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解析骨质疏松症、治疗方式与口腔健康之间的关系:一项综合综述

Unraveling the Relationship Between Osteoporosis, Treatment Modalities, and Oral Health: A Comprehensive Review.

作者信息

Sharma Nandini, Reche Amit

机构信息

Dentistry, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Public Health Dentistry, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 25;15(11):e49399. doi: 10.7759/cureus.49399. eCollection 2023 Nov.

Abstract

This review delves into the intricate interplay between osteoporosis, its treatment approaches, and oral health. The examination underscores the substantial impact of osteoporosis, characterized by reduced bone density, on various oral health parameters such as periodontal health, tooth loss, and jawbone density. While pharmacological interventions, including bisphosphonates and hormone replacement therapy, play a crucial role in managing osteoporosis, they necessitate careful consideration, particularly about the risk of osteonecrosis of the jaw. A comprehensive approach involving collaboration between dentists and healthcare providers is imperative for holistic patient care. Implementing screening protocols for osteoporosis in dental settings and meticulously planning dental procedures for patients undergoing osteoporosis treatments are vital aspects of clinical practice. This review also sheds light on emerging trends in osteoporosis research, such as the influence of genetic factors and the microbiome, emphasizing the necessity for innovative treatment modalities. In conclusion, the review provides valuable insights into the nuanced connections between osteoporosis and oral health, thereby laying a foundation for informed clinical practices and guiding future research initiatives. Furthermore, it highlights the importance of optimizing dental procedures and assessing long-term oral health outcomes as critical avenues for future research endeavors.

摘要

本综述深入探讨了骨质疏松症、其治疗方法与口腔健康之间的复杂相互作用。该研究强调了以骨密度降低为特征的骨质疏松症对各种口腔健康参数的重大影响,如牙周健康、牙齿脱落和颌骨密度。虽然包括双膦酸盐和激素替代疗法在内的药物干预在管理骨质疏松症方面起着关键作用,但它们需要仔细考虑,特别是关于颌骨坏死的风险。对于全面的患者护理而言,牙医与医疗服务提供者之间的合作所采用的综合方法至关重要。在牙科环境中实施骨质疏松症筛查方案以及为接受骨质疏松症治疗的患者精心规划牙科手术是临床实践的重要方面。本综述还揭示了骨质疏松症研究的新趋势,如遗传因素和微生物群的影响,强调了创新治疗方式的必要性。总之,该综述为骨质疏松症与口腔健康之间的细微联系提供了有价值的见解,从而为明智的临床实践奠定了基础,并指导未来的研究计划。此外,它强调了优化牙科手术和评估长期口腔健康结果作为未来研究努力的关键途径的重要性。

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