Periodontol 2000. 2012 Oct;60(1):64-77. doi: 10.1111/j.1600-0757.2012.00447.x.
Oral health is relatively low priority in the health policy of many developing countries. These countries, particularly those in sub-Saharan Africa, are still constrained by a wide range of infectious diseases such as HIV/AIDS, tuberculosis, measles and malaria, as well as by a heavy burden of intergenerational malnutrition. There is currently a disturbing trend in the rise of noncommunicable diseases in these countries. The noncommunicable diseases share many risk factors with periodontal diseases, the prevalence and severity of which are already markedly influenced by microbial infections. There are many fundamental gaps in our understanding of oral diseases, particularly in resource-poor settings. Perhaps this is the time to integrate neglected oral diseases and the noncommunicable diseases into the relatively well-funded global programs for the elimination of malaria, tuberculosis, AIDS and malnutrition.
在许多发展中国家的卫生政策中，口腔健康的优先级相对较低。这些国家，尤其是撒哈拉以南非洲的国家，仍然受到广泛的传染病的制约，如艾滋病毒/艾滋病、结核病、麻疹和疟疾，以及代际营养不良的沉重负担。目前，这些国家的非传染性疾病呈上升趋势，令人不安。非传染性疾病与牙周病有许多共同的危险因素，而牙周病的患病率和严重程度已经明显受到微生物感染的影响。我们对口腔疾病的认识存在许多根本性的差距，特别是在资源匮乏的环境中。也许现在是时候将被忽视的口腔疾病和非传染性疾病纳入相对资金充足的全球消除疟疾、结核病、艾滋病和营养不良计划中了。
