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糖尿病:牙科治疗的注意事项

Diabetes mellitus: considerations for dentistry.

作者信息

Kidambi Srividya, Patel Shailendra B

出版信息

J Am Dent Assoc. 2008 Oct;139 Suppl:8S-18S. doi: 10.14219/jada.archive.2008.0364.

DOI:10.14219/jada.archive.2008.0364
PMID:18809649
Abstract

BACKGROUND

The connection between oral health and systemic health is bidirectional; systemic illnesses, especially metabolic disorders, affect oral health, and it appears that oral health may affect systemic health.

METHODS

In this review, the authors outline the basic principles behind diabetes mellitus (DM) and provide some tips to help dentists manage the care of patients with DM better in general practice.

RESULTS

DM negatively affects all microvasculature beds, and the soft tissues and bones supporting the teeth are susceptible. There is also strong evidence that the presence of periodontal disease is associated with increased cardiovascular morbidity in patients with DM.

CONCLUSIONS

DM is a chronic, systemic metabolic disorder in which the orosystemic connection is becoming more understood.

CLINICAL IMPLICATIONS

DM is a relatively common condition and, thus, is one that practicing dentists may encounter frequently.

摘要

背景

口腔健康与全身健康之间的联系是双向的;全身性疾病,尤其是代谢紊乱,会影响口腔健康,而且口腔健康似乎也会影响全身健康。

方法

在本综述中,作者概述了糖尿病(DM)背后的基本原理,并提供一些建议,以帮助牙医在一般诊疗中更好地管理糖尿病患者的护理。

结果

糖尿病对所有微血管床均有负面影响,支持牙齿的软组织和骨骼也易受影响。也有强有力的证据表明,牙周疾病的存在与糖尿病患者心血管发病率增加有关。

结论

糖尿病是一种慢性全身性代谢紊乱疾病,其中口腔与全身的联系正越来越被人们所理解。

临床意义

糖尿病是一种相对常见的病症,因此,执业牙医可能经常会遇到。

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