Effect of waterpipe smoking on peri-implant health: A systematic review and meta-analysis

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-03-04 DOI:10.1111/jicd.12403

Zohaib Akram, Fawad Javed, Fahim Vohra

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引用次数: 16

Abstract

The aim of the present review was to evaluate the effect of waterpipe smoking (WS) on clinical peri-implant inflammatory parameters compared to non-smokers (NS) with dental implants. Literature searches were performed using bibliographic databases up to May 2018. Primary outcomes included peri-implant bone loss (PIBL), while secondary outcomes were probing depth (PD), plaque index, and bleeding on probing. Relative risk (RR) and 95% confidence intervals (CI) for each PIBL and PD were estimated by a random-effect model. Four retrospective case-control studies were included in the qualitative and quantitative syntheses. All of the included studies showed statistically-significantly worse peri-implant outcomes in WS compared to NS. Considering the effects of WS on peri-implant parameters, significant heterogeneity for PIBL (Q-value = 34.21, P < 0.0001, I² = 94.16%) and PD (Q-value = 51.97, P < 0.0001, I² = 96.15%) was observed between both groups. The overall RR for PIBL (RR = 3.32, 95% CI = 1.01-3.97, P = 0.001) and PD (RR = 3.40, 95% CI = 1.91-7.17, P = 0.001) were significant between WS and NS groups. WS has detrimental effect on peri-implant health. Clinicians should instruct and advise patients about poor prognosis and peri-implant diseases caused by WS.

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水烟吸烟对种植体周围健康的影响:一项系统回顾和荟萃分析

本综述的目的是评估水烟吸烟(WS)对种植体周围临床炎症参数的影响，与不吸烟(NS)的种植体进行比较。文献检索使用书目数据库进行，截止到2018年5月。主要结果包括种植体周围骨质流失(PIBL)，次要结果包括探探深度(PD)、斑块指数和探探时出血。通过随机效应模型估计每个PIBL和PD的相对风险(RR)和95%置信区间(CI)。定性和定量综合纳入了四项回顾性病例对照研究。所有纳入的研究均显示WS患者种植体周围的预后比NS患者差。考虑到WS对种植体周围参数的影响，PIBL的异质性显著(q值= 34.21,P <0.0001, I2 = 94.16%)和PD(核反应能量= 51.97,P & lt;0.0001, I2 = 96.15%)。WS组和NS组PIBL (RR = 3.32, 95% CI = 1.01-3.97, P = 0.001)和PD (RR = 3.40, 95% CI = 1.91-7.17, P = 0.001)的总RR差异均有统计学意义。WS对种植体周围的健康有不利影响。临床医生应指导和建议患者预后不良和WS引起的种植体周围疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.