School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, Scotland, United Kingdom.
Institute of Dentistry, University of Aberdeen, Aberdeen, Scotland, United Kingdom.
Vascular. 2021 Aug;29(4):556-566. doi: 10.1177/1708538120963914. Epub 2020 Oct 12.
Periodontal disease and tooth loss were found to be associated with several peripheral vascular disorders. Nonetheless, an evaluation of the literature on the broader domains of oral health in individuals with peripheral vascular disorders is lacking. This systematic review aims to collate the current evidence on the oral health status of individuals with peripheral vascular disorders.
Five electronic databases were searched for studies assessing oral health parameters in individuals with peripheral vascular disorders. Outcome measures considered were periodontal health, dentition status, caries indices, oral prostheses, oral pathologies and oral hygiene behaviours. The Newcastle-Ottawa scale was used to appraise the quality of the studies.
From 3025 records identified, 24 studies involving 1232 participants with peripheral vascular disorders were included in this review. In nine studies, periodontitis was significantly more prevalent in peripheral vascular disorders compared to non-peripheral vascular disorders participants. A further six studies reported individuals with peripheral vascular disorders also had significantly fewer teeth and increased rates of edentulism. Only one study reported a higher incidence of dental caries in peripheral vascular disorders participants. Other aspects of oral health such as oral prosthesis, oral pathology and oral hygiene behaviours were seldom assessed.
The scarcity of studies reporting on broader domains limited our ability to arrive at a conclusion regarding the oral health status of individuals with peripheral vascular disorders. Future studies ought to assess these domains in individuals with peripheral vascular disorders and controls to gain a more complete understanding of oral health and its potential association with peripheral vascular disorders.
牙周病和牙齿缺失与多种外周血管疾病有关。然而，目前缺乏对外周血管疾病患者口腔健康更广泛领域的文献评估。本系统评价旨在整理目前关于外周血管疾病患者口腔健康状况的证据。
检索了五个电子数据库中评估外周血管疾病患者口腔健康参数的研究。考虑的结局指标包括牙周健康、牙齿状况、龋齿指数、口腔义齿、口腔病理学和口腔卫生行为。纽卡斯尔-渥太华量表用于评估研究质量。
从 3025 条记录中，纳入了 24 项研究，涉及 1232 名外周血管疾病患者。在 9 项研究中，与非外周血管疾病患者相比，外周血管疾病患者的牙周炎更为普遍。另有 6 项研究报告称，外周血管疾病患者的牙齿数量明显减少，且无牙率增加。只有一项研究报告称外周血管疾病患者的龋齿发生率更高。其他方面的口腔健康，如口腔义齿、口腔病理学和口腔卫生行为，很少被评估。
报告更广泛领域的研究稀缺，限制了我们对外周血管疾病患者口腔健康状况的结论。未来的研究应该在外周血管疾病患者和对照组中评估这些领域，以更全面地了解口腔健康及其与外周血管疾病的潜在关联。
