Arizona School of Dentistry & Oral Health, Mesa, AZ, USA.
Evid Based Dent. 2023 Dec;24(4):179-180. doi: 10.1038/s41432-023-00947-8. Epub 2023 Oct 23.
Cross-sectional study CASE SELECTION: Consecutive patient charts (n = 220) at Guy's Dental Hospital between April 2018 and April 2020 were included. The inclusion criteria were adults ≥18 years with a diagnosis of periodontitis (localized or generalized, all stages and grades) and who have received professional mechanical plaque removal (PMPR) by periodontology graduate students. Data of periodontal indices before and after PMPR (6-20 weeks) were also needed to be available. Exclusion criteria included uncontrolled diabetes, pregnancy, medications attributed to drug induced overgrowth, among others.
This retrospective study evaluated the response to periodontal treatment in e-cigarette users and they compared the outcomes to non-smokers, former and current smokers. The primary outcome to evaluate the response to periodontal therapy was 'need for surgery'. This was defined by the authors as the number of sextants with ≥2 non-adjacent sites with probing depth (PD) ≥ 5 mm after PMPR. Secondary outcomes included periodontal parameters such as number of sextants with ≥1 site with PD ≥ 5 mm, PD, clinical attachment level (CAL), bleeding on probing, recession, and plaque scores.
E-cigarette users and current smokers had similar poorer clinical response to periodontal therapy. Analysis revealed e-cigarette users had more sextants with 'need for surgery' as the primary outcome. Pocket closure outcome (PD ≤ 4 mm with no bleeding on probing) were highest in nonsmokers (77.1%), followed by former smokers (74.9%), current smokers (69.4%), and e-cigarette users (66.6%).
E-cigarette users showed less than beneficial response to periodontal therapy compared to non-smokers, who had the best outcome overall.
横断面研究
纳入 2018 年 4 月至 2020 年 4 月期间在盖伊牙科医院连续就诊的患者图表（n=220）。纳入标准为年龄≥18 岁、诊断为牙周炎（局限性或广泛性、所有阶段和等级）并接受牙周病学研究生专业机械菌斑清除（PMPR）的成年人。还需要有 PMPR 前后（6-20 周）牙周指数的数据。排除标准包括未控制的糖尿病、妊娠、药物引起的过度生长等。
这项回顾性研究评估了电子烟使用者对牙周治疗的反应，并将结果与非吸烟者、前吸烟者和现吸烟者进行了比较。评估牙周治疗反应的主要结果是“需要手术”。作者将其定义为 PMPR 后至少有两个非相邻部位的探诊深度（PD）≥5mm的六区数。次要结果包括牙周参数，如至少有一个 PD≥5mm的六区数、PD、临床附着水平（CAL）、探诊出血、退缩和菌斑评分。
电子烟使用者和现吸烟者对牙周治疗的临床反应相似较差。分析显示，电子烟使用者的主要结果为“需要手术”的六区数更多。口袋闭合结果（PD≤4mm 且无探诊出血）在非吸烟者中最高（77.1%），其次是前吸烟者（74.9%）、现吸烟者（69.4%）和电子烟使用者（66.6%）。
与非吸烟者相比，电子烟使用者对牙周治疗的反应不佳，非吸烟者的总体结果最好。
