Department of Dentistry, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of Korea.
Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Medicina (Kaunas). 2024 Oct 15;60(10):1693. doi: 10.3390/medicina60101693.
Modernization and population aging have increased the prevalence of systemic diseases, such as diabetes and hypertension, which are often accompanied by various dental diseases. Our aim was to investigate associations between common dental conditions and major systemic diseases in an elderly Korean population. : Utilizing electronic medical record data from 43,525 elderly patients, we examined the prevalence of systemic diseases (diabetes, hypertension, rheumatoid arthritis, osteoporosis, dementia) and dental conditions (caries, periodontal disease, pulp necrosis, tooth loss). The analysis focused on the correlations between these diseases. : Significant associations were found between systemic diseases and an increased prevalence of dental conditions. Patients with systemic diseases, especially those with multiple conditions, had higher incidences of periodontal disease and tooth loss. The correlation was particularly strong in patients with diabetes and rheumatoid arthritis. Interestingly, temporomandibular joint disorder was less frequent in this cohort. : The findings highlight the importance of integrated dental care in managing systemic diseases in elderly populations. Enhanced dental monitoring and proactive treatment are essential due to the strong association between systemic diseases and dental conditions. Collaboration between dental and medical professionals is crucial for comprehensive care that improves health outcomes and quality of life for elderly patients.
现代化和人口老龄化增加了系统性疾病的流行，如糖尿病和高血压，这些疾病通常伴随着各种牙科疾病。我们的目的是研究常见的牙科状况与老年韩国人群中的主要系统性疾病之间的关联。
我们利用来自 43525 名老年患者的电子病历数据，检查了系统性疾病（糖尿病、高血压、类风湿关节炎、骨质疏松症、痴呆症）和牙科状况（龋齿、牙周病、牙髓坏死、牙齿缺失）的患病率。分析重点关注这些疾病之间的相关性。
研究发现，系统性疾病与牙科状况的患病率增加之间存在显著关联。患有系统性疾病的患者，尤其是患有多种疾病的患者，牙周病和牙齿缺失的发病率更高。这种相关性在糖尿病和类风湿关节炎患者中尤为强烈。有趣的是，该队列中颞下颌关节紊乱的发生率较低。
这些发现强调了在老年人群中进行综合牙科护理以管理系统性疾病的重要性。由于系统性疾病和牙科状况之间存在很强的关联，因此需要加强牙科监测和积极治疗。牙科和医疗专业人员之间的合作对于改善老年患者的健康结果和生活质量至关重要。
