牙周病与糖尿病。
Periodontal disease and diabetes mellitus.
机构信息
Research Support Center, Diabetics Association of Bauru, São Paulo, Brazil.
出版信息
J Appl Oral Sci. 2013 Jan-Feb;21(1):1-12. doi: 10.1590/1678-7757201302106.
UNLABELLED
Periodontal disease (PD) is one of the most commonly known human chronic disorders. The relationship between PD and several systemic diseases such as diabetes mellitus (DM) has been increasingly recognized over the past decades.
OBJECTIVE
The purpose of this review is to provide the reader with knowledge concerning the relationship between PD and DM. Many articles have been published in the English and Portuguese literature over the last 50 years examining the relationship between these two chronic diseases. Data interpretation is often confounded by varying definitions of DM, PD and different clinical criteria were applied to determine the prevalence, extent and severity of PD, levels of glycemic control and diabetes-related complications.
METHODS
This paper provides a broad overview of the predominant findings from research conducted using the BBO (Bibliografia Brasileira de Odontologia), MEDLINE, LILACS and PubMed for Controlled Trials databases, in English and Portuguese languages published from 1960 to October 2012. Primary research reports on investigations of relationships between DM/DM control, PD/periodontal treatment and PD/DM/diabetes-related complications identified relevant papers and meta-analyses published in this period.
RESULTS
This paper describes the relationship between PD and DM and answers the following questions: 1- The effect of DM on PD, 2- The effects of glycemic control on PD and 3- The effects of PD on glycemic control and on diabetes-related complications.
CONCLUSIONS
The scientific evidence reviewed supports diabetes having an adverse effect on periodontal health and PD having an adverse effect on glycemic control and on diabetes-related complications. Further research is needed to clarify these relationships and larger, prospective, controlled trials with ethnically diverse populations are warranted to establish that treating PD can positively influence glycemic control and possibly reduce the burden of diabetes-related complications.
目的
本文的目的是为读者提供有关 PD 和 DM 之间关系的知识。在过去的 50 年中，许多英文和葡萄牙文文献都发表了关于这两种慢性疾病之间关系的文章。但是，数据解释常常因 DM、PD 的不同定义以及用于确定 PD 的患病率、程度和严重程度、血糖控制水平以及与糖尿病相关的并发症的不同临床标准而变得复杂。
方法
本文提供了从 1960 年至 2012 年 10 月使用 BBO（巴西牙科文献）、MEDLINE、LILACS 和 PubMed 对照试验数据库以英语和葡萄牙语发表的研究中得出的主要发现的广泛概述。对 DM/DM 控制、PD/牙周治疗和 PD/DM/糖尿病相关并发症之间关系的研究的主要研究报告确定了该时期发表的相关论文和荟萃分析。
结论
综述的科学证据支持糖尿病对牙周健康有不良影响，牙周病对血糖控制以及糖尿病相关并发症有不良影响。需要进一步研究以阐明这些关系，并且需要更大规模的、前瞻性的、具有多种族人群的对照试验，以确定治疗牙周病可以积极影响血糖控制并可能减轻与糖尿病相关的并发症的负担。
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