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牙周病与乳腺癌的关系:从基础机制到临床管理与预防。

The Relationship Between Periodontal Disease and Breast Cancer: From Basic Mechanism to Clinical Management and Prevention.

出版信息

Oral Health Prev Dent. 2023 Feb 16;21:49-60. doi: 10.3290/j.ohpd.b3904343.

Abstract

PURPOSE

Periodontal disease is potentially related to certain kinds of cancer. This review aimed to summarize the relationship between periodontal disease and breast cancer, providing some strategies for the clinical treatment and periodontal health care of breast cancer patients.

MATERIALS AND METHODS

Systematic reviews, randomised controlled trials, prospective and retrospective clinical studies, case series and reports were collected using search terms entered into the PubMed, Google Scholar and JSTOR databases.

RESULTS

Research has provided some evidence that periodontal disease is related to the occurrence and development of breast cancer. Periodontal disease and breast cancer have some common pathogenic factors. Periodontal disease may affect the initiation and development of breast cancer involving microorganisms and inflammation. Periodontal health is affected by radiotherapy, chemotherapy, and endocrine therapy for breast cancer.

CONCLUSIONS

Periodontal therapy for breast cancer patients should be performed differently according to the stage of cancer treatment. Adjuvant endocrine treatment (e.g. bisphosphonates) has a great impact on oral treatment. Periodontal therapy contributes to the primary prevention of breast cancer. Periodontal health care of breast cancer patients is worthy of clinician attention.

摘要

目的

牙周病可能与某些癌症有关。本综述旨在总结牙周病与乳腺癌之间的关系,为乳腺癌患者的临床治疗和牙周保健提供一些策略。

材料与方法

使用检索词检索 PubMed、Google Scholar 和 JSTOR 数据库,收集系统评价、随机对照试验、前瞻性和回顾性临床研究、病例系列和报告。

结果

研究提供了一些证据表明牙周病与乳腺癌的发生和发展有关。牙周病和乳腺癌有一些共同的致病因素。牙周病可能通过微生物和炎症影响乳腺癌的发生和发展。乳腺癌的放化疗和内分泌治疗会影响牙周健康。

结论

应根据癌症治疗阶段的不同,对乳腺癌患者进行不同的牙周治疗。辅助内分泌治疗(如双膦酸盐)对口腔治疗有很大影响。牙周治疗有助于乳腺癌的一级预防。乳腺癌患者的牙周保健值得临床医生关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0227/11619839/30bbec91f998/ohpd-21-49-g001.jpg

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