IDF Diabetes Atlas: Diabetes and oral health - A two-way relationship of clinical importance
IDF Diabetes Atlas: Diabetes and oral health - A two-way relationship of clinical importance
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DOI：
10.1016/j.diabres.2019.107839
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发表时间：
2019-11-01
影响因子：
5.1
通讯作者：
Borgnakke, Wenche S.
中科院分区：
文献类型：
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作者：
Borgnakke, Wenche S.
总结了目前口腔健康和糖尿病之间双向关联的科学证据。还描述了在这两个方向上这些关联背后的普遍生物机制以及人口统计学和行为风险驱动因素。血糖异常，即使是轻微的血糖水平升高，也会对口腔健康产生不利影响，表现在几种口腔疾病和状况中。相反，任何口腔感染及其随后的局部和全身炎症反应都会对血糖水平产生不利影响。此外，疼痛、移动或牙齿缺失可能会导致摄入不太理想的饮食的软食物，从而导致营养不良，从而导致2型糖尿病的发生或现有糖尿病患者较差的血糖控制。与炎症相关的口腔疾病的治疗，如非手术牙周治疗和拔除受感染的牙齿，可以导致临床上显著的血糖水平下降。因此，对口腔感染性疾病的关注和转介到牙科专业人员的治疗可以成为医疗专业人员预防和管理糖尿病的重要新工具。牙科专业人员可以发现未识别的潜在血糖异常并进行体检。这种以患者为中心的跨专业护理可能有助于改善糖尿病患者的健康、幸福感和生活质量。(C)2019爱思唯尔B.V.保留所有权利。
The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described.Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes.Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus.Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination.Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes. (C) 2019 Elsevier B.V. All rights reserved.