which is if not treated will lead to destroy the gums and inner bones of the teeth. There are many factors which influences the severity of the disease and smoking is one of them. If a patient is a long term smoker, the effects of the smoking will lead to increase the seriousness of the periodontitis and damage the gums.

Some benefits of tobacco cessation and smoking are:

• Good breath and smell
• Quick progression in healing of disease
• Reduces the risk of gum cancer
• Enhanced the blood circulation in mouth which reduces inflammation.
• Minimises the risk of other diseases.

There are many ways by which a person can quit smoking such as taking medications, nicoderm patches are available as well as chewing gums which can help person to quit smoking at some extent.