Private Practice, Bloomfield Hills, Michigan, USA.
Kois Center, Seattle, Washington, USA.
J Esthet Restor Dent. 2023 Jul;35(5):758-772. doi: 10.1111/jerd.13083. Epub 2023 Jul 10.
This article describes the importance of identifying inflammation-inducing conditions in the dental office that are prevalent in the population and have significant systemic health risks for the patient. The role of the dental biofilm will be presented, as will the clinical protocols for treating an unhealthy biofilm. Methods for testing and maintaining a healthy biofilm are also presented.
Periodontal disease, dental caries, and periapical infections are inflammation-inducing diseases that can be identified in the dental office. Additionally, sleep apnea has been linked to chronic systemic inflammation. Dentists can identify risk factors and provide treatments that lower the risk of serious systemic outcomes, such as atherosclerosis, cardiac arrest, and stroke.
A thorough dental examination, including a comprehensive periodontal evaluation, can provide important information that can be used to improve or maintain a patient's systemic health. Treatments provided to improve oral health have been shown to improve systemic indicators of cardiovascular health. This is the basis of integrative oral medicine, a collaboration between the medical and dental providers, which can offer patients the best opportunity for improved health outcomes.
Periodontal disease, caries, periapical infections, and sleep apnea all have negative systemic health consequences for the patient (DiMatteo, Inside Dent, 2017, 13, 30; Nakano, Oral Microbiol Immunol, 2009, 24, 64; El Ouarti, BMC Oral Health, 2021, 21, 124; Lamberg, Steve). Periodontal disease, caries, and root end infections influence the health of the oral biofilm. If the biofilm becomes pathogenic the host inflammatory response can be stimulated, resulting in a cascade of inflammatory processes that damage the supporting structures of the teeth and harm the patient's overall health. A thorough dental exam that includes a comprehensive periodontal evaluation will identify patients with active inflammation or oral conditions that contribute to chronic inflammation. Dentists can integrate this information into treatment strategies that reduce the inflammatory burden and assist in better overall health outcomes.
本文介绍了在牙科环境中识别普遍存在且对患者具有重大系统性健康风险的炎症诱导因素的重要性。本文将介绍牙菌斑的作用，以及治疗不健康牙菌斑的临床方案。还介绍了检测和维持健康牙菌斑的方法。
牙周病、龋齿和根尖周感染是可在牙科环境中识别的炎症诱导性疾病。此外，睡眠呼吸暂停与慢性系统性炎症有关。牙医可以识别风险因素并提供治疗方法，降低严重系统性后果（如动脉粥样硬化、心脏骤停和中风）的风险。
全面的牙科检查，包括全面的牙周评估，可以提供重要信息，用于改善或维持患者的系统性健康。改善口腔健康的治疗方法已被证明可以改善心血管健康的系统性指标。这是综合口腔医学的基础，是医疗和牙科提供者之间的合作，可以为患者提供改善健康结果的最佳机会。
牙周病、龋齿、根尖周感染和睡眠呼吸暂停都会对患者的系统性健康产生负面影响（DiMatteo，Inside Dent，2017，13，30；Nakano，Oral Microbiol Immunol，2009，24，64；El Ouarti，BMC Oral Health，2021，21，124；Lamberg，Steve）。牙周病、龋齿和根端感染会影响口腔生物膜的健康。如果生物膜发生致病，宿主的炎症反应可能会被刺激，导致炎症级联反应，从而损害牙齿的支持结构并损害患者的整体健康。全面的牙科检查包括全面的牙周评估，可以识别出有活动性炎症或导致慢性炎症的口腔状况的患者。牙医可以将这些信息整合到治疗策略中，以减轻炎症负担并有助于更好的整体健康结果。
