Ortiz Ana P, Ramos-Cartagena Jeslie M, García-Camacho Sandra I, Andriankaja Oelisoa M, Pérez Cynthia M
Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Cancer Control and Population Sciences Division, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
Curr Oral Health Rep. 2019 Mar;6(1):22-30. doi: 10.1007/s40496-019-0206-6. Epub 2019 Jan 30.
Research suggests that periodontal tissue might serve as a reservoir for oral human papillomavirus (HPV) infection, while another hypothesis is that chronic inflammation of the tissue might perpetuate an infection with oral HPV infection. In this narrative review, we summarize the evidence related to a potential association between oral HPV infection and periodontitis.
Twelve articles were identified, and their key findings summarized. Studies vary in sample size, study population, study design, and methods for assessment of oral HPV and periodontitis. Although results are conflicting and still inconclusive, various studies have found an association between oral HPV infection and periodontitis, which is supported by biological plausibility.
Future longitudinal studies should further evaluate this association, using clinical definitions of oral HPV infection and periodontitis, and focusing on high-risk populations for oral HPV infection. Studying this association is important since periodontitis might help identify at-risk individuals for oral HPV infection and potentially HPV-related oropharyngeal cancers.
研究表明牙周组织可能是口腔人乳头瘤病毒(HPV)感染的储存库,另一种假设是该组织的慢性炎症可能使口腔HPV感染持续存在。在这篇叙述性综述中,我们总结了与口腔HPV感染和牙周炎之间潜在关联相关的证据。
共识别出12篇文章,并总结了其主要发现。这些研究在样本量、研究人群、研究设计以及口腔HPV和牙周炎的评估方法上存在差异。尽管结果相互矛盾且尚无定论,但多项研究发现口腔HPV感染与牙周炎之间存在关联,这在生物学合理性上得到了支持。
未来的纵向研究应使用口腔HPV感染和牙周炎的临床定义,并聚焦于口腔HPV感染的高危人群,进一步评估这种关联。研究这种关联很重要,因为牙周炎可能有助于识别口腔HPV感染以及潜在的HPV相关口咽癌的高危个体。