对148名患有全身性硬化症的患者口腔健康的评估 - 来自前性跨学科单心队列的数据
Ann-Christin Pecher1, Bahar Günaydin2, Hannah Finke3
1Interdisciplinary Center of Rheumatic Diseases (INDIRA), University Hospital Tuebingen, Tuebingen, Germany.
Rheumatology international
|June 14, 2024
概括
系统性硬化症患者面临高牙周炎风险,特别是男性. 除了以器官为中心的护理,定期去看牙医和口腔卫生至关重要,以应对这种口腔健康挑战.
科学领域:
- 类风湿病学 类风湿病学
- 牙科 牙科是指牙科的专业.
- 牙周病学 牙周病学
背景情况:
- 系统性硬化症 (SSc) 是一种严重的纤维性疾病,通常会掩盖面部表现.
- 牙医可能缺乏对SSc的认识,尽管患者口腔健康风险增加.
- 牙周炎是全身发病率和死亡率的风险因素,与SSc有关,关于性别差异的数据有限.
研究的目的:
- 调查SSc患者的口腔健康行为和牙周炎风险.
- 探索SSc患者口腔健康和牙周炎风险的性别特异性差异.
主要方法:
- 一项描述性研究,涉及148名Tübingen大学医院的SSc患者.
- 通过口腔健康调查问卷收集的数据以及GD Paro对牙周炎风险的自我评估得分.
- 分析口腔健康状况和牙周炎风险的性别特异性差异.
主要成果:
- 90%的患者报告定期去看牙医,并保持良好的口腔卫生.
- 超过50%的人经历了牙缺失和口腔开口受限;40%的人报告口腔干燥 (xerostomia).
- 牙周炎的风险在女性 (~60%) 高,在男性 (~80%) 高. 牙出血与唾液流和修改的罗丹皮肤评分 (mRSS) 相关联.
结论:
- 尽管牙科意识很高,SSc患者表现出显著的牙周炎风险,特别是男性.
- Xerostomia,缺失的牙和牙出血可能表明渐进性SSc的风险增加.
- 定期的牙科检查和仔细的口腔卫生建议SSc患者,补充全身护理.
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