Periodontal treatment and its effects on glycemic control - A review of the evidence
Periodontal treatment and its effects on glycemic control - A review of the evidence
复制标题
DOI：
10.1016/s1079-2104(99)70214-3
复制
发表时间：
1999-03-01
期刊：
影响因子：
--
通讯作者：
Taylor, GW
中科院分区：
文献类型：
--
作者：
Taylor, GW
已证明持续血糖控制不良与糖尿病相关并发症的发生和进展相关。大部分与口腔健康相关的研究都集中在糖尿病对牙周健康的影响上，但有几条证据支持牙周感染导致血糖控制问题的观点。这篇文章回顾了包含临床研究报告的英文文献，这些研究考虑了牙周病治疗与人类血糖控制改善之间的关系。虽然有支持性的临床和流行病学证据，但也存在模棱两可和相反的证据。从这篇综述中可以得出结论，目前循证知识的数量、广度和强度不足以建立牙周治疗对改善1型或2型糖尿病血糖控制的影响。进一步严格的，系统的研究治疗牙周感染对血糖控制的影响是必要的。
Persisting poor glycemic control has been shown to be associated with the incidence and progression of diabetes-related complications. The bulk of oral health-related research has focused on the impact of diabetes on periodontal health, yet there are several lines of evidence to support the plausibility of the notion that periodontal infections contribute to problems with glycemic control. This article reviews the body of English-language literature containing reports of clinical research that has considered the relationship between treatment of periodontal diseases and improvement in glycemic control in humans. Although there is supportive clinical and epidemiologic evidence, equivocal and contrary evidence also exists. It is concluded from this review that the quantity, breadth, and strength of evidence-based knowledge are currently insufficient to establish periodontal therapy as influential in improving glycemic control in either type 1 or type 2 diabetes. Further rigorous, systematic study of the effects of treating periodontal infection on glycemic control is warranted.