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牙周治疗能改善全身健康状况吗?

Does periodontal treatment improve general health?

作者信息

Seymour Robin A

机构信息

School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4BW, UK.

出版信息

Dent Update. 2010 May;37(4):206-8, 210-2. doi: 10.12968/denu.2010.37.4.206.

DOI:10.12968/denu.2010.37.4.206
PMID:20527495
Abstract

UNLABELLED

The association between periodontal disease and various systemic conditions raises the question of the impact of periodontal therapy on general health. There is increasing evidence that periodontal intervention can reduce the prevalence of an adverse pregnancy outcome, improve glycaemic control in diabetics, reduce systemic markers of inflammation, lower cholesterol levels and improve vascular endothelial function. The magnitude of the impact of periodontal therapy on these modalities needs further quantification/study. Despite such reservations, there are indications that any form of periodontal treatment may have outcomes that extend beyond improving life expectancy of the dentition.

CLINICAL RELEVANCE

This article reviews the possible impact of periodontal therapy on a variety of systemic conditions and evaluates potential benefits.

摘要

未标注

牙周疾病与各种全身状况之间的关联引发了牙周治疗对总体健康影响的问题。越来越多的证据表明,牙周干预可降低不良妊娠结局的发生率,改善糖尿病患者的血糖控制,降低全身炎症标志物水平,降低胆固醇水平并改善血管内皮功能。牙周治疗对这些指标的影响程度需要进一步量化/研究。尽管有这些保留意见,但有迹象表明,任何形式的牙周治疗可能产生的结果都不止于提高牙列的预期寿命。

临床相关性

本文综述了牙周治疗对各种全身状况可能产生的影响,并评估了潜在益处。

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1
Does periodontal treatment improve general health?牙周治疗能改善全身健康状况吗?
Dent Update. 2010 May;37(4):206-8, 210-2. doi: 10.12968/denu.2010.37.4.206.
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Is gum disease killing your patient?牙龈疾病正在夺走你患者的生命吗?
Br Dent J. 2009 May 23;206(10):551-2. doi: 10.1038/sj.bdj.2009.472.
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Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks.糖尿病对牙周及种植体周围状况的影响:关联与风险的最新进展
J Clin Periodontol. 2008 Sep;35(8 Suppl):398-409. doi: 10.1111/j.1600-051X.2008.01282.x.
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Diabetes and periodontal disease. Review of the literature.糖尿病与牙周病。文献综述。
Am J Dent. 2014 Apr;27(2):63-7.
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Periodontal disease and pregnancy outcomes: exposure, risk and intervention.牙周疾病与妊娠结局:暴露、风险及干预
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Periodontal disease-type 2 diabetes link confirmed.牙周病与2型糖尿病的关联得到证实。
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Impact of periodontal therapy on general health: evidence from insurance data for five systemic conditions.牙周病治疗对总体健康的影响:来自五种系统性疾病保险数据的证据。
Am J Prev Med. 2014 Aug;47(2):166-74. doi: 10.1016/j.amepre.2014.04.001. Epub 2014 Jun 18.
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[Links between periodontal disease and general health. 2. Preterm birth, diabetes and autoimmune diseases].[牙周疾病与全身健康的关联。2. 早产、糖尿病和自身免疫性疾病]
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What are the local and systemic implications of third molar retention?第三磨牙阻生有哪些局部和全身影响?
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PLoS One. 2012;7(5):e37583. doi: 10.1371/journal.pone.0037583. Epub 2012 May 24.
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Self-reported oral hygiene habits among dental patients in Italy.意大利牙科患者的自我报告口腔卫生习惯。
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Relationship between periodontal diseases and preterm birth: recent epidemiological and biological data.
牙周疾病与早产之间的关系:近期的流行病学和生物学数据
J Pregnancy. 2011;2011:164654. doi: 10.1155/2011/164654. Epub 2011 Oct 30.