Agrawal Jaya, Lal Nand, Singhal Rameshwari
Department of Periodontology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Indian Soc Periodontol. 2023 May-Jun;27(3):233-237. doi: 10.4103/jisp.jisp_114_22. Epub 2023 May 1.
Alopecia areata is a systemic disease with nonscarring hair loss from the scalp, face, or any part of the body. The disease with undetermined etiology and pathogenesis has a considerable impact on the social life of patients which gradually builds up stress and expedites further deterioration of their condition. Interestingly, in such patients, besides stress-relieving exercises and immunomodulators, well-timed dental assessment and prompt treatment have contributed to improving the prognosis of alopecia. This depicts an interrelationship between alopecia and oral foci of infections. Over the past few decades, periodontitis has remained to be one of the predominant forms of oral focus of infection for systemic diseases. The present review throws light on the role of stress and autoimmunity in establishing a possible correlation between alopecia and periodontitis. It is augmented with documented case reports, demanding a complete oral examination in patients with the unexplained origin of alopecia. An interdisciplinary approach is the need of the hour which can prevent the progression of both the diseases as well as other oral infections.
斑秃是一种全身性疾病，表现为头皮、面部或身体任何部位的非瘢痕性脱发。这种病因和发病机制尚未明确的疾病对患者的社交生活有相当大的影响，会逐渐增加压力并加速病情进一步恶化。有趣的是，在这类患者中，除了减压锻炼和免疫调节剂外，适时的牙科评估和及时治疗有助于改善斑秃的预后。这表明了斑秃与口腔感染病灶之间的相互关系。在过去几十年里，牙周炎一直是全身性疾病口腔感染病灶的主要形式之一。本综述揭示了压力和自身免疫在斑秃与牙周炎之间建立可能关联中的作用。文中还补充了病例报告，要求对斑秃病因不明的患者进行全面的口腔检查。目前迫切需要一种跨学科方法，以防止这两种疾病以及其他口腔感染的进展。
