电子尼古丁输送系统 (ENDS):戒烟的策略还是口腔健康的新风险因素?
Ana Luisa Amaral1,2, Bashir Abdulgader Lwaleed3, Sérgio Araújo Andrade4,5,6
1Faculty of Dentistry, University of Itaúna (UIT), Itaúna, MG, Brazil.
Evidence-based dentistry
|September 6, 2023
概括
电子尼古丁输送系统 (ENDS) 的使用可能对口腔健康构成风险,包括潜在的致癌作用和对牙周病和牙损伤的敏感性增加. 需要进一步的长期研究,以充分评估ENDS对口腔健康结果的影响.
科学领域:
- 口腔健康研究 口腔健康研究
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 电子尼古丁输送系统 (ENDS) 越来越普遍.
- 了解使用ENDS对口腔健康的影响至关重要.
研究的目的:
- 审查有关ENDS对口腔健康影响的现有文献.
- 为了确定与口腔内ENDS使用相关的潜在风险.
主要方法:
- 在PubMed和Cochrane图书馆数据库 (2012-2022) 中进行系统搜索.
- 包括临床和公共卫生研究,比较ENDS用户,吸烟者和非吸烟者.
- 排除体外研究,动物模型,未注册试验和有利益冲突的文章.
主要成果:
- 通过细胞因子毒性,ENDS组件可能具有致癌潜力,但尚未被确立为独立的口腔癌风险因素.
- 使用ENDS可能会改变口腔微生物群,增加生物膜粘附和,牙周病和围植入炎的风险.
- 在ENDS产品中的口味显著影响启动和持续使用,特别是在年轻人中.
结论:
- 终端用户面临的风险包括牙周病,,软组织损伤,以及牙/假肢颜色的改变.
- 在ENDS中的化学物质可以诱导与潜在的口腔癌风险相关的细胞变化.
- 更多的长期研究对于全面评估ENDS对口腔健康的影响至关重要.
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