J Clin Periodontol:牙周病与糖尿病之间的联系

2018-01-29 MedSci MedSci原创

糖尿病和牙周炎是与死亡率独立相关的慢性非传染性疾病,具有双向关系。

糖尿病和牙周炎是与死亡率独立相关的慢性非传染性疾病,具有双向关系。

为了更新其流行病学和机制关联的证据,并重新检查有效的牙周治疗对代谢控制(糖化血红蛋白,HbA1C)的影响,进行了新的研究。有强有力的证据表明,牙周炎患者血糖异常和胰岛素抵抗的风险增加。糖尿病患者队列研究显示,牙周炎患者的HbA1C水平显着高于牙周健康患者,但1型糖尿病患者的资料不足。牙周炎也与2型糖尿病的风险增加有关。研究发现,牙周炎与糖尿病之间的联系涉及白细胞介素(IL)-1-β,肿瘤坏死因子-α,IL-6,核因子-κB配体/骨保护素比率的受体激活剂,氧化应激和Toll样受体(TLR )2/4表达。

牙周治疗对糖尿病患者安全有效,3个月后与HbA1C降低0.27-0.48%相关,但长期随访的研究尚无定论。

结论:欧洲牙周病学联合会(EFP)和国际糖尿病联合会(IDF)报告了针对医生,口腔保健专业人员和患者的共识准则,以改善糖尿病和牙周炎的早期诊断预防和共同管理

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    2018-06-24 feather89
  2. [GetPortalCommentsPageByObjectIdResponse(id=1727034, encodeId=ac431e270340a, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Jun 24 12:56:00 CST 2018, time=2018-06-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=285127, encodeId=cbd128512e84, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76d12257050, createdName=12177770m58暂无昵称, createdTime=Sun Feb 04 20:50:03 CST 2018, time=2018-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283874, encodeId=22b52838e4c7, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Wed Jan 31 15:44:20 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1282270, encodeId=5ba012822e0c0, content=<a href='/topic/show?id=46a06e5220c' target=_blank style='color:#2F92EE;'>#牙周病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67522, encryptionId=46a06e5220c, topicName=牙周病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1376173, createdName=linagood, createdTime=Wed Jan 31 05:56:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1450749, encodeId=3e971450e4980, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab585558129, createdName=liuyong2982, createdTime=Wed Jan 31 05:56:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283445, encodeId=efbf283445db, content=学习了.进一步研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Tue Jan 30 07:48:56 CST 2018, time=2018-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283235, encodeId=c7b0283235d7, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=80d11516357, createdName=139****0239, createdTime=Mon Jan 29 17:44:35 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283217, encodeId=467428321e29, content=学习了.很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=990b2151290, createdName=177200fc66m, createdTime=Mon Jan 29 16:30:59 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283199, encodeId=6a49283199b1, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Jan 29 15:17:56 CST 2018, time=2018-01-29, status=1, ipAttribution=)]
    2018-02-04 12177770m58暂无昵称

    学习了.谢谢分享

    0

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    2018-01-31 戒馋,懒,贪

    谢谢分享学习了

    0

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    2018-01-30 明崖

    学习了.进一步研究

    0

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    2018-01-29 139****0239

    henhao

    0

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    2018-01-29 177200fc66m

    学习了.很好

    0

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    2018-01-29 1e0f8808m18(暂无匿称)

    学习了.谢谢分享.

    0

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