牙周炎是一种慢性炎症性非传染性疾病(NCD),其特征是牙齿支撑装置(牙周组织)的破坏,包括牙槽骨,牙周袋的存在,探查时流血。
■概述,对于家庭医生来说,牙周疾病和全身性疾病之间的关联的意义;探讨家庭医生在控制牙周炎作为一种普遍存在的非传染性疾病(NCD)中的作用。
■WONCAEurope与欧洲牙周病联合会之间先前重点合作研讨会的共识报告(使用先前进行的系统综述),专门委托进行的系统审查形成了技术文件,以支持讨论。工作组独立编写提案,随后在全体会议上讨论和批准了这些建议。
■牙周炎与心血管疾病独立相关,糖尿病,慢性阻塞性肺疾病,阻塞性睡眠呼吸暂停,和COVID-19并发症。牙周炎的治疗与全身健康结果的改善有关。文章还提出了证据差距。口腔保健专业人员(OHP)和家庭医生应合作管理这些疾病,包括在初级医疗中心实施早期发现牙周炎病例和在口腔/牙科护理机构实施系统性非传染性疾病的策略。有必要提高对牙周病的认识,其后果,以及家庭医生的相关风险因素。
OHP和家庭医生之间更紧密的合作对于早期发现和管理心血管疾病等非传染性疾病非常重要。糖尿病,和呼吸道疾病。早期发现/预防非传染性疾病的战略,包括牙周炎,应该为家庭医生开发,其他卫生专业人员(OHP),和医疗保健资助者。应向家庭医生提供所报告的牙周炎与其他非传染性疾病之间关联的循证信息,OHP,医疗保健资助者,病人,和普通民众。
牙周炎与心血管疾病独立相关,糖尿病,慢性阻塞性肺疾病,阻塞性睡眠呼吸暂停,和COVID-19。最佳结果的牙周治疗可改善糖尿病结局和心血管风险的替代措施。口腔保健专业人员和家庭医生之间更紧密的合作对于非传染性疾病的早期发现和管理非常重要。有关所报告的协会的信息应提供给家庭医生,口腔健康专业人士,医疗保健资助者,病人,和普通民众。
UNASSIGNED: Periodontitis is a chronic inflammatory non-communicable disease (NCD) characterised by the destruction of the tooth-supporting apparatus (periodontium), including alveolar bone, the presence of periodontal pockets, and bleeding on probing.
UNASSIGNED: To outline, for family doctors, the implications of the association between periodontal and systemic diseases; to explore the role of family doctors in managing periodontitis as an ubiquitous non-communicable disease (NCD).
UNASSIGNED: The
consensus reports of previous focused collaborative workshops between WONCA Europe and the European Federation of Periodontology (using previously undertaken systematic reviews), and a specifically commissioned systematic review formed the technical papers to underpin discussions. Working groups prepared proposals independently, and the proposals were subsequently discussed and approved at plenary meetings.
UNASSIGNED: Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19 complications. Treatment of periodontitis has been associated with improvements in systemic health outcomes. The article also presents evidence gaps. Oral health care professionals (OHPs) and family doctors should collaborate in managing these conditions, including implementing strategies for early case detection of periodontitis in primary medical care centres and of systemic NCDs in oral/dental care settings. There is a need to raise awareness of periodontal diseases, their consequences, and the associated risk factors amongst family doctors.
UNASSIGNED: Closer collaboration between OHPs and family doctors is important in the early case detection and management of NCDs like cardiovascular diseases, diabetes mellitus, and respiratory diseases. Strategies for early case detection/prevention of NCDs, including periodontitis, should be developed for family doctors, other health professionals (OHPs), and healthcare funders. Evidence-based information on the reported associations between periodontitis and other NCDs should be made available to family doctors, OHPs, healthcare funders, patients, and the general population.
Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19.Periodontal treatment for optimal outcomes improves diabetes outcomes and surrogate measures of cardiovascular risk.Closer collaboration between oral health care professionals and family doctors is important in the early case detection and management of non-communicable diseases.Information on the reported associations should be made available to family doctors, oral health professionals, healthcare funders, patients, and the general population.