ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain.
Department of Periodontology, Faculty of Dental Medicine, Hadassah and the Hebrew University Medical Center, Jerusalem, Israel.
J Clin Periodontol. 2023 Jun;50(6):819-841. doi: 10.1111/jcpe.13807. Epub 2023 Mar 22.
AIM: To explore the implications for dentists and family doctors of the association between periodontal and systemic diseases and the role of dentists and family doctors in managing non-communicable diseases (NCDs) and promoting healthy lifestyles. MATERIALS AND METHODS: The consensus reports of the previous Focused Workshops on the associations between periodontitis and diabetes (2017) and periodontitis and cardiovascular diseases (2019) formed the technical reviews to underpin discussions on both topics. For the association with respiratory diseases, a systematic review was specifically commissioned for the Workshop discussions. Working groups prepared proposals independently, and then the proposals were discussed and approved at plenary meetings. RESULTS: Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease (COPD), obstructive sleep apnea and COVID-19 complications. Dentists and family doctors should collaborate in managing NCDs, implementing strategies for early detection of periodontitis in primary care centres and of cardiovascular diseases or diabetes in dental settings. Family doctors should be informed about periodontal diseases and their consequences, and oral health professionals (OHPs) should be informed about the relevance of NCDs and the associated risk factors. CONCLUSIONS: Closer collaboration between OHPs and family doctors is important in the early detection and management of NCDs and in promoting healthy lifestyles. Pathways for early case detection of periodontitis in family medicine practices and of NCDs in dental practices should be developed and evaluated.
目的:探讨牙周病和系统性疾病之间的关联对牙医和家庭医生的意义,以及牙医和家庭医生在管理非传染性疾病(NCDs)和促进健康生活方式方面的作用。
材料和方法:之前关于牙周炎与糖尿病(2017 年)和牙周炎与心血管疾病(2019 年)关联的重点研讨会的共识报告为讨论这两个主题提供了技术审查。对于与呼吸系统疾病的关联,专门为研讨会讨论委托了一项系统评价。工作组独立编写提案,然后在全体会议上进行讨论和批准。
结果:牙周炎与心血管疾病、糖尿病、慢性阻塞性肺疾病(COPD)、阻塞性睡眠呼吸暂停和 COVID-19 并发症独立相关。牙医和家庭医生应在管理 NCDs 方面进行合作,在初级保健中心实施早期发现牙周炎和在牙科环境中发现心血管疾病或糖尿病的策略。应向家庭医生通报牙周疾病及其后果,口腔健康专业人员(OHPs)应了解 NCDs 的相关性及其相关危险因素。
结论:OHPs 和家庭医生之间更密切的合作对于早期发现和管理 NCDs 以及促进健康的生活方式非常重要。应制定和评估在家庭医学实践中早期发现牙周炎和在牙科实践中发现 NCDs 的途径。
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