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[口腔:糖尿病的一面镜子]

[The oral cavity: A mirror of diabetes].

作者信息

Ternois Matthieu

机构信息

Centre Hospitalier de Roubaix, 59100 Roubaix, France; Faculté de chirurgie-dentaire, UF de chirurgie orale, Université de Lille 2, 59000 Lille, France; Laboratoire de virologie, CHRU de Lille, Université de Lille 2 (EA3610), pathogenèse virale du diabète de type 1, 59000 Lille, France.

出版信息

Presse Med. 2017 Sep;46(9):822-830. doi: 10.1016/j.lpm.2017.04.001. Epub 2017 May 10.

Abstract

Diabetes and the oral cavity are closely associated as diabetes physiopathology affects the mouth and the oral manifestations are numerous and varied. These need to be searched systematically at every clinical examination as they are not only comorbidity factors but also have a two-way relationship with diabetes control. Periodontal diseases are the most frequent pathologies and the relationship with glycemic control has clearly been established: their frequency increases in case of uncontrolled glycemia, which makes them a good marker of glycated hemoglobin. Thorough oral health follow-up of diabetic patients that is coordinated by its various actors from the beginning of the treatment is thus of great interest. Most of the care given to diabetic patients can easily be performed at the dental clinic, provided adequate precautions are taken and improvement of the oral cavity is beneficial to glycemic control as well as to the patients' quality of life. When implemented by trained oral health professionals in dental clinics, therapeutic education proves highly efficient.

摘要

糖尿病与口腔密切相关,因为糖尿病的病理生理会影响口腔,且口腔表现多种多样。在每次临床检查时都需要系统地排查这些表现,因为它们不仅是合并症因素,而且与糖尿病控制存在双向关系。牙周疾病是最常见的病症,其与血糖控制的关系已明确确立:在血糖控制不佳的情况下,牙周疾病的发生率会增加,这使其成为糖化血红蛋白的良好指标。因此,从治疗一开始就由各相关方协调对糖尿病患者进行全面的口腔健康随访具有重要意义。只要采取适当的预防措施,大多数给予糖尿病患者的护理在牙科诊所即可轻松完成,而且改善口腔状况有利于血糖控制以及患者的生活质量。当由牙科诊所中训练有素的口腔健康专业人员实施时,治疗性教育证明非常有效。

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