Oral Medicine, Oral Surgery and Implantology Unit Faculty of Medicine and Dentistry Santiago de Compostela University Entrerríos s/n, Santiago de Compostela C.P. 15782, Spain
Med Oral Patol Oral Cir Bucal. 2020 May 1;25(3):e318-e325. doi: 10.4317/medoral.23181.
The relation between periodontal disease and systemic pathologies is still not widespread among general practitioners. The aim of our study is to evaluate whether or not periodontal radiological diagnosis can aid the detection of blood alterations associated with acquired systemic diseases.
This is a cross sectional study. All of the participants underwent a panoramic radiograph and a complete blood test. Morphological bone loss was considered as positive in those patients who showed radiographically more than 1 tooth with bone loss greater than or equal to the middle third of the root. The statistical analysis was performed by comparing the variables using the ANOVA or U-Mann-Whitney tests for independent samples with normal conditions. The correlation coefficient was analysed using the Pearson test.
239 patients were included in our study (96 men and 143 women) with an average age of 64.40 years. 59.04% of the patients were determined as morphological bone loss positive and had on average 4 teeth less than negative patients (p <0.0001). Also the average platelet levels in positive patients were lower (p = 0.024) and mean levels of HBA1c (p = 0.009) were higher.
Morphological bone loss parameter can be useful both for dentists and general practitioners to refer, subsequently, to periodontal specialist.
牙周病与全身系统疾病之间的关系在全科医生中仍未得到广泛认识。我们的研究旨在评估牙周影像学诊断是否有助于发现与获得性全身疾病相关的血液变化。
这是一项横断面研究。所有参与者均接受了全景 X 光检查和全血细胞检查。在影像学上显示有 1 个以上牙齿的牙槽骨丧失大于或等于根的中三分之一的患者被认为存在形态性骨丧失阳性。使用方差分析或独立样本 U- Mann-Whitney 检验比较具有正态分布的变量。使用 Pearson 检验分析相关系数。
本研究共纳入 239 例患者（96 名男性和 143 名女性），平均年龄为 64.40 岁。59.04%的患者被确定为形态性骨丧失阳性，平均比阴性患者少 4 颗牙齿（p <0.0001）。阳性患者的血小板平均水平也较低（p = 0.024），HBA1c 平均水平较高（p = 0.009）。
形态性骨丧失参数对于牙医和全科医生都很有用，可以随后将患者转介给牙周病专科医生。
