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成人呼吸与牙周健康之间的关系:一项病例对照研究。

Relationship between Respiratory and Periodontal Health in Adults: A Case-Control Study.

作者信息

Parashar Pranav, Parashar Ankita, Saraswat Nidhi, Pani Pooja, Pani Nishant, Joshi Satyam

机构信息

Department of Oral and Maxillofacial Surgery, Index Institute of Dental Science, Indore, Madhya Pradesh, India.

Index Institute of Dental Science, Indore, Madhya Pradesh, India.

出版信息

J Int Soc Prev Community Dent. 2018 Nov-Dec;8(6):560-564. doi: 10.4103/jispcd.JISPCD_304_18. Epub 2018 Nov 29.

Abstract

AIMS AND OBJECTIVES

The colonization of the respiratory pathogens has been found in the oral cavity. In the high-risk patients for lung infection; the risk factor is the high colonization of the respiratory pathogens in the oral cavity. The present study was performed with an aim to investigate the relationship between periodontal health and respiratory diseases.

MATERIAL AND METHODS

The present cross-sectional study was conducted in the individuals who were attending the outpatient department of dentistry and those who signed the informed consent to participate in the study. A total of 198 patients were included in the present study. Ninety-nine patients with respiratory diseases were included in the test group and 99 patients with normal pulmonary function were added in the control group. Spirometry was used for the confirmation of the lung diseases. We had assessed the clinical parameters such as plaque index, gingival index, loss of attachment, and community periodontal index with the help of SPSS software 15 and compared between cases and controls.

RESULTS

The mean age of control patients were 35.12 and for respiratory patients was 43.32. There were 65 males and 34 females in case group with respiratory diseases. The controls consisted of 63 males and 36 females. The high scores for various gingival and periodontal indexes in respiratory patients confirmed more periodontal destruction with respect to that group, compared to the nonrespiratory group.

CONCLUSION

It is concluded that a strong association between periodontitis and chronic obstructive pulmonary disease was found. The assessment of the risk factors along with patient education regarding the risk should be done so that suitable intervention strategies can be implemented.

摘要

目的

已发现呼吸道病原体在口腔中定植。在肺部感染的高危患者中,危险因素是口腔中呼吸道病原体的高定植率。本研究旨在调查牙周健康与呼吸道疾病之间的关系。

材料与方法

本横断面研究在前往牙科门诊就诊的个体以及签署知情同意书参与研究的个体中进行。本研究共纳入198例患者。试验组纳入99例呼吸道疾病患者,对照组纳入99例肺功能正常的患者。使用肺量计来确诊肺部疾病。我们借助SPSS 15软件评估了诸如菌斑指数、牙龈指数、附着丧失和社区牙周指数等临床参数,并对病例组和对照组进行了比较。

结果

对照组患者的平均年龄为35.12岁,呼吸道疾病患者的平均年龄为43.32岁。呼吸道疾病病例组中有65名男性和34名女性。对照组由63名男性和36名女性组成。与非呼吸道疾病组相比,呼吸道疾病患者各种牙龈和牙周指数的高分证实该组牙周破坏更严重。

结论

得出结论,牙周炎与慢性阻塞性肺疾病之间存在密切关联。应评估危险因素并对患者进行风险教育,以便实施适当的干预策略。

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