Evidence summary: The relationship between oral diseases and diabetes
Evidence summary: The relationship between oral diseases and diabetes
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DOI：
10.1038/sj.bdj.2017.544
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发表时间：
2017-06-01
影响因子：
2.6
通讯作者：
Gallagher, J. E.
中科院分区：
文献类型：
--
作者：
D'Aiuto, F.;Gable, D.;Gallagher, J. E.
本文是四个快速审查的第三个，旨在探讨口腔健康和一般医疗条件之间的关系，以支持英格兰公共卫生，卫生从业人员和政策制定者的团队。目的本综述旨在探讨在同一个体或人群中发现口腔健康不良与糖尿病之间关联的性质，回顾了该领域最新的证据。方法由四个小组进行审查，每个小组包括来自医学和牙科的顾问临床医生，学员，公共卫生和学者。该方法包括精简的快速审查程序和对结果的综合。结果本研究发现了一些低质量到高质量的系统评价，表明糖尿病与牙周病、牙齿脱落，特别是口腔癌有关，口腔疾病的管理，特别是牙周护理，对糖尿病相关的代谢结果有短期的有益影响;然而，没有证据表明这是长期持续的，并减少了长期并发症的发病率。结论目前的证据，混合质量，提出了一些口腔疾病和糖尿病（糖尿病）之间的关联。这一领域需要进一步开展高质量的研究。
Introduction This paper is the third of four rapid reviews undertaken to explore the relationships between oral health and general medical conditions in order to support teams within Public Health England, health practitioners and policymakers. Aims This review aimed to explore the nature of the association between poor oral health and diabetes when found in the same individuals or populations, having reviewed the most contemporary evidence in the field. Methods The reviews were undertaken by four groups each comprising consultant clinicians from medicine and dentistry, trainees, public health and academics. The methodology involved a streamlined rapid review process and synthesis of the findings. Results The results identified a number of systematic reviews of low to high quality suggesting that diabetes is associated with periodontal disease, tooth loss, and oral cancer in particular, and that the management of oral diseases, most notably periodontal care, has a short-term beneficial influence on metabolic outcomes related to diabetes; however, there is no evidence that this is sustained over the long-term and reduces the prevalence of the long-term complications. Conclusion Current evidence, of mixed quality, suggests a number of associations between oral diseases and diabetes mellitus (diabetes). Further high quality research is required in this field.