Ferguson James E, Hansen Wendy F, Novak Karen F, Novak M John
Department of Obstetrics and Gynecology, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Clin Obstet Gynecol. 2007 Jun;50(2):454-67. doi: 10.1097/GRF.0b013e31804c9f05.
Until recently many physicians in the United States including obstetrician gynecologists have been relatively unconcerned with oral health. During most physical examinations, the oral cavity is given only a rudimentary examination. With the recognition of the oral-systemic health care link, physicians have been keenly interested in the findings from their dental colleagues in periodontal medicine which have convincingly linked periodontal disease with such diverse systemic health complications as aging, Alzheimer disease, cardiovascular disease, diabetes, and also pregnancy complications including low birth weight, preterm delivery, preeclampsia, and early pregnancy loss. Intervention trials designed to improve oral health during pregnancy have proven to be safe; however, the outcomes have been inconsistent. Further studies will be required to determine the nature of the association and the optimal timing and efficacy of intervention.
直到最近，包括妇产科医生在内的许多美国医生对口腔健康相对不太关注。在大多数体格检查中，口腔仅接受基本检查。随着对口腔与全身健康护理联系的认识，医生们对牙科同事在牙周医学方面的研究结果产生了浓厚兴趣，这些研究结果令人信服地将牙周病与多种全身健康并发症联系起来，如衰老、阿尔茨海默病、心血管疾病、糖尿病，以及包括低出生体重、早产、先兆子痫和早期流产在内的妊娠并发症。旨在改善孕期口腔健康的干预试验已证明是安全的；然而，结果并不一致。需要进一步研究以确定这种关联的性质以及干预的最佳时机和效果。
