Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2010  |  Volume : 14  |  Issue : 1  |  Page : 72-79

Nicotine and periodontal tissues


Department of Periodontology and Oral Implantology, National Dental College & Hospital, Derabassi, Punjab, India

Correspondence Address:
Ranjan Malhotra
168, Ajit Nagar, Patiala, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.65442

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Tobacco use has been recognized to be a significant risk factor for the development and progression of periodontal disease. Its use is associated with increased pocket depths, loss of periodontal attachment, alveolar bone and a higher rate of tooth loss. Nicotine, a major component and most pharmacologically active agent in tobacco is likely to be a significant contributing factor for the exacerbation of periodontal diseases. Available literature suggests that nicotine affects gingival blood flow, cytokine production, neutrophil and other immune cell function; connective tissue turnover, which can be the possible mechanisms responsible for overall effects of tobacco on periodontal tissues. Inclusion of tobacco cessation as a part of periodontal therapy encourages dental professionals to become more active in tobacco cessation counseling. This will have far reaching positive effects on our patients' oral and general health.


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