牙科和心血管疾病之间的关联:系统性审查
Louis Hardan1, Anthony Matta2,3, Rim Bourgi1
1Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, 1107 2180 Beirut, Lebanon.
Reviews in cardiovascular medicine
|July 30, 2024
概括
不良的口腔卫生,包括牙脱落和牙周炎,可能会增加动脉样硬化心血管事件的风险. 牙科专业人员可以帮助公共卫生部门在控制心血管疾病方面的努力.
科学领域:
- 口腔健康 口腔健康
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 牙疾病和心血管疾病之间的关系仍在争论中.
- 调查口腔健康和心血管疾病之间的联系对公共健康至关重要.
研究的目的:
- 系统地审查有关牙疾病与心血管疾病发展之间的联系的现有文献.
- 综合有关口腔健康对心血管结果的影响的证据.
主要方法:
- 一个全面的系统审查,遵守PRISMA指南.
- 在主要数据库进行文献搜索:PubMed (Medline),科学网,Scopus,EMBASE和SciELO.
- 纳入标准适用于6680个记录,其中82篇文章被选中进行最终分析.
主要成果:
- 在包括的82项研究中,10项没有发现牙疾病与心血管疾病之间的联系.
- 剩余的72项试验表明了潜在的联系,主要关注牙脱落和牙周炎.
- 研究的主要心血管事件包括冠状动脉疾病,中风,动脉样硬化和心肌梗塞.
- 讨论的机制包括直接途径 (系统性炎症,细胞因子泄漏,病原体入侵) 和间接途径 (常见的危险因素).
结论:
- 失去牙,牙周炎和口腔卫生不良似乎会增加动脉样硬化心血管事件的风险.
- 口腔保健专业人员可以在预防和控制心血管疾病的公共卫生倡议中发挥作用.
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