wrong answer!

I never answer Dr M's question correctly. NEVER. What in the world i've been studying?

IN SMOKER PATIENT : GINGIVAL INFLAMMATION WILL DECREASED AND THE PATIENT IS IMMUNOSUPRESSED

Here the details about Effect of smoking

Microbiology : no eefect on microb acumulation
Immunological : altered neutrophil chemotaxis function, increased neutrophil collagenase and elastase in GCF, increased production of PGE
Physiology : increased gingival blood vessels with increased inflammation (gingival bv only increased with increasing inflamm.!)

gingivitis : decreased inflammation and bleeding on probing
periodontitis : increase prevalence and severity of periodontal destruction, increase pocket depth,attachment loss and bone loss, increase rate of destruction and prevalence of severe periodontitis, increase tooth loss, increase prevalence with increased number of cigarette per day, decrease prevalence and severity with smoking cessation.

Fuh, gotta study more and more and moree

What are the local factors affecting the gingiva?
- unreplaced missing teeth
- malocclusion
- occlusal trauma
- mouth breathing
- parafunctional habits (clenching,bruxism,tongue thrust,trauma from objects)

hallo friends lets STUDY