Peri‐implant soft tissue inflammatory parameters and crestal bone loss among waterpipe (narghile) smokers and never‐smokers with and without type 2 diabetes mellitus

Al-Sowygh, Zeyad H.; Al‐Kheraif, Abdulaziz A.; Akram, Zohaib; Vohra, Fahim; Javed, Fawad

doi:10.1002/jper.17-0554

Cited by 14 publications

(21 citation statements)

References 33 publications

(71 reference statements)

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“…Of these, eight studies were further excluded. After the final stage of selection, four studies were included and processed for data extraction (ĸ score: 0.97 [0.94‐1.00]) . All studies were performed at university hospitals .…”

Section: Resultsmentioning

confidence: 99%

“…After the final stage of selection, four studies were included and processed for data extraction (ĸ score: 0.97 [0.94‐1.00]) . All studies were performed at university hospitals . The PRISMA flowchart of the search process is presented in Figure , with reasons of exclusion indicated …”

Section: Resultsmentioning

confidence: 99%

“…Recent investigations have evaluated the effect of WS on peri‐implant parameters and have shown relatively worse peri‐implant outcomes in those who have been smoking for approximately 1 year …”

Section: Introductionmentioning

confidence: 99%

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Effect of waterpipe smoking on peri‐implant health: A systematic review and meta‐analysis

Akram

Javed

Vohra

2019

J of Invest & Clin Dent

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The aim of the present review was to evaluate the effect of waterpipe smoking (WS) on clinical peri-implant inflammatory parameters compared to non-smokers (NS) with dental implants. Literature searches were performed using bibliographic databases up to May 2018. Primary outcomes included peri-implant bone loss (PIBL), while secondary outcomes were probing depth (PD), plaque index, and bleeding on probing.Relative risk (RR) and 95% confidence intervals (CI) for each PIBL and PD were estimated by a random-effect model. Four retrospective case-control studies were included in the qualitative and quantitative syntheses. All of the included studies showed statistically-significantly worse peri-implant outcomes in WS compared to NS. Considering the effects of WS on peri-implant parameters, significant heterogeneity for PIBL (Q-value = 34.21, P < 0.0001, I 2 = 94.16%) and PD (Q-value = 51.97, P < 0.0001, I 2 = 96.15%) was observed between both groups. The overall RR for PIBL (RR = 3.32, 95% CI = 1.01-3.97, P = 0.001) and PD (RR = 3.40, 95% CI = 1.91-7.17, P = 0.001) were significant between WS and NS groups. WS has detrimental effect on peri-implant health. Clinicians should instruct and advise patients about poor prognosis and peri-implant diseases caused by WS. K E Y W O R D Sbleeding on probing, crestal bone loss, meta-analysis, peri-implantitis, waterpipe How to cite this article: Akram Z, Javed F, Vohra F. Effect of waterpipe smoking on peri-implant health: A systematic review and meta-analysis. J Invest Clin Dent. 2019;10:e12403. https://

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effect of waterpipe smoking on peri‐implant health: A systematic review and meta‐analysis

Akram

Javed

Vohra

2019

J of Invest & Clin Dent

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“…A substantial body of evidence in Saudi population has shown that waterpipe smokers (WS) have increased prevalence of peri-implant diseases and that the disease is worse than NS. 10,11 In a recent pilot studies conducted by Al-Aali et al 12 and…”

Section: Introductionmentioning

confidence: 97%

“…Another form, that is, waterpipe smoking also known as hookah , sheesha , or narghile smoking appears to be overtaking cigarette smoking in popularity, and public tolerance of this habit is becoming greater. A substantial body of evidence in Saudi population has shown that waterpipe smokers (WS) have increased prevalence of peri‐implant diseases and that the disease is worse than NS …”

Section: Introductionmentioning

confidence: 99%

Clinical peri‐implant parameters and inflammatory cytokine profile among smokers of cigarette, e‐cigarette, and waterpipe

Alqahtani

Alayad

Alshihri

et al. 2018

Clin Implant Dent Rel Res

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Clinicoradiographic markers of peri‐implantitis in cigarette‐smokers and never‐smokers with type 2 diabetes mellitus at 7‐years follow‐up

Alqahtani

Alqhtani

Alkhtani

et al. 2020

Journal of Periodontology

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Background It is hypothesized that in the long‐term, (a) peri‐implant inflammatory variables (plaque index [PI], bleeding on probing [BOP], probing depth (PD) and crestal bone loss [CBL]) are worse in cigarette‐smokers (CS) and patients with type‐2 diabetes mellitus (T2DM) than never‐smokers (NS) without T2DM. The aim of the present 7‐year follow‐up clinical observational study was to assess the survival of dental implant in CS and NS with T2DM. Methods Study participants were divided into four groups based on glycemic status and self‐reported cigarette‐smoking habit: a) CS with T2DM; b) CS without T2DM; c) NS with T2DM; and d) NS without T2DM. Demographic information was collected using a questionnaire and hemoglobin A1c (HbA1c) levels were measured. Peri‐implant PI, BOP, PD, and CBL were measured. Sample‐size was estimated was statistical analysis was done using analysis of variance. P <0.01 was considered significant. Results In total, 101 male patients were included. There was no significant contrast in age among the groups. Every partaker in the study groups had one dental implant placed in posterior maxilla or mandible. The mean HbA1c levels were significantly higher among CS (P <0.01) and NS (P <0.01) with T2DM than individuals without T2DM. Peri‐implant PI (P <0.01), PD (P <0.01), and CBL (P <0.01) were significantly higher among CS and NS with T2DM and CS without T2DM than NS without T2DM. Peri‐implant BOP was significantly higher among CS and NS with T2DM than CS and NS without T2DM (P <0.01). Conclusions Peri‐implant inflammatory variables were worse among CS and NS with T2DM than NS without T2DM. A state of chronic hyperglycemia seems to be a stronger mediator of inflammation than cigarette smoking in patients with T2DM.

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Peri‐implant soft tissue inflammatory parameters and crestal bone loss among waterpipe (narghile) smokers and never‐smokers with and without type 2 diabetes mellitus

Abstract: Peri-implant soft tissue inflammatory parameters and CBL were comparable among WS and NS with T2DM. Among individuals without T2DM, these parameters were worse among WS than NS.

Cited by 14 publications

References 33 publications

Effect of waterpipe smoking on peri‐implant health: A systematic review and meta‐analysis

Effect of waterpipe smoking on peri‐implant health: A systematic review and meta‐analysis

Clinical peri‐implant parameters and inflammatory cytokine profile among smokers of cigarette, e‐cigarette, and waterpipe

Clinicoradiographic markers of peri‐implantitis in cigarette‐smokers and never‐smokers with type 2 diabetes mellitus at 7‐years follow‐up

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