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牙周疾病与全身状况:一种双向关系。

Periodontal disease and systemic conditions: a bidirectional relationship.

作者信息

Kim Jemin, Amar Salomon

机构信息

Boston University Goldman School of Dental Medicine, Department of Periodontology and Oral Biology, Boston, MA, USA.

出版信息

Odontology. 2006 Sep;94(1):10-21. doi: 10.1007/s10266-006-0060-6.

Abstract

For decades, physicians and dentists have paid close attention to their own respective fields, specializing in medicine pertaining to the body and the oral cavity, respectively. However, recent findings have strongly suggested that oral health may be indicative of systemic health. Currently, this gap between allopathic medicine and dental medicine is quickly closing, due to significant findings supporting the association between periodontal disease and systemic conditions such as cardiovascular disease, type 2 diabetes mellitus, adverse pregnancy outcomes, and osteoporosis. Significant effort has brought numerous advances in revealing the etiological and pathological links between this chronic inflammatory dental disease and these other conditions. Therefore, there is reason to hope that the strong evidence from these studies may guide researchers towards greatly improved treatment of periodontal infection that would also ameliorate these systemic illnesses. Hence, researchers must continue not only to uncover more information about the correlations between periodontal and systemic diseases but also to focus on positive associations that may result from treating periodontal disease as a means of ameliorating systemic diseases.

摘要

几十年来,内科医生和牙医一直密切关注各自的领域,分别专注于与身体和口腔相关的医学。然而,最近的研究结果有力地表明,口腔健康可能预示着全身健康。目前,由于有重要发现支持牙周病与心血管疾病、2型糖尿病、不良妊娠结局和骨质疏松症等全身疾病之间的关联,西医和牙科医学之间的这一差距正在迅速缩小。大量的努力在揭示这种慢性炎症性牙科疾病与其他疾病之间的病因和病理联系方面取得了许多进展。因此,有理由希望这些研究的有力证据能够引导研究人员大大改进牙周感染的治疗方法,从而也能改善这些全身疾病。因此,研究人员不仅必须继续挖掘更多有关牙周病与全身疾病之间相关性的信息,还必须关注将治疗牙周病作为改善全身疾病的一种手段可能产生的积极关联。

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本文引用的文献

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Periodontal Disease and Cardiovascular Disease.牙周病与心血管疾病
J Periodontol. 1996 Oct;67 Suppl 10S:1123-1137. doi: 10.1902/jop.1996.67.10s.1123.
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The association between osteoporosis and oral bone loss.骨质疏松症与口腔骨质流失之间的关联。
J Periodontol. 2005 Nov;76(11 Suppl):2125-32. doi: 10.1902/jop.2005.76.11-S.2125.
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Dental infections and cardiovascular diseases: a review.牙科感染与心血管疾病:综述
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