Lim Glendale, Janu Upasna, Chiou Lan-Lin, Gandhi Kaveri Kranti, Palomo Leena, John Vanchit
Department of Periodontology, Indiana University School of Dentistry, Indianapolis, IN 46202, USA.
Department of Periodontology, Case Western University, School of Dentistry, Indianapolis, IN 46202, USA.
Dent J (Basel). 2020 Nov 19;8(4):130. doi: 10.3390/dj8040130.
According to the new classification proposed by the recent 2017 World Workshop on Periodontal and Peri-implant Diseases and Conditions, periodontitis, necrotizing periodontal diseases, periodontitis as a manifestation of systemic diseases, and systemic diseases or conditions affecting the periodontal supporting tissues, are considered as separate entities. Scientific evidence has demonstrated that periodontal diseases are not just simple bacterial infections but rather complex diseases of multifactorial complexity that interplay with the subgingival microbes, the host immune, and inflammatory responses. Despite dental plaque biofilm being considered the primary risk factor for periodontitis in the vast majority of patients that dentists encounter on a daily basis, there are other factors that can also contribute and/or accelerate pathologic progressive attachment loss. In this article, the authors aim to briefly review and discuss the present evidence regarding the association between periodontal diseases and systemic diseases and conditions.
根据2017年近期牙周和种植体周围疾病及状况世界研讨会提出的新分类,牙周炎、坏死性牙周疾病、作为全身疾病表现的牙周炎以及影响牙周支持组织的全身疾病或状况,被视为独立的实体。科学证据表明,牙周疾病并非简单的细菌感染,而是具有多因素复杂性的复杂疾病,与龈下微生物、宿主免疫和炎症反应相互作用。尽管牙菌斑生物膜被认为是大多数牙医日常接触患者中牙周炎的主要危险因素,但还有其他因素也可能导致和/或加速病理性附着丧失。在本文中,作者旨在简要回顾和讨论目前关于牙周疾病与全身疾病及状况之间关联的证据。