糖尿病与牙周病:新视角。

Christopher Turner
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引用次数: 0

摘要

糖尿病(DM)患者罹患牙周病(PD)的风险比非糖尿病患者高三到四倍;对于吸烟者来说,这种风险增加到十倍。DM和牙周病是双向联系的,一方影响另一方,反之亦然,但其机制尚不完全清楚,可能与慢性感染有关。牙周病对血糖控制有不利影响。当患者的糖化血红蛋白(HbA1c)水平持续偏高时,医生应考虑糖尿病,而当牙医的患者患有不稳定或进行性牙周炎时,应考虑糖尿病或糖尿病前期。建议对医疗和牙科风险采用红、黄、绿三色交通灯系统,并设计一个表格,以便糖尿病患者自己可以与他们的专业顾问分享,直到有可靠的跨专业沟通方法和实现工作实践的范式转变。需要开展更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes Mellitus and Periodontal Disease: A New Perspective.

First recorded in 1928, people living with diabetes mellitus (DM) are at a three to four times higher risk of developing periodontal disease (PD) than non-diabetics; for those who smoke this risk increases up to ten times. However, many doctors are unaware of this.DM and PD are bidirectionally linked, the one affecting the other and vice versa, although the mechanism is not fully understood and may be linked to chronic infection. PD has an adverse effect on glycaemic control. That improves when periodontitis is successfully treated.Doctors should consider PD when their patients have persistently high glycated haemoglobin (HbA1c) levels, and dentists should consider diabetes or pre-diabetes when they have patients with unstable or progressive periodontitis.Doctors, dentists, and their teams need to share results. A traffic light system of red, amber and green for both medical and dental risks is proposed, and a pro forma designed, so that diabetics themselves can share them with their professional advisors until such times as there are reliable methods of interprofessional communication and a paradigm shift in working practices is achieved.Dentists need to find ways to teach their medical colleagues about the basics of PD, update their medical records, and understand more about medical risks. More research is required.

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