患有类风湿性关节炎的成年患者的牙 - 一个系统性审查
Deborah Kreher1, Bero Luke Vincent Ernst1, Dirk Ziebolz1
1Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04109 Leipzig, Germany.
Journal of clinical medicine
|June 28, 2023
概括
类风湿性关节炎患者经常遇到口腔健康问题. 这次审查发现,与健康人相比,类风湿性关节炎患者的牙损患病率更高,这表明需要改善牙护理.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 类风湿病学 类风湿病学
- 系统审查是系统的审查.
背景情况:
- 类风湿性关节炎 (RA) 患者经常患有口腔疾病,如异口症,牙周炎和牙损伤.
- 了解RA患者牙损伤的具体流行率和发病率对于有针对性的干预措施至关重要.
研究的目的:
- 系统地评估诊断为类风湿性关节炎的成年患者牙损伤的患病率和/或发病率.
- 综合现有文献中关于RA和牙损伤之间的关联的发现.
主要方法:
- 在2023年2月,在PubMed,Web of Science和Scopus数据库中进行了系统的文献搜索,使用关键词""和"风湿性关节炎".
- 包括专注于成人RA患者 (年龄≥18岁) 的研究,以及明确报告的脏病患病率或发病率. 手动搜索补充了数据库搜索.
- 16项研究在选了最初识别的336项研究后满足了纳入标准. 对所有包含的研究进行了质量评估.
主要成果:
- 在包括健康对照组在内的12项研究中,有8项报告说,在RA患者和对照组之间,空患病率/发病率存在显著差异.
- 在RA患者中,牙损伤的患病率各不相同,在各项研究中,每名患者平均报告有0.8至5.79颗牙损伤.
- 大多数研究都使用了腐烂 (DT),缺失和填充牙 (DMFT) 指数进行诊断. 包括的研究的整体质量被评为中度.
结论:
- 类风湿性关节炎患者的空患病率异质,但与健康对照人群相比似乎更高.
- 建议进行进一步的研究,以全面了解RA患者的牙损.
- 促进以患者为中心的多学科牙科护理对于改善类风湿性关节炎患者的口腔健康状况至关重要.
更多相关视频
相关概念视频
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
01:21Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22
01:23Rheumatic Heart Disease I: Introduction
17
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
17
01:11Genome-wide Association Studies-GWAS
13.6K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.6K
01:22Connective Tissue Cell Types
3.3K
Connective tissue develops from the mesoderm of a developing embryo and consists of cells, fibers, and ground substance: a gel-like material containing large complexes of carbohydrates and proteins. Connective tissue was first identified as a separate tissue family in the 18th century, and Johannes Peter Muller coined the term connective tissue.
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
3.3K
01:20Rheumatic Heart Disease IV: Nursing Management
23
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
23