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抗抑郁药与牙周状况的关联:一项原创研究。

Association of the Antidepressants and the Periodontal Status: An Original Research.

作者信息

Majeed Rizleena, Sathi Krishna V, Patil Ruthika S, Singh Neetu, Duseja Shilpa, Kondreddy Kameswari

机构信息

Department of Periodontology, Kannur Dental College, Anjarakandy, Kerala, India.

BDS, Government Dental College and Hospital, Hyderabad, Telangana, India.

出版信息

J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S215-S218. doi: 10.4103/jpbs.jpbs_464_23. Epub 2024 Feb 29.


DOI:10.4103/jpbs.jpbs_464_23
PMID:38595612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11000883/
Abstract

Antidepressants have anti-inflammatory effects and boost immunity, and dentists should be aware. This case-control study included only those patients who consented to take part and had a ham-d score of at least 16 and a diagnosis of moderate-to-severe depression. Inclusion criteria included adults, those experiencing moderate to severe depression, taking fluoxetine or venlafaxine, and those with twenty or more teeth. Exclusion criteria included tobacco chewers, smokers, women expecting or nursing, periodontal treatment, antibiotics, anti-inflammatory medication, or vitamin/nutritional supplements. Patients who had had surgery or other therapy were excluded from the study. Three groups of patients were created: Control, venlafaxine, and fluoxetine. A periodontist assisted in the dental examination, and indices were observed. The analysis was done using Statistical Package for the Social Sciences (SPSS) version 24.0. Number, percentage, mean, and standard deviation were used to present the values. Results showed that antidepressants may be a risk factor for periodontal health, with increased periodontal parameters, and concluded that It is crucial to frequently check the periodontal health of depressed people using fluoxetine or venlafaxine since these drugs put good periodontal tissues at risk.

摘要

抗抑郁药具有抗炎作用并能增强免疫力,牙医应予以关注。这项病例对照研究仅纳入了那些同意参与、汉密尔顿抑郁量表(Ham-D)得分至少为16且被诊断为中度至重度抑郁症的患者。纳入标准包括成年人、患有中度至重度抑郁症、正在服用氟西汀或文拉法辛以及有20颗或更多牙齿的人。排除标准包括嚼烟者、吸烟者、孕妇或哺乳期妇女、接受过牙周治疗、使用过抗生素、抗炎药物或维生素/营养补充剂的人。接受过手术或其他治疗的患者被排除在研究之外。创建了三组患者:对照组、文拉法辛组和氟西汀组。一名牙周病专家协助进行牙科检查,并观察各项指标。使用社会科学统计软件包(SPSS)24.0版进行分析。用数字、百分比、均值和标准差来呈现数据。结果表明,抗抑郁药可能是牙周健康的一个风险因素,会使牙周参数增加,并得出结论:对于使用氟西汀或文拉法辛的抑郁症患者,经常检查其牙周健康至关重要,因为这些药物会使健康的牙周组织面临风险。

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引用本文的文献

[1]
Association between selective serotonin reuptake inhibitors and the periodontal status: a systematic review and meta-analysis of observational clinical studies.

Evid Based Dent. 2025-7-22

[2]
Periodontitis and Depressive Disorders: The Effects of Antidepressant Drugs on the Periodontium in Clinical and Preclinical Models: A Narrative Review.

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本文引用的文献

[1]
Effect of antidepressants on various periodontal parameters: A case-control study.

J Indian Soc Periodontol. 2020

[2]
Correlation of CD4 counts with oral and systemic manifestations in HIV patients.

J Family Med Prim Care. 2019-10-31

[3]
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J Periodontol. 2009-2

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Neurochem Res. 2007-7

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Periodontol 2000. 2006

[9]
Depression and cortisol responses to psychological stress: a meta-analysis.

Psychoneuroendocrinology. 2005-10

[10]
Treatment of pain syndromes with venlafaxine.

Pharmacotherapy. 2004-5

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