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比较接受生育治疗的女性和生育能力正常的对照女性的牙周状况:一项初步病例对照研究。

Comparisons of Periodontal Status between Females Referenced for Fertility Treatment and Fertile Counterparts: A Pilot Case-Control Study.

机构信息

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), 2829-511 Almada, Portugal.

Clinical Research Unit (CRU), CiiEM, IUEM, 2829-511 Almada, Portugal.

出版信息

Int J Environ Res Public Health. 2020 Jul 22;17(15):5281. doi: 10.3390/ijerph17155281.

DOI:10.3390/ijerph17155281
PMID:32707937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7432159/
Abstract

Studies investigating the periodontal status of women seeking fertility treatment have never been conducted. The purpose of this pilot study was to compare the periodontal status among females referenced to a Fertility Clinic (FC) when compared to matched females from a representative regional epidemiological sample. Our secondary aims were to investigate if periodontal clinical measures differ between these two groups of females and how they impact on oral health-related quality of life (OHRQoL). We enrolled 18 women from an FC and 18 age, race and body mass index matched controls from the epidemiological survey Study of Periodontal Health in Almada-Seixal (SoPHiAS). In each subject, we performed a circumferential periodontal inspection to infer the periodontal status and applied a questionnaire measuring OHRQoL. FC females presented higher levels of periodontal disease, with higher periodontal epithelial surface area, periodontal probing depth and clinical attachment loss. However, periodontal diseases did not impact OHRQoL in this particular group of women seeking fertility care, suggesting unawareness about periodontal diseases. Within the limitations of this study, females referenced for fertility treatment presented worse periodontal measures than females from a representative control sample. These preliminary results may support future prospective studies to further explore the periodontal status and possible consequences in women seeking fertility care.

摘要

目前尚无针对寻求生育治疗的女性牙周状况进行研究的报道。本研究旨在比较生育门诊(FC)就诊女性和代表性地区流行病学抽样中匹配女性的牙周状况。本研究的次要目的是调查这两组女性的牙周临床指标是否存在差异,以及这些差异如何影响口腔健康相关生活质量(OHRQoL)。我们纳入了 18 名来自 FC 的女性和 18 名来自流行病学调查“阿尔马达-塞沙尔牙周健康研究”(SoPHiAS)的年龄、种族和体重指数相匹配的对照组女性。对每位受试者进行牙周环形检查以推断牙周状况,并采用问卷调查口腔健康相关生活质量。FC 组女性的牙周病程度更高,牙周上皮表面积、牙周探诊深度和临床附着丧失均更高。然而,在这组寻求生育护理的女性中,牙周疾病并未对口腔健康相关生活质量产生影响,这表明她们对牙周疾病的认识不足。受本研究限制,与代表性对照组女性相比,寻求生育治疗的女性牙周状况更差。这些初步结果可能支持未来进一步探讨寻求生育治疗的女性牙周状况及其可能后果的前瞻性研究。

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本文引用的文献

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Validity of the association between periodontitis and female infertility conditions: a concise review.牙周炎与女性不孕状况关联性的有效性:简要综述。
Reproduction. 2020 Sep;160(3):R41-R54. doi: 10.1530/REP-20-0176.
2
Self-reported illness perception and oral health-related quality of life predict adherence to initial periodontal treatment.自我报告的疾病感知和口腔健康相关生活质量预测对初始牙周治疗的依从性。
J Clin Periodontol. 2020 Oct;47(10):1209-1218. doi: 10.1111/jcpe.13337. Epub 2020 Aug 9.
3
Is There a Bidirectional Association between Polycystic Ovarian Syndrome and Periodontitis? A Systematic Review and Meta-analysis.多囊卵巢综合征与牙周炎之间是否存在双向关联?一项系统评价与荟萃分析。
J Clin Med. 2020 Jun 23;9(6):1961. doi: 10.3390/jcm9061961.
4
The 2018 periodontitis case definition improves accuracy performance of full-mouth partial diagnostic protocols.2018 年牙周炎病例定义提高了全口部分诊断方案的准确性。
Sci Rep. 2020 Apr 27;10(1):7093. doi: 10.1038/s41598-020-63700-6.
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Is there a bidirectional association between rheumatoid arthritis and periodontitis? A systematic review and meta-analysis.类风湿关节炎和牙周炎之间是否存在双向关联?系统评价和荟萃分析。
Semin Arthritis Rheum. 2020 Jun;50(3):414-422. doi: 10.1016/j.semarthrit.2020.01.009. Epub 2020 Jan 31.
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Association between maternal periodontal status and ultrasonographic measurement of fetal growth: A longitudinal study.母亲牙周状况与胎儿生长的超声测量之间的关联:一项纵向研究。
Sci Rep. 2020 Jan 29;10(1):1402. doi: 10.1038/s41598-020-58396-7.
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