Smoking and Its Impact on Orthodontic Treatment/Management Modalities: A Systematic Review and Meta-Analysis.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Iranian Journal of Public Health Pub Date : 2024-08-01 DOI:10.18502/ijph.v53i8.16276
Mohammad Khursheed Alam, Haifa Ali Almutairi, Rowida Saleh Barayan, Huda Abutayyem, Haytham Jamil Alswairki, Ahmed Ali Alfawzan, Mohammad Younis Hajeer, Ahmed Saleh Albalawi, Khalid Hussain Ali Alruwaili, Rakhi Issrani, Namdeo Prabhu
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Abstract

Background: We aimed to review studies that evaluated the effect of cigarette smoking on orthodontic treatment methods and determine whether the smoke affected appliances in a way that could impair the effectiveness of the overall treatment strategy.

Methods: PubMed, Google Scholar, Cochrane Library, and Web of Science were scoured using pertinent keywords, reference searches, and citation searches in accordance with the PRISMA protocol regarding articles published from 2008 till 2022.

Results: Ultimately, 7 papers were chosen for further analysis at the end of the selection protocol. Overall pooled odds ratio (OR) for the impact of cigarette smoking on orthodontic treatment was 0.25 (95% CI: 0.15, 0.43), with high statistical significance (P<0.00001) but also high heterogeneity (I2 = 81%). The relative risk (RR) was 0.50 (95% CI: 0.38, 0.66), indicating a 50% greater risk of noticeable impact, with high statistical significance (P<0.00001) and high heterogeneity (I2 = 79%), and the risk difference (RD), which was -0.33 (95% CI: -0.45, -0.21), suggesting a 33% higher risk of noticeable impact, with high statistical significance (P<0.00001) and high heterogeneity (I2 = 81%). The high heterogeneity in all measures indicates significant variability in the results across the included studies.

Conclusion: All the 7 studies selected for our systematic review exhibited significant detrimental associations between smoking and orthodontic appliances and other modalities that were exposed to cigarette smoke. However, more studies need to be done in this regard, since the literature currently available on this relationship is quite poor and lacking in concrete evidence.

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吸烟及其对正畸治疗/管理模式的影响:系统回顾与元分析》。
背景:我们旨在回顾评估吸烟对正畸治疗方法影响的研究,并确定烟雾对矫治器的影响是否会损害整体治疗策略的有效性:方法:按照 PRISMA 协议,使用相关关键词、参考文献检索和引文检索对 PubMed、Google Scholar、Cochrane Library 和 Web of Science 中 2008 年至 2022 年发表的文章进行了检索:最终,7 篇论文被选中进行进一步分析。吸烟对正畸治疗影响的总体汇总比值比(OR)为 0.25(95% CI:0.15,0.43),具有高度统计学意义(P2 = 81%)。相对风险 (RR) 为 0.50 (95% CI: 0.38, 0.66),表明明显影响的风险增加 50%,具有高度统计学意义 (P2 = 79%);风险差异 (RD) 为 -0.33 (95% CI: -0.45, -0.21),表明明显影响的风险增加 33%,具有高度统计学意义 (P2 = 81%)。所有衡量指标的高度异质性表明,所纳入研究的结果存在显著差异:我们的系统综述所选择的 7 项研究均显示,吸烟与正畸矫治器及其他暴露于香烟烟雾的方式之间存在显著的不利关联。然而,在这方面还需要进行更多的研究,因为目前关于这种关系的文献还很贫乏,缺乏具体的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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