膜骨损失是牙患者牙损失的重要原因:一项回顾性研究
Houda Tebcherany1, Tom Rogers2, Ahmed Khocht3
1Department of General Dentistry, School of Dentistry, Loma Linda University, Loma Linda, California, USA.
概括
人类免疫缺陷病毒 (HIV) 阳性患者常见失去牙,通常与牙周病有关. 抗逆转录病毒治疗 (ART) 持续时间较长可能改善口腔健康并减少牙脱落.
科学领域:
- 口腔健康 口腔健康
- 艾滋病毒 医学 艾滋病毒 医学
- 牙周病学 牙周病学
背景情况:
- 牙损失是人类免疫缺陷病毒 (HIV) 的成年患者的一个重大问题.
- 在接受现代抗逆转录病毒疗法 (ART) 的HIV+个体中,调查牙脱落的危险因素至关重要.
研究的目的:
- 确定成年HIV+患者在ART治疗中的牙损失的流行率.
- 为了确定与牙损失相关的潜在风险因素在这个人群中.
主要方法:
- 对450名艾滋病毒感染者的健康记录进行了回顾性分析.
- 详细的口腔健康评估 (牙周图表,X线图) 的88个牙科HIV+患者.
- 收集人口统计,全身,口腔健康和艾滋病毒疾病数据;对空和膜骨损失 (ABL) 的放射性评估.
主要成果:
- 在研究的HIV+患者中,88%的患者出现了牙损失.
- 在牙脱落,年龄和气泡骨损失 (ABL ≥15%) 之间发现了显著的积极关联.
- 增加ART的持续时间与牙损失有负面关联.
结论:
- 在HIV+患者中,牙损失仍然很普遍,牙周病是主要因素.
- 较长时间坚持ART可能与改善的口腔健康行为和减少牙损失有关.
- 牙周病管理对于接受ART的HIV+患者至关重要.
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