Patients are not equally susceptible to periodontitis: does this change dental practice and the dental curriculum?
Patients are not equally susceptible to periodontitis: does this change dental practice and the dental curriculum?
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患者对牙周炎的易感性不同：这是否会改变牙科实践和牙科课程？
DOI：
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发表时间：
2001
影响因子：
2.3
通讯作者：
K. Kornman
中科院分区：
文献类型：
--
作者：
K. Kornman
在20世纪60年代和70年代，有数据表明大多数成年人患有牙周病，有效的细菌清除可以预防和治疗牙周炎。这些信息导致了牙周病管理的系统方法，并影响了牙科学校的牙周病学教学。我们现在知道，大多数成年人只有牙龈炎和非常轻微的局部牙周炎。一小部分成年人患有全身性重度牙周炎，尽管这一比例很高。我们还认识到，一些目前已知的和可测量的风险因素，包括糖尿病，吸烟和遗传学，可以识别出需要广泛治疗和强化预防的严重全身性病例的风险患者，以及对治疗的可预测性较低的患者。这篇综述将讨论支持我们对牙周病的认识和理解的变化的证据。现在的问题是，我们在什么时候以及如何将这些新知识融入牙科课程？
In the 1960s and 1970s, data became available indicating that most of the adult population had periodontal disease and that effective bacterial removal prevented and treated periodontitis. This information led to a systematic approach to the management of periodontal disease and influenced teaching of periodontics in dental schools. We now know that most adults have only gingivitis and very mild localized periodontitis. A small percentage, albeit representing substantial numbers, of adults have generalized severe periodontitis. We also recognize that a few currently known and measurable risk factors, including diabetes, smoking, and genetics, can identify the patients who are at risk for the severe generalized cases that require extensive therapy and intensive prevention, as well as patients at risk for a less-predictable response to treatment. This review will discuss the evidence that supports the change in our knowledge and understanding of periodontal disease. The question now becomes at what point, and how, do we integrate this new knowledge into the dental curriculum?
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影响因子：
4.3
作者：
Michalowicz, BS;Diehl, SR;Schenkein, HA
通讯作者：
Schenkein, HA
影响因子：
6.7
作者：
Philip Stashenko;P. Fujiyoshi;M. Obernesser;L. Prostak;A. Haffajee;S. Socransky
通讯作者：
Philip Stashenko;P. Fujiyoshi;M. Obernesser;L. Prostak;A. Haffajee;S. Socransky
DOI：
10.1902/annals.1998.3.1.51
发表时间：
1998-07-01
期刊：
Annals of periodontology
影响因子：
--
作者：
Grossi, S G;Genco, R J
通讯作者：
Genco, R J
影响因子：
3.5
作者：
G. Salvi;C. E. Brown;K. Fujihashi;H. Kiyono;F. Smith;J. Beck;S. Offenbacher
通讯作者：
G. Salvi;C. E. Brown;K. Fujihashi;H. Kiyono;F. Smith;J. Beck;S. Offenbacher
成人牙周炎中口腔和外周血中性粒细胞产生细胞因子。
DOI：
10.1902/jop.1997.68.9.832
发表时间：
1997
期刊：
Journal of periodontology.
影响因子：
--
作者：
Galbraith,GM;Hagan,C;Steed,RB;Sanders,JJ;Javed,T
通讯作者：
Javed,T