dental diseases

  • 文章类型: Journal Article
    背景:发现口腔健康不良和口腔菌群失调与癌症有关,尤其是胃肠(GI)系统。但是由于文献的匮乏,因果关系和风险的影响尚不清楚。了解这种风险关系可以有助于采取综合的多学科方法来预防胃肠道癌症。
    目的:本系统综述和荟萃分析的目的是评估口腔菌群失调在增加消化系统癌症风险中的作用。
    目的:评估口腔健康不良对增加胃肠道癌症风险的影响。
    方法:我们根据PubMed数据库中系统审查和荟萃分析(PRISMA)指南的首选报告项目进行了系统搜索,Elsevier,Wiley的在线图书馆和WebofScience从成立到2023年2月,包括最近的队列研究,这些研究评估了口腔健康不良与癌症风险之间的关系。我们使用新的渥太华城堡量表评估偏见。我们使用推论统计数据来描述口腔菌群失调对胃肠道癌症的影响。我们进行了亚组分析以评估口腔疾病对个体癌症的影响。
    结果:我们在荟萃分析中纳入了10项纵向研究。口腔健康不良和胃肠道癌症风险的总体效应大小为危险比(HR)=1.30(95%CI:[1.14,1.46])(p<0.001)(I2=68.78)。亚组分析表明,口腔健康状况不佳会增加食管癌的风险HR=1.61(95%CI:[1.37,1.85]),胃癌HR=1.33(95%CI:[1.08,1.58]),胰腺癌HR=1.90(95%CI;[1.29,2.50]),结直肠癌和肝细胞癌HR=1.16(95%CI:[1.08,1.23]).
    结论:荟萃分析表明,口腔健康不良与胃肠道癌症风险增加显著相关。
    BACKGROUND: Poor oral health and oral dysbiosis were found to be associated with cancers, especially of the gastrointestinal (GI) system. But the cause-and-effect relationship and the effect of the risk are not yet known due to scarcity of literature. Understanding such risk relationship can contribute to an integrated multi-disciplinary approach for GI cancer prevention.
    OBJECTIVE: The aim of the present systematic review and meta-analysis is to assess the role of oral dysbiosis on increasing the risk of digestive system cancers.
    OBJECTIVE: To evaluate the effect of poor oral health on increasing the risk of gastrointestinal cancers.
    METHODS: We conducted a systematic search following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in databases PubMed, Elsevier, Wiley\'s online library and Web of Science from inception to February 2023 to include recent cohort studies that assessed the association between poor oral health and the risk of cancer. We assessed bias using the New Castle Ottawa scale. We used inferential statistics to describe the effect of oral dysbiosis on gastrointestinal cancers. We performed a sub-group analysis to assess the effect of oral conditions on individual cancers.
    RESULTS: We included 10 longitudinal studies in the meta-analysis. The overall effect size of poor oral health and GI cancer risk was hazard\'s ratio (HR) =1.30 (95% CI: [1.14, 1.46]) (p<0.001) (I2 = 68.78). Sub-group analysis indicated that poor oral health increases the risk of esophageal cancer HR=1.61 (95% CI: [1.37, 1.85]), stomach cancer HR=1.33 (95% CI: [1.08, 1.58]), pancreatic cancer HR=1.90 (95% CI; [1.29, 2.50]) and colorectal and hepatocellular carcinoma HR=1.16 (95% CI: [1.08, 1.23]).
    CONCLUSIONS: The meta-analysis indicated that poor oral health was significantly associated with increasing the risk of GI cancers.
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  • 文章类型: Journal Article
    儿童独特的牙齿状况包括牙源性囊肿和肿瘤,遗传性牙科疾病,发育异常,以及与乳牙或恒牙萌出相关的病变。许多这些条件有长期持久的影响成人牙列在影响美学方面,函数,和整体生活质量。遗传性牙齿综合征影响牙齿硬组织,特别是牙釉质,牙本质,和/或牙骨质以广义的方式,涉及乳牙和恒牙。这些情况表现为硬组织的质量或数量改变,导致脆弱,牙齿脱落和龋齿等牙齿疾病,根尖周病理学,和牙周病.此类别包括牙釉质发育不全,牙本质发育不全,牙本质发育不良,低磷酸盐增多症,和低磷酸盐血症.发育缺陷,如区域性牙列发育不良,是由原发性和永久性牙列以局部方式参与定义的。在儿童早期发现。这篇综述将详细阐述这些选定牙科疾病的组织学发现,并讨论临床和影像学发现,以及适当的分子特征。
    Unique dental conditions in children include odontogenic cysts and tumors, hereditary dental diseases, developmental anomalies, and lesions associated with the eruption of the primary or permanent teeth. Many of these conditions have long lasting effects on the adult dentition in terms of affecting esthetics, function, and overall quality of life. Inherited dental syndromes affect the dental hard tissues specifically the enamel, dentin, and/or cementum in a generalized manner, involving both primary and permanent teeth. These conditions manifest in altered quality or quantity of the hard tissues, leading to fragility, tooth loss and dental diseases such as caries, periapical pathology, and periodontal disease. This category includes amelogenesis imperfecta, dentinogenesis imperfecta, dentin dysplasia, hypophosphatasia, and hypophosphatemia. Developmental defects such as regional odontodysplasia are defined by involvement of the primary and permanent dentition in a localized manner, identified in early childhood. This review will elaborate on the histologic findings in these selected dental conditions with a discussion on clinical and radiographic findings, as well as molecular features wherever appropriate.
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  • 文章类型: Meta-Analysis
    背景:浓缩生长因子(CGF),一种新的自体血小板浓缩物,已被广泛研究用于口腔疾病的辅助治疗。本研讨旨在评价CGF在口腔疾病外科医治中的疗效。
    方法:MEDLINE,WebofScience,Scopus,科克伦,和EMBASE数据库在2023年7月之前进行了搜索。仅包括随机临床试验。通过Cochrane偏差风险工具评估方法学质量。采用RevMan5.4软件进行数据分析。
    结果:在牙周内缺损的治疗中,植骨联合CGF明显优于植骨(P<0.01),平均骨内缺损深度减少1.41mm,平均临床附着水平增加0.55mm。在分叉缺损的再生手术中,CGF组疗效明显优于对照组(P<0.0001),平均探测深度减少0.99毫米,垂直骨增益为0.25mm,水平骨增益为0.34mm。CGF联合冠状进展皮瓣(CAF)比单独CAF更有效(平均角化组织宽度增加0.41mm,平均牙龈厚度增加0.26毫米,P<0.00001),但效果不如结缔组织移植物(CTG)联合CAF(平均根覆盖率差异为-15.1%,平均牙龈厚度差-0.5毫米,P<0.0001)。在牙槽的保存中,与对照组相比,额外使用CGF可使水平骨吸收减少1.41mm,颊垂直骨吸收减少1.01mm(P<0.0001)。CGF组在口腔手术后第1天和第7天的VAS评分明显低于对照组(P<0.0001)。
    结论:CGF对牙周内缺损的再生手术具有积极的辅助作用,分叉缺陷,和牙槽嵴保存程序.CGF联合CAF对牙龈萎缩的治疗效果优于单纯CAF,尽管它不如CTG联合CAF有效。CGF可以在一周内促进口腔手术的术后愈合和疼痛缓解。目前没有足够的证据支持CGF在其他口腔手术中的临床益处。
    Concentrated growth factor (CGF), a new autologous platelet concentrate, has been widely investigated to the adjunctive treatment of oral diseases. This study aims to evaluate the efficacy of CGF in the surgical treatment of oral diseases.
    MEDLINE, Web of Science, Scopus, Cochrane, and EMBASE databases were searched up to July 2023. Only randomized clinical trials were included. The methodologic quality was evaluated by the Cochrane Risk of Bias Tool. RevMan 5.4 software was used for data analysis.
    In the treatment of periodontal intrabony defects, bone graft combined with CGF was significantly superior to bone graft (P < 0.01), with mean intrabony defect depth reduction of 1.41 mm and mean clinical attachment level gain of 0.55 mm. In the regenerative surgery of furcation defects, the effect of CGF group was significantly better than control group (P < 0.0001), with mean probing depth reduction of 0.99 mm, vertical bone gain of 0.25 mm, and horizontal bone gain of 0.34 mm. CGF combined with coronally advanced flap (CAF) was more effective than CAF alone (mean keratinized tissue width increase of 0.41 mm, mean gingival thickness increase of 0.26 mm, P < 0.00001), but less effective than connective tissue graft (CTG) combined with CAF (mean root coverage difference of -15.1%, mean gingival thickness difference of -0.5 mm, P < 0.0001). In the alveolar ridge preservation, additional use of CGF reduced horizontal bone resorption by 1.41 mm and buccal vertical bone resorption by 1.01 mm compared to control group (P < 0.0001). The VAS score of CGF group was significantly lower than that of the control group at the 1st and 7th day after oral surgery (P < 0.0001).
    CGF can exert a positive adjunctive effect for the regenerative surgery of periodontal intrabony defects, furcation defects, and alveolar ridge preservation procedure. CGF combined with CAF has a better therapeutic effect on gingival recession compared to CAF alone, although it is not as effective as CTG combined with CAF. CGF could promote postoperative healing and pain relief in oral surgery within a week. There is currently not enough evidence to support the clinical benefits of CGF in other oral surgeries.
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  • 文章类型: Review
    龋齿,牙周病,和牙髓疾病是世界范围内主要的公共卫生问题,因为它们对个人的生活质量有影响。目前牙科疾病的问题是去除由许多微生物引起的感染,特别是,细菌(需氧菌和厌氧菌)。治疗和管理牙齿疾病的最有效方法似乎是使用抗生素或其他抗菌剂,它们被并入一些药物递送系统中。然而,由于它们的生物利用度不足,胃肠道吸收的可用性差,通过口服途径给药后的药代动力学,许多药物或天然生物活性物质的功效有限。在过去的几十年里,已经广泛研究了一系列基于多糖的系统用于牙科挖孔递送。以壳聚糖为原料的多糖载体材料,海藻酸盐,葡聚糖,纤维素和其他多糖最近受到关注,治疗和管理牙科疾病。当前评论文章的目的是对基于多糖的牙科药物递送系统用于递送不同抗菌药物的最新进展进行简要的全面概述。
    Dental caries, periodontal disease, and endodontic disease are major public health concerns worldwide due to their impact on individuals\' quality of life. The present problem of dental disorders is the removal of the infection caused by numerous microbes, particularly, bacteria (both aerobes and anaerobes). The most effective method for treating and managing dental diseases appears to be the use of antibiotics or other antimicrobials, which are incorporated in some drug delivery systems. However, due to their insufficient bioavailability, poor availability for gastrointestinal absorption, and pharmacokinetics after administration via the oral route, many pharmaceutical medicines or natural bioactive substances have limited efficacy. During past few decades, a range of polysaccharide-based systems have been widely investigated for dental dug delivery. The polysaccharide-based carrier materials made of chitosan, alginate, dextran, cellulose and other polysaccharides have recently been spotlighted on the recent advancements in preventing, treating and managing dental diseases. The objective of the current review article is to present a brief comprehensive overview of the recent advancements in polysaccharide-based dental drug delivery systems for the delivery of different antimicrobial drugs.
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  • 文章类型: Journal Article
    分子生物学和DNA序列分析技术领域的最新进展允许确定许多常见人类疾病的遗传因素的含义。龋齿病因的遗传机制研究包括,主要是,4个主要的基因组负责(1)牙釉质的发育,(2)唾液的形成和组成,(3)免疫反应,和(4)碳水化合物代谢。这项研究的目的是提供有关单核苷酸多态性(SNP)遗传变异对龋齿发生影响的最新知识。PubMed/Medline,Embase,和Cochrane图书馆数据库搜索有关与SNP相关的遗传因素对儿童龋齿发生的影响的论文,青少年,和成年人。这篇评论中包含了30篇用英语撰写的原始论文。研究组的范围为30至13,000名受试者。在30个基因中观察到SNP。大多数研究的结果证实了遗传因素在龋齿病因中的参与。三个基因,AMELX,AQP5和ESRRB,基于多重复制和数据,有最有希望的证据,支持这些基因在龋齿中的作用。文献综述证明SNP与龋齿的病因有关。
    Recent progress in the field of molecular biology and techniques of DNA sequence analysis allowed determining the meaning of hereditary factors of many common human diseases. Studies of genetic mechanisms in the aetiology of caries encompass, primarily, 4 main groups of genes responsible for (1) the development of enamel, (2) formation and composition of saliva, (3) immunological responses, and (4) carbohydrate metabolism. The aim of this study was to present current knowledge about the influence of single nucleotide polymorphism (SNP) genetic variants on the occurrence of dental caries. PubMed/Medline, Embase, and Cochrane Library databases were searched for papers on the influence of genetic factors connected with SNP on the occurrence of dental caries in children, teenagers, and adults. Thirty original papers written in English were included in this review. Study groups ranged from 30 to 13,000 subjects. SNPs were observed in 30 genes. Results of the majority of studies confirm the participation of hereditary factors in the aetiology of caries. Three genes, AMELX, AQP5, and ESRRB, have the most promising evidence based on multiple replications and data, supporting a role of these genes in caries. The review of the literature proves that SNP is linked with the aetiology of dental caries.
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  • DOI:
    文章类型: Journal Article
    Background Industrial growth is occurring exponentially, for unimpeded growth, industrial workers are recruited on a large scale globally. There are various sectors of industries present for which laborers are trained in accordance to their requirements. As workers possess the general health risk of occupational hazards, various labor laws, schemes and policies are undertaken by the government which are implemented by industries, but very few attention for oral health is being given because of which laborers are more progressing towards hidden adverse oral effects which can affect their working efficacy. Various studies on different sector workers were carried out focusing their oral health status but for acid factory workers it is neglected and therefore unrevealed to the society. For this purpose, in this article, though, paucity of literature, still, tries to enlighten the oral health status in acid factory industrial workers with available resources.
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