与牙周炎症和骨质损失的性别特定关联:一个横截面分析
Valentin Bartha1, Judith Schamuhn2, Boris Krumm3
1Department for Conservative Dentistry, Heidelberg University, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Dentistry journal
|January 27, 2026
概括
这项研究发现了牙周病风险因素和结果之间的性别特异性联系. 虽然更深的口袋在两性中都预测牙出血,但吸烟和斑块控制在男性和女性中显示出不同的影响.
科学领域:
- 牙周病学 牙周病学
- 口腔健康 口腔健康
- 健康中的性别差异
背景情况:
- 牙周病涉及炎症和骨质损失.
- 了解性别特异性风险因素对于有针对性的预防至关重要.
- 以前的研究还没有充分探讨牙周病病因学的基于性别的差异.
研究的目的:
- 为了研究牙周炎症和骨质损失的性别相关差异.
- 为了确定系统/局部风险因素和牙周结局之间的性别特定关联.
主要方法:
- 对232名参与者 (114名男性,118名女性) 的横截面分析.
- 评估结果:探针出血 (BOP) 和骨损失指数 (BLI).
- 检查的预测因素:吸烟,糖尿病,年龄,斑块控制记录 (PCR),口袋深度 (PD) ≥5毫米,牙数量;使用性别分层的通用线性模型.
主要成果:
- 男性的口袋深度显著更高 (PD ≥5mm) (p=0.030).
- 口袋深度 (PD ≥5mm) 预测了两性在探测 (BOP) 上更高的出血.
- 吸烟与男性的BOP较高和女性的骨损失指数 (BLI) 增加有关 (p=0.010).
- 斑块控制记录 (PCR) 与女性的BOP相关,与男性的BLI相反 (p=0.042).
结论:
- 观察到行为/临床因素与牙周结局之间的性别特异关联.
- 在两种性别中,口袋深度 (PD ≥5mm) 与BOP相关.
- 吸烟和斑块控制表明性别不同的模式,这表明可能需要量身定制的干预措施.
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