烟草吸烟对根覆盖程序所取得的结果的影响:更新的系统性审查
Leandro Chambrone1,2,3, Miguelángel Coccaro1,4, Andrea Juliana Montaño1
1Unit of Basic Oral Investigation (UIBO), School of Dentistry, Universidad El Bosque, Bogota, Colombia.
概括
吸烟对牙衰退 (GR) 的根覆盖 (RC) 程序产生负面影响. 非吸烟者获得明显更好的结果,突出表明在牙周治疗计划中需要戒烟.
科学领域:
- 牙周病学 牙周病学
- 恢复性牙科 恢复性牙科
背景情况:
- 牙衰退 (GR) 缺陷是常见的牙周问题.
- 根覆盖 (RC) 程序旨在恢复丢失的牙组织.
- 吸烟对RC结果的影响需要更新评估.
研究的目的:
- 系统地审查和评估吸烟对GR缺陷RC程序临床结果的影响.
- 更新2009年系统审查中以前的调查结果.
主要方法:
- 系统性审查包括随机对照试验,对照临床试验和具有≥6个月随访的病例系列.
- 研究的重点是GR缺陷,没有近距离组织损失.
- 对吸烟者 (每天≥10支烟) 和非吸烟者的结局数据进行了单独分析.
- 进行了随机效应元分析.
主要成果:
- 包括12项涉及181名吸烟者和162名非吸烟者的研究.
- 与吸烟者相比,非吸烟者显示出更大的GR减少和临床依恋水平的增加.
- 非吸烟者通过冠状动脉先进 (CAF) 和亚皮质结合组织移植 (SCTG) +CAF手术实现了显著更好的平均根覆盖率 (MRC).
- 非吸烟者使用SCTG+CAF具有更高的完全根覆盖 (CRF) 的可能性.
结论:
- 吸烟显著影响根覆盖程序的成功率.
- 基于亚皮质连接组织移植的手术特别受到吸烟的影响.
- 将戒烟干预措施整合到牙周治疗中对于改善患者的治疗结果至关重要.
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