Johnson Roger B
Department of Periodontics & Preventive Sciences, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Compend Contin Educ Dent. 2007 Sep;28(9):500-4; quiz 506, 528.
Increasing evidence points to periodontal disease as a significant risk factor in the etiology of other diseases with inflammatory components, such as cardiovascular disease and type 2 diabetes mellitus. Thus, it may be possible to reduce the risk for other diseases with an inflammatory component by maintaining a healthy periodontium. In addition to plaque and calculus, other factors such as diet, body weight, lifestyle, and environmental stress complicate the maintenance of a healthy periodontium. It is becoming more important for the general dentist to address these additional risk factors in addition to providing conventional treatment for periodontal disease. This review addresses a multifactorial approach to the treatment of periodontal disease and suggests that the "focal theory" of infection may still be relevant for oral inflammation.
越来越多的证据表明，牙周疾病是其他具有炎症成分的疾病（如心血管疾病和2型糖尿病）病因中的一个重要风险因素。因此，通过保持健康的牙周组织，有可能降低其他具有炎症成分疾病的风险。除了牙菌斑和牙结石外，饮食、体重、生活方式和环境压力等其他因素也使保持健康的牙周组织变得复杂。对于普通牙医来说，除了提供牙周疾病的常规治疗外，解决这些额外的风险因素变得越来越重要。这篇综述探讨了牙周疾病治疗的多因素方法，并表明感染的“病灶理论”可能仍然与口腔炎症相关。
