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糖尿病、口腔疾病与全身健康之间的复杂相互关系。

The Complex Interrelationship between Diabetes Mellitus, Oral Diseases and General Health.

作者信息

Grisi Daniela Corrêa, Vieira Isabel Verlangeiro, de Almeida Lima Ana Karolina, de Oliveira Mattos Mariana Caldas, Damé-Teixeira Nailê, Salles Loise Pedrosa, de Oliveira Laudimar Alves, Stefani Cristine, do Carmo Machado Guimarães Maria

机构信息

Department of Dentistry, School of Health Sciences, University of Brasilia, Brasília-DF, Brazil.

Department of Dentistry, School of Health Sciences, University of Brasilia, Brasília-DF,Brazil.

出版信息

Curr Diabetes Rev. 2022;18(3):e220321192408. doi: 10.2174/1573399817666210322153210.

Abstract

There is emerging evidence that several oral diseases and conditions can be associated with DM. Dental caries, hyposalivation, fungal diseases and endodontics lesions may represent potential oral complications that can be aggravated by chronic hyperglycemia. Individuals with DM have a low perception of oral diseases which can lead to clinically important oral and systemic complications. This review aims to provide data on the most common oral signs and symptoms related to DM and to explore the mechanisms that might explain associations between DM and oral diseases in order to clarify the risks posed by poor oral health in DM. Since the linkage between oral diseases and DM is part of multifactorial aspects related to chronic hyperglycemic status and several common conditions affecting the whole body, both require rigorous self-control from patients and attention from medical and dental professionals.

摘要

越来越多的证据表明,几种口腔疾病和状况可能与糖尿病有关。龋齿、唾液分泌减少、真菌疾病和牙髓病变可能是潜在的口腔并发症,慢性高血糖会使其加重。糖尿病患者对口腔疾病的认知度较低,这可能导致具有临床重要性的口腔和全身并发症。本综述旨在提供与糖尿病相关的最常见口腔体征和症状的数据,并探讨可能解释糖尿病与口腔疾病之间关联的机制,以阐明糖尿病患者口腔健康不佳所带来的风险。由于口腔疾病与糖尿病之间的联系是与慢性高血糖状态以及影响全身的几种常见状况相关的多因素问题的一部分,因此两者都需要患者进行严格的自我控制以及医疗和牙科专业人员的关注。

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