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吸烟对骨结合种植体效果影响的循证分析

Evidence-based analysis of the effect of smoking on osseointegrated implant outcome.

作者信息

Hadadi Abeer Ali, Mezied Maha S

机构信息

Department of Dentistry, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

Department of Prosthodontics, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.

出版信息

Natl J Maxillofac Surg. 2021 May-Aug;12(2):133-138. doi: 10.4103/njms.NJMS_287_20. Epub 2021 Jul 15.

DOI:10.4103/njms.NJMS_287_20
PMID:34483570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8386262/
Abstract

The outcome of the osseointegrated implant is influenced by various conditions, one of which is smoking. Literature shows conflicting results for the association between smoking and implant success. Hence, the study was conducted to assess the effects of smoking on survival and marginal bone loss of osseointegrated implants. Literature search of published articles in Medline, Scopus, Ovid, and Journal of Web till June 2020 were analyzed for the determined outcomes. Revman 5.4 software was used for the analysis of the study. Of the 437 articles screened, nine were chosen for review and analysis. Meta-analytic results showed that implant success rate was better in nonsmokers than smokers (odds ratio = 0.43, 95% confidence interval = 0.26-0.72, < 0.0001). Smoking habit does seem to affect the implant outcome of survival and marginal bone loss negatively.

摘要

骨整合种植体的结果受到多种因素影响,其中之一就是吸烟。文献表明,吸烟与种植成功之间的关联结果相互矛盾。因此,开展该研究以评估吸烟对骨整合种植体的存活及边缘骨吸收的影响。对截至2020年6月在Medline、Scopus、Ovid及网络期刊上发表的文章进行文献检索,分析所确定的结果。使用Revman 5.4软件进行研究分析。在筛选的437篇文章中,选取9篇进行综述和分析。荟萃分析结果显示,非吸烟者的种植成功率高于吸烟者(比值比=0.43,95%置信区间=0.26-0.72,P<0.0001)。吸烟习惯似乎确实会对种植体的存活及边缘骨吸收结果产生负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/8260e2756396/NJMS-12-133-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/098cc4290faf/NJMS-12-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/1f1dc84389e9/NJMS-12-133-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/91441b1437aa/NJMS-12-133-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/d20d5d19f8b7/NJMS-12-133-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/8260e2756396/NJMS-12-133-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/098cc4290faf/NJMS-12-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/1f1dc84389e9/NJMS-12-133-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/91441b1437aa/NJMS-12-133-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/d20d5d19f8b7/NJMS-12-133-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adb8/8386262/8260e2756396/NJMS-12-133-g005.jpg

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本文引用的文献

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2
Current Evidence on Dental Implants Outcomes in Smokers and Nonsmokers: A Systematic Review and Meta-Analysis.吸烟者与非吸烟者牙种植体疗效的当前证据:一项系统评价与荟萃分析
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3
Five-year outcome of a retrospective cohort study comparing smokers vs. nonsmokers with full-arch mandibular implant-supported rehabilitation using the All-on-4 concept.
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Int J Environ Res Public Health. 2022 Nov 5;19(21):14543. doi: 10.3390/ijerph192114543.
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Nrf2 in the Field of Dentistry with Special Attention to NLRP3.牙科领域中的Nrf2,特别关注NLRP3。
Antioxidants (Basel). 2022 Jan 12;11(1):149. doi: 10.3390/antiox11010149.
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J Oral Sci. 2018 Jun 20;60(2):177-186. doi: 10.2334/josnusd.16-0890. Epub 2018 May 10.
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