Al-Emadi Abdulla, Bissada Nabil, Farah Constantin, Siegel Burton, Al-Zaharani Mohammed
Department of Periodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio 44106-4905, USA.
Quintessence Int. 2006 Nov-Dec;37(10):761-5.
Growing evidence shows an association between periodontal and general health. This study was undertaken to compare the prevalence of hypertension, respiratory diseases, diabetes, arthritis, and allergies among patients with and without alveolar bone loss.
A total of 420 individuals aged 18 years and older were selected. Self-reported systemic diseases, age, gender, marital status, smoking, alveolar bone level, and number of teeth present were obtained from the subjects' dental records prior to treatment. Chi-square, Student t test, and logistic regression were used for data analysis.
Hypertension, respiratory diseases, diabetes, and arthritis were significantly more prevalent among subjects with moderate to severe alveolar bone loss. Hypertension and diabetes remained significantly more prevalent among subjects with more severe alveolar bone loss even after adjusting for confounders. Also, subjects with moderate to severe alveolar bone loss were 4 times more likely than their counterparts to have 3 or more systemic conditions.
Subjects with moderate to severe alveolar bone loss have an increased prevalence of systemic diseases, especially hypertension and diabetes mellitus.
越来越多的证据表明牙周健康与全身健康之间存在关联。本研究旨在比较有和没有牙槽骨丧失的患者中高血压、呼吸系统疾病、糖尿病、关节炎和过敏症的患病率。
共选取了420名18岁及以上的个体。在治疗前从受试者的牙科记录中获取自我报告的全身性疾病、年龄、性别、婚姻状况、吸烟情况、牙槽骨水平和现存牙齿数量。采用卡方检验、学生t检验和逻辑回归进行数据分析。
中度至重度牙槽骨丧失的受试者中，高血压、呼吸系统疾病、糖尿病和关节炎的患病率显著更高。即使在调整混杂因素后，更严重牙槽骨丧失的受试者中高血压和糖尿病的患病率仍然显著更高。此外，中度至重度牙槽骨丧失的受试者患3种或更多种全身性疾病的可能性是其对照组的4倍。
中度至重度牙槽骨丧失的受试者全身性疾病的患病率增加，尤其是高血压和糖尿病。
