消除牙周病和慢性病之间的联系 - 一个总体审查
Isaac He1, Brianna Poirier2, Emilija Jensen1
1Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia.
Journal of periodontal research
|July 21, 2023
概括
慢性病 (CKD) 和牙周病有着双向的关系. 本综合性综述综合了指导慢性病患者牙周健康管理的证据,解决了研究质量和异质性问题.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 众所周知,慢性病 (CKD) 和口腔健康不良,特别是牙周炎,是相互关联的.
- 现有的系统性审查表明,CKD和牙周炎之间存在强烈的关联,牙周治疗有望改善CKD的结果.
- 然而,研究质量的变化和结果异质性需要全面的质量评估.
研究的目的:
- 进行一项综合性审查,评估现有关于CKD与口腔健康关系的系统性审查的质量,重点是牙周炎.
- 制定临床相关的指导方针,以维持慢性病患者的牙周健康.
- 解决当前研究中的异质性和质量差异.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA 2020指南进行的总体审查.
- 在多个数据库 (PubMed,Embase,Web of Science,Cochrane,牙科和口腔科学来源) 进行系统搜索,直到2022年4月.
- 包括检查CKD-牙周炎关系或CKD患者牙周治疗效果的系统审查和元分析.
主要成果:
- 18项系统性审查符合纳入标准,分析了CKD-牙周炎联系和治疗影响.
- 这些发现证实了CKD和牙周病之间的双向关系.
- 现有文献中的显著异质性凸显了对标准化管理方法的需求.
结论:
- 慢性病和牙周病之间存在双向关系.
- 综合证据支持需要针对慢性病患者牙周炎的具体管理指南.
- 为医疗,牙科和老年护理专业人员提出建议,以改善CKD人口中牙周健康结果.
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