拔牙,牙科检查和葡萄糖水平:一项回顾性研究
Seitaro Suzuki1,2, Yoshihito Ohta2, Hirozumi Ogawa2
1Department of Dental Hygiene, Mejiro University College.
The Bulletin of Tokyo Dental College
|November 16, 2025
概括
定期去看牙医和拔牙可能与成年人更好的血糖控制有关. 频繁的牙科护理,特别是对于那些肥胖的人来说,显示出一个有前途的联系,在三年内改善了血糖管理.
科学领域:
- 口腔健康 口腔健康
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 血糖控制对于控制糖尿病至关重要.
- 牙健康越来越被认为是影响全身健康的因素.
- 以前的研究表明,口腔健康和代谢条件之间存在联系.
研究的目的:
- 为了研究牙拔牙,牙医访问频率和血糖水平之间的关联.
- 在3年的时间里,对中年和老年人分析这些关联.
- 确定牙科护理模式与血糖状况之间的潜在联系.
主要方法:
- 对大型医疗保险索赔数据库 (DeSC,日本东京) 的分析.
- 包括31,373名年龄在45-70岁之间的个人.
- 根据每年一次的牙科检查和拔牙进行分类;主要结果:高血糖 (HbA1c≥6.5%或禁食血糖≥126 mg/dl).
主要成果:
- 在基线时拔牙与3年后高血糖水平的几率较低有关.
- 每年三次或更多次去看牙医与高血糖的几率较低相关,特别是在基线高血糖和BMI≥25.0 kg/m2的个体中.
- 研究结果表明,定期进行牙科护理和改善血糖控制之间存在联系,特别是在肥胖个体中.
结论:
- 定期的牙护理和拔牙可能与更好的血糖控制有关.
- 需要进一步的研究来探索因果关系和特定的牙科干预措施 (如牙周治疗) 对糖尿病管理的影响.
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