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牙齿修复与营养对糖尿病患者的影响:综述

Teeth Rehabilitation and Nutritional Influence on Diabetic Patients: A Review.

作者信息

Bukhary Dalea M

机构信息

Department of Oral and Maxillofacial Prosthodontics, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2023 Sep 29;15(9):e46182. doi: 10.7759/cureus.46182. eCollection 2023 Sep.

DOI:10.7759/cureus.46182
PMID:37790059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544288/
Abstract

Diabetes mellitus (DM) is a globally prevalent endocrine and metabolic disorder characterized by hyperglycemia. Its complications significantly impact both the quality and longevity of the patient's life with a substantial burden on the healthcare system. Missing teeth make individuals more susceptible to malnutrition compared to those with functional teeth. This is especially true for people with diabetes, as the condition is closely linked to both oral health and food intake. Natural teeth loss can significantly reduce an individual's ability to chew food, leading to a decrease in the quality and quantity of their nutrition. Prosthodontics is a dental specialty that replaces missing teeth with artificial ones. Replacing missing teeth may prevent the risk of malnutrition due to decreased ability to chew. Good oral health is important for overall health, especially for those with conditions such as diabetes. Artificial teeth replacement may improve nutrition intake by improving chewing ability. Therefore, the ultimate objective of rehabilitating a patient's oral cavity is to replace the shape and function in terms of chewing performance to a degree that is as close to normal as feasible. The purpose of this review is to explore the literature showing the link between natural teeth loss and nutrition in individuals with DM, with a special focus on prosthodontic management. Several oral complications occur in diabetic patients specifically teeth loss, which in turn affects mastication function. This in turn cause malnutrition and affect glucose level. It is imperative for healthcare providers to take an interdisciplinary approach in order to improve the dental and nutritional status and overall well-being of DM patients.

摘要

糖尿病(DM)是一种全球流行的内分泌和代谢紊乱疾病,其特征为高血糖。它的并发症对患者的生活质量和寿命都有显著影响,给医疗系统带来了沉重负担。与牙齿功能正常的人相比,牙齿缺失会使个体更容易出现营养不良。对于糖尿病患者来说尤其如此,因为这种疾病与口腔健康和食物摄入都密切相关。天然牙齿缺失会显著降低个体咀嚼食物的能力,导致营养质量和数量下降。口腔修复学是一门用假牙替代缺失牙齿的牙科专业。替换缺失牙齿可能会预防因咀嚼能力下降而导致的营养不良风险。良好的口腔健康对整体健康很重要,特别是对于患有糖尿病等疾病的人。人工牙齿替换可以通过提高咀嚼能力来改善营养摄入。因此,修复患者口腔的最终目标是在咀嚼性能方面尽可能接近正常地恢复其形状和功能。本综述的目的是探讨显示糖尿病患者天然牙齿缺失与营养之间联系的文献,特别关注口腔修复治疗。糖尿病患者会出现几种口腔并发症,特别是牙齿缺失,这反过来又会影响咀嚼功能。这进而导致营养不良并影响血糖水平。医疗保健提供者必须采取跨学科方法,以改善糖尿病患者的牙齿和营养状况以及整体健康。

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本文引用的文献

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Influence of wearing complete denture on the glycemic control, serum lipid, and proteins in patients with diabetes.佩戴全口义齿对糖尿病患者血糖控制、血脂和蛋白质的影响。
J Indian Prosthodont Soc. 2023 Jul-Sep;23(3):259-265. doi: 10.4103/jips.jips_284_23.
2
Dental prosthesis use is associated with higher protein intake among older adults with tooth loss.老年人使用假牙与较高的蛋白质摄入量有关,这些老年人存在牙齿缺失的问题。
J Oral Rehabil. 2023 Nov;50(11):1229-1238. doi: 10.1111/joor.13554. Epub 2023 Jul 10.
3
Association of Glycated Hemoglobin Level with Self-Reported Chewing Problems in Elderly Community-Dwelling Individuals in Japan.日本社区居住老年人糖化血红蛋白水平与自我报告的咀嚼问题的关联
J Multidiscip Healthc. 2023 May 2;16:1231-1238. doi: 10.2147/JMDH.S404028. eCollection 2023.
4
Prevalence of frailty and its association with oral hypofunction in older adults: a gender perspective.老年人虚弱症的流行及其与口腔功能低下的关系:性别视角。
BMC Oral Health. 2023 Mar 10;23(1):140. doi: 10.1186/s12903-023-02824-3.
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Association between masticatory performance and oral conditions in adults: A systematic review and meta-analysis.成年人咀嚼功能与口腔状况之间的关联:一项系统评价与荟萃分析。
J Dent. 2023 Feb;129:104395. doi: 10.1016/j.jdent.2022.104395. Epub 2022 Dec 20.
6
Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes.墨西哥有和没有2型糖尿病的成年人样本中无牙情况的比较分析。
Healthcare (Basel). 2022 Nov 26;10(12):2378. doi: 10.3390/healthcare10122378.
7
Oral health-related quality of life (OHRQoL) after rehabilitation with removable partial dentures (RPDs): A systematic review and meta-analysis.可摘局部义齿修复后口腔健康相关生活质量(OHRQoL):系统评价和荟萃分析。
J Dent. 2022 Dec;127:104351. doi: 10.1016/j.jdent.2022.104351. Epub 2022 Oct 21.
8
Association of the number of natural teeth with dietary diversity and nutritional status in older adults: A cross-sectional study in China.老年人天然牙数量与饮食多样性及营养状况的关联:一项中国的横断面研究。
J Clin Periodontol. 2023 Feb;50(2):242-251. doi: 10.1111/jcpe.13728. Epub 2022 Oct 23.
9
Association of occlusal support with type 2 diabetes: A community-based study.咬合支持与 2 型糖尿病的关系:一项基于社区的研究。
Front Endocrinol (Lausanne). 2022 Aug 8;13:934274. doi: 10.3389/fendo.2022.934274. eCollection 2022.
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Multiple Chronic Diseases Associated With Tooth Loss Among the US Adult Population.美国成年人口中与牙齿脱落相关的多种慢性疾病
Front Big Data. 2022 Jul 1;5:932618. doi: 10.3389/fdata.2022.932618. eCollection 2022.