Abstract
TO STUDY THE CLINICAL ATTACHMENT LEVEL (CAL), RUSSEL PERIODONTAL INDEX (RPI) AND ORAL HYGIENIC INDEX (OHI) IN PERIODONTAL DISEASE SUBJECTS AND SMOKELESS TOBACCO USERS

Dr. Rujuta D Mhaisekar*, Dr. Anita M.Raut, Dr. Hiral Patel, Dr. Dilip Mhaisekar, Dr. Smita D. Mhaisekar

ABSTRACT

Background - The use of smokeless tobacco (ST) is growing in popularity due to unsupported perception of safety, indoor smoking bans, ability to conceal use, increased social acceptance, and reported ―positive‖ physiological effects, such as relaxation, increased concentration, heightened alertness, and diminished hunger. Use of smokeless tobacco, gutkha and mishri has been increased tremendously with increase risk of periodontal disease results in tooth loss (edentulousness). Objectives-The purpose of the present study was to evaluate and compare the tooth loss in periodontal disease subjects and in subjects using chewing smokeless tobacco in relation to periodontal diseases. And also to study and compare the Clinical Attachment Level (CAL), Russel Periodontal Index (RPI) and Oral Hygenic Index (OHI). Materials and Method- : In the present study, 50 periodontal disease subjects and total 50 subjects taking smokeless tobacco were included as tobacco chewers 25; gutkha users 10 and mishri users 15 were included. Average CAL (Clinical attachment level), OHI (Oral Hygenic Index) RPL (Russel Periodontal Index) In the periodontal disease subjects (non tobacco,Group I ) and subjects taking chewing tobacco , gutkha and mishri. We found highly significant values ( p<0.0001) CAL, (p<0.002) OHI-S and (p<0.0001) RPL in tobacco users (group II-1 ,II-2 and ,II-3. ). Conclusion- From the findings it clearly indicates that group II-1 patients i.e. gutkha users had less CAL, OHI-S and RPI .As well as Mishri users group II-2 patients had more OHI-S and RPI and medium CAL .Whereas Tobacco chewers group II-3 patients had medium level of OHI –S and RPI and shows more CAL.

Keywords: Clinical Attachment Level (CAL), Russel Periodontal Index (RPI), Oral Hygenic Index (OHI), Mishri, Gutkha, Periodontal disease.


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