Charde Priti, Ali Kamran, Hamdan Nader
Qatar University, QU Health, College of Dental Medicine, Doha, Qatar.
PLOS Glob Public Health. 2024 Mar 20;4(3):e0002311. doi: 10.1371/journal.pgph.0002311. eCollection 2024.
Use of electronic cigarettes (ECs), also known as vaping, has gained remarkable popularity globally during the last decade especially among young people. Current evidence suggests that vaping may be associated with health risks. The aim of this study is to evaluate whether vaping increases the risk for initiation and progression of periodontal disease; and to appraise the clinical changes seen in patients using e-cigarettes, and how these changes impact the management of periodontal disease.
STUDY SELECTION, DATA AND SOURCES: A comprehensive electronic search was conducted on the PubMed, Scopus and Embase databases using the following search terms: Electronic Cigarettes OR vaping OR electronic nicotine delivery systems OR e-cigarettes AND Periodontitis. The search was limited to studies published from 1st January 2012 to 31st December 2022.
A total of 23 clinical studies focusing on the effect of e-cigarette smoking on the periodontal clinical parameters, levels of inflammatory mediators, alteration in periodontal microflora, and response to periodontal treatment were found to be eligible for inclusion in the review. Vaping may be associated with greater clinical attachment loss (CAL) compared to non-smokers. Moreover, ECs are also associated with unfavorable effects on periodontal microbial counts, biomarkers of inflammation and oxidative stress.
Vaping may play a role in the initiation and progression of periodontal disease by altering the host response resulting in the release of inflammatory cytokines and periodontal microflora. Clinical studies show deleterious effects of vaping on periodontal health as well as less favourable response to periodontal treatment is observed in e-cigarette users compared to non-smokers. However, compared to cigarette smoking, the effects of vaping are less remarkable.
在过去十年中，电子烟（ECs）的使用，也被称为吸电子烟，在全球范围内尤其在年轻人中变得非常流行。目前的证据表明，吸电子烟可能与健康风险有关。本研究的目的是评估吸电子烟是否会增加牙周疾病发生和进展的风险；评估使用电子烟的患者所观察到的临床变化，以及这些变化如何影响牙周疾病的管理。
研究选择、数据和来源：在PubMed、Scopus和Embase数据库上进行了全面的电子检索，使用了以下检索词：电子烟或吸电子烟或电子尼古丁输送系统或电子烟与牙周炎。检索仅限于2012年1月1日至2022年12月31日发表的研究。
共发现23项关注电子烟吸烟对牙周临床参数、炎症介质水平、牙周微生物群改变以及对牙周治疗反应的临床研究符合纳入综述的条件。与不吸烟者相比，吸电子烟可能与更大的临床附着丧失（CAL）有关。此外，电子烟还与对牙周微生物计数、炎症和氧化应激生物标志物的不利影响有关。
吸电子烟可能通过改变宿主反应导致炎症细胞因子和牙周微生物群的释放，在牙周疾病的发生和进展中起作用。临床研究表明，吸电子烟对牙周健康有有害影响，并且与不吸烟者相比，电子烟使用者对牙周治疗的反应较差。然而，与吸烟相比，吸电子烟的影响较小。
