Nesse W, Spijkervet F K L, Abbas F, Vissink A
Afdeling Kaakchirurgie van het Universitair Medisch Centrum Groningen.
Ned Tijdschr Tandheelkd. 2006 May;113(5):186-90.
The possible link between oral and general health is based on an old concept. This paper summarizes current ideas on the role of translocation of oral pathogens to other parts of the body in the development of systemic disease. It appears that colonisation of the oral cavity by respiratory pathogens is a risk factor in the development of pneumonia in institutionalised elderly and intensive care patients. Using a chloorhexidine oral rinse may reduce the risk of pneumonia. Furthermore, periodontal disease is associated with an increased risk of cardiovascular disease. Translocation of oral microorganisms and an increase in serum concentrations of inflammatory mediators are considered to play a role in the development of cardiovascular disease. Potentially, preventive oral health care and periodontal intervention could play a part in preventing cardiovascular disease.
口腔健康与全身健康之间可能存在的联系基于一个古老的概念。本文总结了目前关于口腔病原体向身体其他部位转移在全身性疾病发展中所起作用的观点。呼吸道病原体在口腔定植似乎是机构养老的老年人和重症监护患者发生肺炎的一个危险因素。使用洗必泰漱口水可能会降低肺炎风险。此外，牙周病与心血管疾病风险增加有关。口腔微生物的转移以及炎症介质血清浓度的升高被认为在心血管疾病的发展中起作用。预防性口腔保健和牙周干预可能在预防心血管疾病中发挥作用。
