Le Bars Pierre, Kouadio Alain Ayepa, N'goran Justin Koffi, Badran Zahi, Soueidan Assem
Department of Prosthodonthics, Faculty of Dentistry, CHU Nantes, 1 Place Alexis Ricordeau, 44042 Nantes, France.
Department of Prosthodonthics, Faculty of Dentistry, CHU Nantes, 1 Place Alexis Ricordeau, 44042 Nantes, France; Department of Prosthodonthics, Faculty of Dentistry, CHU, Abidjan 22 BP 612, Abidjan, Cote d'Ivoire.
J Indian Prosthodont Soc. 2015 Oct-Dec;15(4):292-9. doi: 10.4103/0972-4052.171828.
This article reviews the dental literature concerning the potential impact of the removable prosthesis (RP) on the health status of patients with certain systemic diseases. Literature was surveyed using Medline/PubMed database resources, as well as a manual search, up to 2015 to identify appropriate articles that addressed the aim of this review. The research used keywords about associations between RP and six pathologies: Human immunodeficiency virus infection, diabetes mellitus, pulmonary diseases, gastric-Helicobacter pylori, cancer, and cardiovascular diseases. Analysis of literature showed that in patients with dentures having one or more of the six general conditions listed, Candida albicans organism is more frequently found in the oral flora compared to healthy denture wearer. Although causality has not been established and pending further research on this topic, the hygienic practices necessary to minimize the risk of numerous pathologies should be strengthened in the case of these patients, all the more in the presence of physical or psychological disability. The relationship between the general diseases and increasing of oral candidiasis denture patients is not explained. Therefore, attention to oral hygiene and professional care for removing C. albicans may be beneficial in these medically compromised patients.
本文综述了牙科文献中关于可摘义齿(RP)对某些全身性疾病患者健康状况潜在影响的内容。截至2015年,利用Medline/PubMed数据库资源以及手动检索对文献进行了调查,以确定涉及本综述目的的相关文章。该研究使用了关于RP与六种病症之间关联的关键词:人类免疫缺陷病毒感染、糖尿病、肺部疾病、胃幽门螺杆菌、癌症和心血管疾病。文献分析表明,在患有上述六种一般病症中一种或多种的戴假牙患者中,与健康假牙佩戴者相比,口腔菌群中白色念珠菌的检出更为频繁。尽管尚未确定因果关系且有待对此主题进行进一步研究,但对于这些患者,尤其是存在身体或心理残疾的患者,应加强必要的卫生措施以将多种病症的风险降至最低。全身性疾病与义齿患者口腔念珠菌病增加之间的关系尚不清楚。因此,关注口腔卫生以及专业护理以清除白色念珠菌可能对这些健康状况不佳的患者有益。