戒菸門診病人的戒菸時間與其牙周病治療成效相關性之回顧

A Literature Review of The Correlation between Smoking Cessation Period and Effectiveness of Periodontal Disease Treatment in Cessation Outpatients

邱伯濤(Po-Tao Chiou) ； 駱啟文(Ci-Wen Luo) ； 關宇翔(Yu-Hsiang Kuan)

《北市醫學雜誌》 預刊文章 Pp. 1-12

https://doi.org/10.6200/TCMJ.202201/PP.0007

摘要

牙周病是影響牙齦周圍組織的一系列發炎症狀，包括牙齦邊緣充血發炎與流血、牙齒鬆動、牙周組織喪失、齒槽骨降低、角性骨缺損，最嚴重時將導致牙齒喪失。牙周病為代謝相關疾病、心血管疾病、神經退化性疾病的重要的危險因子。因此有效治療牙周病已然成為重要的公共衛生議題。吸菸則是牙周病重要的危險因子。本文針對戒菸門診的病人，針對戒菸時期與牙周病間的風險相關性進行文獻回顧性研究。結果發現戒菸者對於牙周疾病的治療與非戒菸者，於短治療時期內似乎差異不大。而較長治療時期的觀察後，發現戒菸者相較於非戒菸者較具有改善對牙周病的治療效果。此成果應可做為吸菸病人進行牙周病治療的相關參考依據。

關鍵字

牙周病 ； 戒菸門診 ； 吸菸 ； 戒菸

並列摘要

Periodontal disease is a series of inflammatory symptoms that affect the tissues around the gums, including inflammation and bleeding of the gingival margin, loose teeth, loss of periodontal tissue, reduction of alveolar bone, angular bone defect, and in the worst-case - end up with tooth loss. Periodontal disease is an important risk factor for metabolism-related diseases, cardiovascular diseases, and neurodegenerative diseases. Therefore, the effective treatment of periodontal disease has become an important public health issue. Smoking is an important risk factor for periodontal disease. The present study aimed to review the literature related to the length of smoking cessation on the risk of periodontal disease in outpatients of the smoking cessation clinics. The results indicated not much difference between the treatment outcomes of periodontal disease between quitters and non-quitters in a short treatment period. For a more extended treatment period, the quitters had better treatment outcomes than the non-quitters. Our findings could be used as a reference when treating periodontal disease in smoking patients.

並列關鍵字

periodontal disease ； smoking cessation clinics ； smoking ； smoking cessation