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牙周疾病与眼部疾病之间的潜在关系。

Potential relationship between periodontal diseases and eye diseases.

作者信息

Pockpa Z A D, Struillou X, Coulibaly N T, Weber M, Soueidan A, Badran Z

机构信息

UIC Odontology, CHU NANTES, LIOAD Inserm U791, Faculty of Dental Surgery, University of Nantes, 1 place Alexis Ricordeau, 44200 Nantes, France.

Department of Periodontology, Faculty of Dental Surgery, University of Nantes, UIC Odontology, CHU NANTES, LIOAD Inserm U791, Faculty of Dental Surgery, University of Nantes, 1 place Alexis Ricordeau, 44200 Nantes, France.

出版信息

Med Hypotheses. 2017 Feb;99:63-66. doi: 10.1016/j.mehy.2016.12.011. Epub 2016 Dec 26.

Abstract

Periodontal diseases are inflammatory lesions initiated by oral bacteria and lead to the destruction of the supporting structures of the teeth (gingiva, periodontal ligament and alveolar bone) in susceptible patient. Via several biological mechanisms, periodontal diseases have been associated with multiple systemic diseases, such as rheumatoid arthritis, diabetes, cardiovascular diseases, Alzheimer's disease and adverse pregnancy outcomes. Similarly certain eye diseases have been associated with systemic diseases of the inflammatory pathway. We hypothesized that periodontal diseases are associated with eye diseases. Thus using literature data we find that several studies have reported that eye disorders are associated with the presence of periodontal diseases. But the mechanisms of this relationship are not clear. However the innate immune response involvement, the sharing of similar risk factors in pathogenesis and the changes of eye choroid thickness may be suggested as several hypotheses to explain this potential association.

摘要

牙周疾病是由口腔细菌引发的炎症性病变,在易感患者中会导致牙齿支持结构(牙龈、牙周韧带和牙槽骨)的破坏。通过多种生物学机制,牙周疾病已与多种全身性疾病相关联,如类风湿性关节炎、糖尿病、心血管疾病、阿尔茨海默病以及不良妊娠结局。同样,某些眼部疾病也与炎症途径的全身性疾病有关。我们推测牙周疾病与眼部疾病有关。因此,利用文献数据我们发现,多项研究报告称眼部疾病与牙周疾病的存在有关。但这种关系的机制尚不清楚。然而,先天免疫反应的参与、发病机制中相似危险因素的共享以及眼脉络膜厚度的变化可能被提出作为几种假说来解释这种潜在关联。

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