Impact of E-Cigarette Smoking on Healing Response to Non-Surgical Periodontal Therapy

the goal of this clinical trial is to compare the effect of vaping vs traditional smoking on non surgical periodontal therapy . the main question it aims to answer is what is the impact of traditional smoking and vaping on periodontal health and how do IL-1B and IL-20 serve as mediators in the inflammatory processes linked to periodontal disease?

Inclusion Criteria: * pts aged 20-40 years * pts with stage II periodontitis * systemically healthy with no chronic diseases * no current use of medication * participants have the same socioeconomic status * participants must be able to understand and comply with the study protocol and give informed consent Exclusion Criteria: * pts with severe systemic diseases * recent use of immunosuppressants or medications that affect oral health * history of illicit drug use within the past 12 months * periodontal surgery or scaling within the last 6 months * participants in another clinical trial * vulnerable individuals as children and pregnant