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烟草吸烟和无烟产品作为牙科植入物的危险因素:系统性审查
Calciolari Elena1,2, Corbella Stefano3,4, Dourou Marina1
1Centre for Oral Clinical Research, Institute of Dentistry, Faculty and Medicine and Dentistry, Queen Mary University of London, London, UK.
Clinical oral implants research
|March 3, 2026
概括
烟草吸烟显著降低了牙植入物的存活率,增加了骨质损失,对植入周围组织构成风险. 戒烟咨询对于接受植入物治疗的患者至关重要.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 牙植入成功取决于健康的牙周植入组织.
- 烟草吸烟是一种普遍的习惯,具有已知的全身健康影响.
- 吸烟对牙植入物结果的具体影响需要彻底调查.
研究的目的:
- 系统地审查和综合有关与吸烟和牙科植入物无烟产品相关的风险因素的证据.
- 为了评估吸烟对植入物存活率,生物并发症和脊柱骨损失的影响.
- 为了比较吸烟者,无烟产品使用者和非吸烟者之间的结果.
主要方法:
- 在三个主要数据库中进行了系统的文献搜索.
- 包含的研究报告了植入物衰竭/存活率,加载后≥1年的随访.
- 分析计算了植入物存活的几率比率 (OR),包括对生物并发症和尖端骨损失 (CBL) 的分析.
主要成果:
- 分析了44项涉及45篇文章的研究,主要关注香烟吸烟.
- 吸烟者显著降低了植入物存活率 (OR=0.40) 和增加了顶部骨损失 (0.64毫米).
- 在吸烟者中报告了更高的周植入炎发病率;对无烟产品的数据不够.
结论:
- 烟草吸烟会对周围植入物组织产生有害影响,增加植入物失败和骨损失的风险.
- 虽然吸烟不是绝对的禁忌,但在植入物治疗中需要仔细考虑.
- 强烈建议将戒烟咨询纳入植入体患者的治疗计划.
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