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雑誌文献

公衆衛生83巻8号

2019年08月発行

文献概要

特集 新型たばこ—健康影響と規制のあり方

歯科領域における新型たばこの健康影響—加熱式たばこの健康影響の理解のために

著者: 埴岡隆1 谷口奈央1

所属機関: 1福岡歯科大学口腔保健学講座

ページ範囲:P.590 - P.595

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はじめに
 本稿では,新型たばこの使用による歯科領域における健康影響に関する知見を紹介する.歯科領域では,たばこ使用による健康影響の研究の歴史が比較的浅く,そのため,現時点では,公衆衛生の専門家にまで十分な専門的知識が普及しているとは言えない.そこで,紙巻きたばこ喫煙による歯科領域の健康影響,および,主に口腔で使用される無煙たばこの影響についても概説する.無煙たばこの使用については,欧州諸国と北米の研究者の間で害の低減の議論が展開された経緯がある.最近,害が小さいと思われがちであった水パイプたばこ喫煙の健康影響について世界保健機関(World Health Organization:WHO)が科学的知見を更新しており1),歯科領域の健康影響も明らかになっているので,これも紹介する.
 さまざまな種類のたばこの有害物質に歯科領域は最初に曝露される.最近,日本では歯科領域への関心が高まっている.新しいタイプのたばこが流行し始めた日本における今後のたばこ対策について,読者である公衆衛生専門家の方々に知っておいていただきたいことを述べる.歯科領域に表れる多様な新しい健康影響を包括的に捉え,新たな思考と実践に役立てていただければ幸いである.

参考文献

1)WHO Study Group on Tobacco Product Regulation(TobReg):Advisory note. Waterpipe tobacco smoking:health effects, research needs and recommended actions for regulators. 2nd ed. World Health Organization, Geneva, 2015 https://www.who.int/tobacco/publications/prod_regulation/waterpipesecondedition/en/
2)厚生労働省 健康局:標準的な健診・保健指導プログラム(平成30年度版).標準的な質問票,別紙3, 2-19, 2018 https://www.mhlw.go.jp/content/10900000/000496784.pdf
3)厚生労働省:「喫煙と健康 喫煙の健康影響に関する検討会報告書」について.https://www.mhlw.go.jp/stf/shingi2/0000135586.html
4)埴岡隆,他:無煙タバコの健康影響 危険ドラッグの周辺で.公衆衛生79:259-263, 2015
5)Ramôa CP, et al:Increasing popularity of waterpipe tobacco smoking and electronic cigarette use:Implications for oral healthcare. J Periodont Res 52:813-823, 2017
6)Sultan AS, et al:Electronic nicotine delivery systems:Oral health implications and oral cancer risk. J Oral Pathol Med 2018[Epub ahead of print]
7)Akram Z, et al:Effect of waterpipe smoking on peri-implant health:A systematic review and meta-analysis. J Investig Clin Dent e12403, 2019
8)Akinkugbe AA:Cigarettes, E-cigarettes, and Adolescents' Oral Health:Findings from the Population Assessment of Tobacco and Health(PATH)Study. JDR Clin Trans Res 2380084418806870, 2018
9)Couch ET, et al:The changing tobacco landscape:What dental professionals need to know. J Am Dent Assoc 147:561-569, 2016
10)Alawsi F, et al:Are e-cigarettes a gateway to smoking or a pathway to quitting?. Br Dent J 219:111-115, 2015
11)Sultan AS, et al:Electronic nicotine delivery systems:Oral health implications and oral cancer risk. J Oral Pathol Med 2018
12)Martín Carreras-Presas C, et al:The need to educate future dental professionals on E-cigarette effects. Eur J Dent Educ 22:e751-e758, 2018
13)Vora MV, et al:Tobacco-use patterns and self-reported oral health outcomes:A cross-sectional assessment of the Population Assessment of Tobacco and Health study, 2013-2014. J Am Dent Assoc 150:332-344. e2, 2019
14)Ramôa CP, et al:Increasing popularity of waterpipe tobacco smoking and electronic cigarette use:Implications for oral healthcare. J Periodont Res 52:813-823, 2017
15)Tomar SL, et al:Electronic cigarettes:the tobacco industry's latest threat to oral health?. J Am Dent Assoc 146:651-653, 2015
16)Holliday R, et al:E-cigarette vapour is not inert and exposure can lead to cell damage. Evid Based Dent 17:2-3, 2016
17)Ji EH, et al:Characterization of Electronic Cigarette Aerosol and Its Induction of Oxidative Stress Response in Oral Keratinocytes. PLoS ONE 11:e0154447, 2016
18)Sundar IK, et al:E-cigarettes and flavorings induce inflammatory and pro-senescence responses in oral epithelial cells and periodontal fibroblasts. Oncotarget 7:77196-77204, 2016
19)Sancilio S, et al:Cytotoxicity and apoptosis induction by e-cigarette fluids in human gingival fibroblasts. Clin Oral Investig 20:477-483, 2016
20)Tommasi S, et al:Deregulation of Biologically Significant Genes and Associated Molecular Pathways in the Oral Epithelium of Electronic Cigarette Users. Int J Mol Sci 20:2019
21)Yu V, et al:Electronic cigarettes induce DNA strand breaks and cell death independently of nicotine in cell lines. Oral Oncol 52:58-65, 2016
22)Raj AT, et al:Assessing the carcinogenic potential of E-cigarette. Oral Oncol 81:111, 2018
23)Bustamante G, et al:Presence of the Carcinogen N' -Nitrosonornicotine in Saliva of E-cigarette Users. Chem Res Toxicol 31:731-738, 2018
24)Alanazi H, et al:E-Cigarettes Increase Candida albicans Growth and Modulate its Interaction with Gingival Epithelial Cells. Int J Environ Res Public Health 16:2019
25)Mokeem SA, et al:Oral Candida carriage among cigarette-and waterpipe-smokers, and electronic cigarette users. Oral Dis 2018
26)Sultan AS, et al:Electronic nicotine delivery systems:Oral health implications and oral cancer risk. J Oral Pathol Med 2018
27)Franco T, et al:Electronic Cigarette:Role in the Primary Prevention of Oral Cavity Cancer. Clin Med Insights Ear Nose Throat 9:7-12, 2016
28)Al-Aali KA, et al:Peri-implant parameters, tumor necrosis factor-alpha, and interleukin-1 beta levels in vaping individuals. Clin Implant Dent Relat Res 20:410-415, 2018
29)AlQahtani MA, et al:Clinical peri-implant parameters and inflammatory cytokine profile among smokers of cigarette, e-cigarette, and waterpipe. Clin Implant Dent Relat Res 20:1016-1021, 2018
30)ArRejaie AS, et al:Proinflammatory cytokine levels and peri-implant parameters among cigarette smokers, individuals vaping electronic cigarettes, and non-smokers. J Periodontol 90:367-374, 2019
31)Holliday R, et al:Letter to the editor:RE:Comparison of periodontal parameters and self-perceived oral symptoms among cigarette smokers, individuals vaping electronic cigarettes and never-smokers:A pilot study. J Periodontol 89:515-516, 2018
32)ALHarthi SS, et al:Impact of cigarette smoking and vaping on the outcome of full-mouth ultrasonic scaling among patients with gingival inflammation:a prospective study. Clin Oral Investig 2018
33)Tatullo M, et al:Crosstalk between oral and general health status in e-smokers. Medicine(Baltimore)95:e5589, 2016
34)Wadia R, et al:A pilot study of the gingival response when smokers switch from smoking to vaping. Br Dent J 221:722-726, 2016
35)Javed F, et al:Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Dis 23:1052-1057, 2017
36)Cho JH:The association between electronic-cigarette use and self-reported oral symptoms including cracked or broken teeth and tongue and/or inside-cheek pain among adolescents:A cross-sectional study. PLoS One 12:e0180506, 2017
37)Hanioka T, et al:Does secondhand smoke affect the development of dental caries in children? A systematic review. Int J Environ Res Public Health 8:1503-1519, 2011
38)Liu S, et al:Nicotine is a risk factor for dental caries:An in vivo study. J Dent Sci 13:30-36, 2018
39)Yanagita M, et al:Nicotine inhibits mineralization of human dental pulp cells. J Endod 34:1061-1065, 2008
40)Huilgol P, et al:Association of e-cigarette use with oral health:a population-based cross-sectional questionnaire study. J Public Health(Oxf)2018
41)Harrison R, et al:Electronic cigarette explosions involving the oral cavity. J Am Dent Assoc 147:891-896, 2016
42)Rogér JM, et al:Oral Trauma and Tooth Avulsion Following Explosion of E-Cigarette. J Oral Maxillofac Surg 74:1181-1185, 2016
43)Pemberton MN:Oral cancer and tobacco:developments in harm reduction. Br Dent J 2018
44)McKelvey K, et al:Heated tobacco products likely appeal to adolescents and young adults. Tob Control 27:s41-s47, 2018
45)McKelvey K, et al:IQOS labelling will mislead consumers. Tob Control 27:s48-s54, 2018

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1170

印刷版ISSN:0368-5187

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