Chatzopoulos Georgios S, Cisneros Alejandro, Sanchez Miguel, Wolff Larry F
Division of Periodontology, Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
Spec Care Dentist. 2018 Nov;38(6):373-381. doi: 10.1111/scd.12319. Epub 2018 Sep 1.
The purposes of this study are to: (1) assess the prevalence of systemic and periodontal disease in older individuals, (2) compare periodontal conditions between four age cohorts, and (3) investigate the relationship between periodontal disease and systemic medical conditions.
Electronic records from a total of 5,000 adults were randomly selected from the University of Minnesota School of Dentistry database. Individuals ≥60 years of age, with at least six remaining teeth in their dentition with a complete medical history and full-mouth series of radiographs were included in the study to determine the severity of periodontal disease based on the percentage of radiographic bone loss.
A total of 2,163 patients were included in the final analysis. The multivariable regression analysis showed that patients self-reported tobacco use and diabetes were significantly associated with moderate and severe bone loss than none to mild, whereas the opposite was found for those with joint replacement, past use of steroids and acid reflux/GERD.
A number of systemic medical conditions and tobacco use are associated with periodontitis. This reflects the importance of an interdisciplinary interaction between dental and medical professionals.
本研究的目的是：（1）评估老年人全身疾病和牙周疾病的患病率；（2）比较四个年龄组的牙周状况；（3）研究牙周疾病与全身疾病之间的关系。
从明尼苏达大学牙科学院数据库中随机选取5000名成年人的电子记录。研究纳入年龄≥60岁、牙列中至少留存6颗牙齿、有完整病史和全口系列X光片的个体，根据X光片骨丧失百分比确定牙周疾病的严重程度。
共有2163名患者纳入最终分析。多变量回归分析显示，自我报告有吸烟习惯和患糖尿病的患者与中度和重度骨丧失的相关性显著高于无骨丧失至轻度骨丧失的患者，而接受关节置换、曾使用类固醇以及患有胃酸反流/胃食管反流病（GERD）的患者情况则相反。
多种全身疾病和吸烟习惯与牙周炎有关。这反映了牙科和医学专业人员之间跨学科互动的重要性。
