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日本福井的一项回顾性单机构经验:术前消化系癌症患者的牙周病。

Periodontal disease in preoperative patients with digestive cancer: a retrospective, single-institution experience in Fukui, Japan.

机构信息

Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan.

First Department of Surgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

出版信息

BMC Oral Health. 2021 Jan 6;21(1):3. doi: 10.1186/s12903-020-01378-y.

Abstract

BACKGROUND

The careful preoperative oral assessment may be useful for safe surgery under general anesthesia. The purpose of this study was to investigate the presence of periodontitis in patients with malignant digestive disease before surgery under general anesthesia.

METHODS

Patients with digestive malignant disease who underwent periodontal examination and orthopantomograph examination for preoperative oral health assessment were participated. The authors investigated the patients' general characteristics and clinical oral information, including the presence of periodontitis.

RESULTS

One hundred twenty patients participated in this study. The mean and standard deviation of the number of teeth was 20.8 ± 8.2, and there was a statistically significant correlation between age and number of teeth. The periodontal pocket depth was 3.0 ± 1.0, and mobile teeth were observed in 62 patients. There was a statistically significant correlation between number of teeth and number of mobile teeth. However, there was no significant difference between the age of patients without mobile teeth and the age of patients with mobile teeth.

CONCLUSIONS

This retrospective study performed in single-institution clarified the presence of periodontitis in patients with malignant digestive disease before surgery. Regardless of age, it is important to assess the oral health, including periodontitis, for safe surgery under general anesthesia.

摘要

背景

仔细的术前口腔评估对于全身麻醉下的安全手术可能是有用的。本研究的目的是调查全身麻醉下接受恶性消化疾病手术的患者是否患有牙周炎。

方法

参与本研究的患者为接受术前口腔健康评估的患有消化恶性疾病并进行牙周检查和全口曲面断层检查的患者。作者调查了患者的一般特征和临床口腔信息,包括牙周炎的存在。

结果

本研究共纳入 120 例患者。牙齿数量的平均值和标准差为 20.8±8.2,年龄与牙齿数量之间存在统计学显著相关性。牙周袋深度为 3.0±1.0,62 例患者存在活动牙。牙齿数量与活动牙数量之间存在统计学显著相关性。然而,无活动牙患者的年龄与有活动牙患者的年龄之间无显著差异。

结论

这项在单一机构进行的回顾性研究阐明了恶性消化疾病患者术前是否患有牙周炎。无论年龄大小,评估包括牙周炎在内的口腔健康对于全身麻醉下的安全手术都很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fca/7789498/0448ac7744d9/12903_2020_1378_Fig1_HTML.jpg

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