Association between cigarette smoking and the prevalence of post-endodontic periapical pathology: a systematic review and meta-analysis.

Restorative Dentistry & Endodontics Pub Date : 2022-06-13 eCollection Date: 2022-08-01 DOI:10.5395/rde.2022.47.e27

Néstor Ríos-Osorio, Hernan Darío Muñoz-Alvear, Fabio Andrés Jiménez-Castellanos, Sara Quijano-Guauque, Oscar Jiménez-Peña, Herney Andrés García-Perdomo, Javier Caviedes-Bucheli

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Abstract

Objectives: This systematic review and meta-analysis aimed to assess the association of cigarette smoking with the prevalence of post-endodontic apical periodontitis in humans.

Materials and methods: We searched through PubMed/Medline, Web of Science, and Scopus from inception to December 2020. Risk of bias was performed by using the Newcastle-Ottawa Scale for cross-sectional, cohort, and case-control studies. We performed the statistical analysis in Review Manager 5.3 (RevMan 5.3).

Results: 6 studies met the inclusion criteria for qualitative and quantitative synthesis. Statistical analysis of these studies suggests that there were no differences in the prevalence of post endodontic apical periodontitis (AP) when comparing non-smokers vs smoker subjects regarding patients (odds ratio [OR], 0.68; 95% confidence interval [CI], 0.31-1.49; I2 = 58%) and teeth (OR, 1.71; 95% CI, 0.99-2.93; I2 = 72%).

Conclusions: Our findings suggest that there was no association between cigarette smoking and post-endodontic apical periodontitis, as we did not find statistical differences in the prevalence of post-endodontic AP when comparing non-smokers vs smoker subjects. Therefore, smoking should not be considered a risk factor associated with endodontic failure.

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吸烟与牙髓后根尖周病理患病率之间的关系:系统回顾和荟萃分析。

目的:本系统综述和荟萃分析旨在评估吸烟与人类牙髓后根尖牙周炎患病率的关系。材料和方法:我们从成立到2020年12月检索了PubMed/Medline, Web of Science和Scopus。偏倚风险采用纽卡斯尔-渥太华量表进行横断面、队列和病例对照研究。我们在Review Manager 5.3 (RevMan 5.3)中进行统计分析。结果:6项研究符合定性和定量综合纳入标准。这些研究的统计分析表明，不吸烟者和吸烟者的患者在牙髓后根尖牙周炎(AP)患病率方面没有差异(优势比[OR]， 0.68;95%置信区间[CI]， 0.31-1.49;I2 = 58%)和牙齿(OR, 1.71;95% ci, 0.99-2.93;I2 = 72%)。结论:我们的研究结果表明吸烟与牙髓后根尖牙炎之间没有关联，因为我们没有发现不吸烟者与吸烟者在牙髓后AP患病率上的统计学差异。因此，吸烟不应被视为与牙髓衰竭相关的危险因素。

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