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吸烟会改变非手术性牙周治疗的效果吗?

Neeraj Gugnani¹, Shalini Gugnani²

¹Department of Pedodontics and Preventive Dentistry, DAV (C) Dental College Yamunanagar, Yamunanagar, Haryana, India. drgugnani@gmail.com.

Evidence-based dentistry

|October 19, 2023

概括

非手术性牙周治疗 (NSPT) 改善了吸烟者的牙周健康. 然而,治愈结果受到吸烟水平的影响,严重吸烟者在临床附着水平 (CAL) 和牙周口袋深度 (PPD) 上的改善较小.

科学领域:

牙周病学牙周病学
口腔健康口腔健康
戒烟的方法戒烟戒烟

背景情况:

吸烟是牙周炎的一个重要风险因素.
了解吸烟水平对牙周治疗后愈合的影响对于有效的治疗策略至关重要.

研究的目的:

调查不同程度的吸烟暴露如何影响经过非手术性牙周治疗 (NSPT) 后12个月的牙周愈合.
评估吸烟强度和治疗结果之间的剂量反应关系.

主要方法:

对80名被诊断患有牙周炎的吸烟者进行前性纵向观察性研究.
参与者接受NSPT和戒烟支持,然后每3个月接受一次支持性牙周护理.
测量了牙周参数 (CAL,PPD,探针出血) 和吸烟生物标志物 (唾液内素);使用描述性统计,探索性因子分析和混合效应回归建模分析数据.

主要成果:

所有吸烟组 (轻度,中度,重度) 在NSPT后显示了CAL和PPD的改善.
与轻度和中度吸烟者相比,重度吸烟者对CAL和PPD的变化不太有利.
回归分析表明,在重度吸烟者 (RC=0.5),而不是轻度 (RC=-0.7) 和中度吸烟者 (RC=-0.4) 中,CAL增加的趋势.

结论:

与支持性牙周护理相结合的NSPT在吸烟者中产生了积极的牙周愈合结果.
吸烟水平对NSPT的有效性有影响,这表明剂量反应效应,在这种情况下,更重的吸烟与不太理想的愈合有关.

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