口腔健康和类风湿性关节炎:一个病例对照研究
Margaréta Tamášová1, Želmíra Macejová2, Erik Dorko3
1First Department of Stomatology, Faculty of Medicine, Pavol Jozef Safarik University and Louis Pasteur University Hospital in Kosice, Kosice, Slovak Republic.
Central European journal of public health
|January 20, 2025
概括
与健康人相比,类风湿性关节炎患者患牙周炎的患病率更高. 定期的口腔检查和卫生实践对于管理RA患者的口腔健康至关重要.
科学领域:
- 口腔健康 口腔健康
- 类风湿病学 类风湿病学
- 牙周病学 牙周病学
背景情况:
- 类风湿性关节炎 (RA) 和牙周病 (PD) 是慢性炎症性疾病.
- 关节炎患者经常经历口腔健康问题,如牙损伤和PDs.
- 关节炎和口腔疾病之间的潜在联系需要进行调查.
研究的目的:
- 评估和比较RA患者和健康对照者的口腔健康状况.
- 在两组中检查硬牙组织和牙周.
- 调查口腔疾病和RA之间的相互关系.
主要方法:
- 一项涉及64名参与者的病例控制研究 (14名RA患者,50名健康对照).
- 使用疾病活动评分 (DAS28) 评估RA疾病活动.
- 腐烂,缺失和填充牙 (DMFT) 和社区牙周治疗需求指数 (CPITN) 的记录.
主要成果:
- 关节炎患者的DMFT指数 (病发病率) 比对照人群高,但在统计学上并不显著.
- 没有发现任何显著的差异,在腐烂,填充,或缺失的牙之间的群体.
- 观察到牙周健康的显著差异,RA患者患牙周炎的患病率较高 (p=0.003).
结论:
- 关节炎患者对牙周病的脆弱性增加.
- 对RA患者来说,全面的口腔检查和卫生教育至关重要.
- 预防牙 кариес和PDs对于减轻RA患者的并发症至关重要.
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