不同菸草製品對於牙周及植牙周邊組織的可能危害

Tobacco-Product Usage As A Risk Factor for Periodontal Tissue and Dental Implants

邱伯濤(Po-Tao Chiou) ； 鄭琬蒨(Wan-Chien Cheng) ； 宋承恩(Cheng-En Sung) ； 陳穎吾(Ying-Wu Chen) ； 鄭家典(Chia-Dan Cheng) ； 尤琇(Yo Siou) ； 張宗復(Tsung-Fu Chang) ； 江正陽(Cheng-Yang Chiang)

《臺灣牙周病醫學會雜誌》 25卷1期 (2020/05) Pp. 34-46

https://doi.org/10.6121/TAP.202005_251.0004

摘要

儘管人工植牙的存活率和成功率已高達98％－100％，植牙的併發症，仍是影響植體長期預後的關鍵因素。牙周治療的風險包括口腔衛生控制不佳、過去曾患有牙周病病史、免疫功能低下（如後天免疫缺乏症候群和糖尿病控制不佳的患者）、咬合力超過負荷等風險因子。然而習慣性使用各式菸草製品，也會對所有牙周治療和植牙手術產生不利的影響。本篇將探討菸草製品對全身性系統之危害及牙周組織的影響，並探討其中的主成分尼古丁與其他有害物質對植體骨整合（僅限於動物實驗）和對宿主產生的免疫反應之影響，另外就各式菸草製品（傳統香菸、水煙、電子菸及雪茄煙斗）之於牙周組織和人工植牙的風險因素，做一文獻之回顧。

關鍵字

菸草製品 ； 牙周組織 ； 人工植牙

並列摘要

Although the survival rate and success rate of dental implants have reached 98% -100%, the complications of dental implants are still the key factors affecting the long-term prognosis of implants. The risk factors of periodontal treatments included poor oral hygiene control, previous history of periodontal disease, low immune function (such as acquired immunodeficiency syndrome and poorly controlled diabetes), and overloading of occlusal force, etc. However, the habitual use of various types of tobacco products also has an adverse effects on all periodontal treatments and dental implant surgery. This article discussed the harm of tobacco products to systemic disease and periodontal tissue. We also review the literature about the influences of nicotine and other harmful substances on the osseointegration of implants (limited to animal studies) and host immune responses. Finally, we listed the risk factors of various types of tobacco products (traditional cigarettes, water pipe tobacco, e-cigarettes, and cigar pipes) on periodontal tissue and dental implants.

並列關鍵字

Tobacco ； periodontal tissue ； dental implants