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2020年代老年口腔医学展望的更新与综述:将口腔(功能减退)功能的相互作用与健康及全身性疾病联系起来

Update and review of the gerodontology prospective for 2020's: Linking the interactions of oral (hypo)-functions to health vs. systemic diseases.

作者信息

Liu Yen Chun G, Lan Shou-Jen, Hirano Hirohiko, Lin Li-Min, Hori Kazuhiro, Lin Chia-Shu, Zwetchkenbaum Samuel, Minakuchi Shunsuke, Teng Andy Yen-Tung

机构信息

Center for Osteoimmunology & Biotechnology Research (COBR) and Dept. of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University (KMU), Kaohsiung, Taiwan.

Dept. of Healthcare Administration, Asia University, Tai-Chung, Taiwan.

出版信息

J Dent Sci. 2021 Mar;16(2):757-773. doi: 10.1016/j.jds.2020.09.007. Epub 2020 Oct 17.

Abstract

New lines of evidence suggest that the oral-systemic medical links and oral hypo-function are progressively transcending beyond the traditional clinical signs and symptoms of oral diseases. Research into the dysbiotic microbiome, host immune/inflammatory regulations and patho-physiologic changes and subsequent adaptations through the oral-systemic measures under ageism points to pathways leading to mastication deficiency, dysphagia, signature brain activities for (neuro)-cognition circuitries, dementia and certain cancers of the digestive system as well. Therefore, the coming era of oral health-linked systemic disorders will likely reshape the future of diagnostics in oral geriatrics, treatment modalities and professional therapies in clinical disciplines. In parallel to these highlights, a recent international symposium was jointly held by the International Association of Gerontology and Geriatrics (IAGG), Japanese Society of Gerodontology (JSG), the representative of USA and Taiwan Academy of Geriatric Dentistry (TAGD) on Oct 25th, 2019. Herein, specific notes are briefly addressed and updated for a summative prospective from this symposium and the recent literature.

摘要

新的证据表明,口腔与全身的医学联系以及口腔功能减退正逐渐超越口腔疾病的传统临床体征和症状。对失调微生物群、宿主免疫/炎症调节以及病理生理变化的研究,以及在年龄歧视背景下通过口腔-全身措施进行的后续适应性研究,指出了导致咀嚼功能障碍、吞咽困难、(神经)认知回路的标志性脑活动、痴呆以及某些消化系统癌症的途径。因此,与口腔健康相关的全身疾病的新时代可能会重塑口腔老年医学诊断、临床学科治疗方式和专业疗法的未来。与这些亮点并行的是,国际老年学和老年医学协会(IAGG)、日本老年牙科学会(JSG)、美国代表和台湾老年牙科学会(TAGD)于2019年10月25日联合举办了一次国际研讨会。在此,从本次研讨会和近期文献中简要阐述并更新了具体要点,以进行总结性展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd87/8025188/7bbc5e7d6abc/gr1.jpg

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