When i first read this question my first response was yes. but after reviewing the notes again i think no smoking does not change the nature of biofilm. pg 127 of orange book says that there is no association between plaque scores and perio status in smokers(which indicates to me that periodontitis in smoking is not related to plaque therefore smoking must not affect the nature of the biofilm and also pg 128 says that the effect of smoking on periodontitis is a direct one and not simply due to poorer oral hygiene in smokers which also indicates to me thatplaque levels in smokers dont play a significant role.. While i feel that smoking does not change the nature of the biofilm it does however affect the gingival/bodies reaction to plaque/biofilm.Smoking affects the inflammatory response and antibody production thatwill help defend against pathogens from plaque and help fight against periodontitis. Smoking will also decrease saliva and nictine binds to the tooth surfaces so this may affectthe ability of biofilm to adhere to the tooth surface.
Wow, what an answer Nicole! I couldn't said it much better.
In summary though:
Smoking does not change the nature of the biofilm. It has no effect on the bacteria in the biofilm, as it is known that periodontopathogens in smokers are no different to those in non-smokers.
3 comments:
When i first read this question my first response was yes. but after reviewing the notes again i think no smoking does not change the nature of biofilm.
pg 127 of orange book says that there is no association between plaque scores and perio status in smokers(which indicates to me that periodontitis in smoking is not related to plaque therefore smoking must not affect the nature of the biofilm and also pg 128 says that the effect of smoking on periodontitis is a direct one and not simply due to poorer oral hygiene in smokers which also indicates to me thatplaque levels in smokers dont play a significant role..
While i feel that smoking does not change the nature of the biofilm it does however affect the gingival/bodies reaction to plaque/biofilm.Smoking affects the inflammatory response and antibody production thatwill help defend against pathogens from plaque and help fight against periodontitis. Smoking will also decrease saliva and nictine binds to the tooth surfaces so this may affectthe ability of biofilm to adhere to the tooth surface.
i hope im on the right track with this???
Wow, what an answer Nicole! I couldn't said it much better.
In summary though:
Smoking does not change the nature of the biofilm. It has no effect on the bacteria in the biofilm, as it is known that periodontopathogens in smokers are no different to those in non-smokers.
Correct !!
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