Amar Salomon, Han Xiaozhe
Department of Periodontology & Oral Biology, Goldman School of Dental Medicine, Boston University, Boston, MA 02118, U.S.A.
Med Sci Monit. 2003 Dec;9(12):RA291-9.
Systemic health is often closely linked to the state of the oral cavity: many systemic diseases and conditions have oral manifestations. Likewise, oral microbiological infections may also affect one's general health status. Indeed, animal and population-based studies now suggest that periodontal diseases may be linked with systemic diseases and conditions including cardiovascular diseases, diabetes, respiratory diseases, adverse pregnancy outcomes, and osteoporosis. Better understanding of this correlation will help both dental and medical professionals to determine the best approach to patient care. This review will focus on the current knowledge linking periodontal infections to a set of systemic diseases. While a number of interactions have been identified, additional research will be required to determine whether these associations are causal or coincidental, and to evaluate disease pathogenesis and potential therapeutic interventions. These findings place oral health in the perspective of systemic health, and they suggest that the dental and medical professions should develop even closer ties in the future.
许多全身性疾病和病症都有口腔表现。同样,口腔微生物感染也可能影响一个人的总体健康状况。事实上,目前基于动物和人群的研究表明,牙周疾病可能与包括心血管疾病、糖尿病、呼吸系统疾病、不良妊娠结局和骨质疏松症在内的全身性疾病和病症有关。更好地理解这种关联将有助于牙科和医学专业人员确定最佳的患者护理方法。本综述将聚焦于将牙周感染与一系列全身性疾病联系起来的现有知识。虽然已经确定了一些相互作用,但还需要进一步的研究来确定这些关联是因果关系还是巧合关系,并评估疾病的发病机制和潜在的治疗干预措施。这些发现从全身健康的角度看待口腔健康,并表明牙科和医学专业在未来应建立更紧密的联系。