CClinicalTrials.gg
CompletedNCT07295756TRSPSUpdated Dec 22, 2025

The Role of Smoking in Periodontal Status

An observational study in Periodontal Diseases, sponsored by Tuğba ŞAHİN. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by Tuğba ŞAHİN · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
484
Ages
18 Years to 65 Years
Sex
All
01

Study summary

484 patients were asked whether they currently smoked and whether they had smoked 100 or more cigarettes during their lifetime. Based on this information, they were divided into two groups: current smokers (test group, n=242) and non-smokers (control group, n=242). Current smokers were defined as individuals who had smoked ≥100 cigarettes in their lifetime and continued smoking. In contrast, non-smokers included individuals who had smoked fewer than 100 cigarettes in their lifetime and were not currently smoking. Participants were also asked about the number of cigarettes smoked per day and the duration of smoking in years, and pack-years were calculated accordingly. Plaque index, gingival index, probing depth, bleeding on probing, gingival recession, and attachment loss were evaluated for both groups. Periodontal health status (Periodontal health, gingivitis, and periodontitis) was assessed by one clinician applying the 2017 World Workshop on Classifying Periodontal and Peri-Implant Diseases and Conditions and the 2023 European Federation of Periodontology's Guidelines. Patients with periodontitis were classified according to stage and grade. This measurement was obtained via a calibrated UNC-15 periodontal probe at each tooth.

Read the detailed description

484 patients were asked whether they currently smoked and had smoked 100 or more cigarettes during their lifetime. Based on this information, they were divided into two groups: current smokers (test group, n=242) and non-smokers (control group, n=242). Current smokers were defined as individuals who had smoked ≥100 cigarettes in their lifetime and continued smoking. In contrast, non-smokers included individuals who had smoked fewer than 100 cigarettes in their lifetime and were not currently smoking. Participants were also asked about the number of cigarettes smoked per day and the duration of smoking in years, and pack-years were calculated accordingly. Plaque index, gingival index, probing depth, bleeding on probing, gingival recession, and attachment loss were evaluated for both groups. Periodontal health status (Periodontal health, gingivitis, and periodontitis) was assessed by one clinician applying the 2017 World Workshop on Classifying Periodontal and Peri-Implant Diseases and Conditions and the 2023 European Federation of Periodontology's Guidelines. Patients with periodontitis were classified according to stage and grade. This measurement was obtained via a calibrated UNC-15 periodontal probe at each tooth.

02

Conditions studied

  • Periodontal Diseases

Keywords

  • periodontal diseases
  • periodontitis
  • smoking
  • gingivitis
  • tabocco products
03

In context

Periodontal Diseases

830 studies on the registry are indexed under Periodontal Diseases; 188 are open to participants now.

This study's enrollment of 484 is above the median of 100 across 291 observational studies indexed under Periodontal Diseases.

Browse Periodontal Diseases studies →

Lead sponsor

Tuğba ŞAHİN is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study includes patients who are smokers and those who are non-smokers.

Inclusion criteria

  • Age 18 years or older
  • No systemic diseases that could affect periodontal or general health
  • No history of periodontal treatment within the past six months
  • For the non-smoker group: abstinence from smoking for at least five years

Exclusion criteria

Exclusion Criteria:

  • Use of antibiotics or anti-inflammatory drugs
  • Pregnant or lactating women
  • Diabetes mellitus
  • Use of waterpipe or chewing tobacco (for the smoker group)
  • Individuals undergoing chemotherapy or radiotherapy
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
484 participants (actual)
Patient registry
No

Groups and cohorts

  • Smoker

    Current smokers were defined as individuals who had smoked ≥100 cigarettes in their lifetime and continued smoking.

    Other: Intervention

  • Non-smoker

    Non-smokers included individuals who had smoked fewer than 100 cigarettes in their lifetime and were not currently smoking.

    Other: Intervention

Interventions

  • OtherIntervention

    The patient's daily cigarette consumption, duration of smoking, and pack-years were evaluated.

    Also known as: Smoking

06

What researchers measure

Primary outcomes

  1. periodontal pocket depth

    Periodontal pocket depth measured in millimeters using a Williams periodontal probe. The distance from the gingival margin to the bottom of the periodontal pocket was recorded at each site.

    Time frame: Baseline

Secondary outcomes

  1. bleeding on probing

    Bleeding on probing assessed using a periodontal probe. After gently inserting the probe into the gingival sulcus and moving it laterally along the pocket wall, bleeding was recorded as present (+) or absent (-).pocket and gently moved laterally along the pocket wall. + is maximum and - is minimum.

    Time frame: Baseline

  2. plaque index

    Oral hygiene status assessed using the Plaque Index, which measures dental plaque accumulation adjacent to the gingival margin. Scores range from 0 (no plaque) to 3 (abundant plaque), with higher scores indicating poorer oral hygiene.

    Time frame: Baseline

  3. gingival index

    Gingival inflammation assessed using the Löe and Silness Gingival Index. Each site was scored on a 0-3 scale, where 0 = normal gingiva and 3 = severe inflammation with edema, redness, and spontaneous bleeding. Higher scores indicate worsening gingival inflammation.

    Time frame: Baseline

  4. clinical attachment level

    Clinical attachment level measured in millimeters using a periodontal probe. CAL was calculated as the distance from the cementoenamel junction to the bottom of the periodontal pocket and used to assess periodontal tissue support loss.

    Time frame: Baseline

  5. Daily cigarette

    It includes the number of cigarettes smoked per day. Self-reported number of cigarettes smoked per day.

    Time frame: Baseline

  6. Smoking Duration

    Self-reported duration of smoking, recorded as the number of years the participant has smoked.

    Time frame: Baseline

  7. Pack-years

    Smoking exposure calculated as pack-years, defined as the number of cigarettes smoked per day divided by 20 and multiplied by the number of years of smoking.

    Time frame: Baseline

07

Study locations

1 site
  • Bolu Abant Izzet Baysal University, Dentistry Faculty
    Bolu, 14030, Turkey (Türkiye)
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07295756
Lead sponsor
Tuğba ŞAHİN
Responsible party
Tuğba ŞAHİN (Assistant professor, Abant Izzet Baysal University) — Sponsor-investigator
First posted
Dec 22, 2025
Start date
Jan 2, 2025
Primary completion
Sep 15, 2025
Completion
Oct 2, 2025
Last update
Dec 22, 2025

Study contacts

TUGBA SAHIN
principal investigator · Abant Izzet Baysal University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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