摘要
目的探讨慢性牙周炎与骨质疏松症的相关性。方法收集2019年5月至2021年1月慢性牙周炎患者200例,根据有无合并骨质疏松症分为2组,合并骨质疏松症为观察组,无骨质疏松症为对照组。研究2组年龄、性别、体质量指数、烟酒史等人口学特征,牙周状况、骨密度、下颌骨高度等情况,分析各骨密度测量值与牙周临床指标、下颌骨高度相关性。结果两组性别比、体质量指数、饮酒史比例、简化口腔卫生指数、探诊后出血百分比指标差异无统计学意义(P>0.05)。观察组重度慢性牙周炎患病率、吸烟比例、牙周指标临床附着丧失、牙周探诊深度、牙龈退缩、缺失牙等严重程度高于对照组,观察组股骨颈骨密度、腰椎骨密度、牙槽骨骨密度、下颌骨高度均低于对照组,差异有统计学意义(P<0.05)。两组股骨颈、腰椎、牙槽骨骨密度值与下颌骨高度均呈正相关,腰椎、股骨颈骨密度与牙周探诊深度无相关关,牙槽骨骨密度与探诊深度,腰椎、股骨颈、牙槽骨骨密度与临床附着丧失呈负相关。结论骨质疏松症与慢性牙周炎严重程度相关,慢性牙周炎程度逐渐严重则骨质疏松症发病率升高,骨密度降低会增加慢性牙周炎发病风险。定期口腔、骨密度、X片检查是预防两种慢病有效方法。
Objective To investigate the correlation between chronic periodontitis and osteoporosis.Methods From May 2019 to Jan 2021,two hundred chronic periodontitis patients were divided into two groups according with or without osteoporosis.The patients who diagnosed osteoporosis were belong to the research group,while the patients without osteoporosis were belong to the control group.The demographic characteristics such as age,sex,body mass index(BMI),history of tobacco and alcohol,periodontal status,bone mineral density(BMD),mandibular height were observed in the two groups.The relationship between bone mineral density and periodontal status,mandibular height were analyzed.Results The ratio of sex,BMI,proportion of drinking history,oral higien index simplified(OHI-S),bleeding on probing(BOP)in the two groups were no statistically significant differences(P>0.05).Prevalence of severe chronic periodontitis,the proportion of smoking,the periodontal index of clinical attachment loss(CAL),periodontal probing depth(PD),gingival recession(GR),missing teeth in the research group were higher than the control group.BMD of the femoral neck,BMD of lumbar spine,BMD of alveolar bone,mandible height were lower than the control group,which have statistically significant differences(P<0.05).The BMD of femoral neck,lumbar spine,alveolar bone have positively correlated with the mandibular height.The BMD of lumbar spine and alveolar bone has no correlation with PD.The BMD of alveolar bone with PD,and the BMD of lumbar spine,femoral neck,alveolar bone with CAL have negative correlation.Conclusion Osteoporosis was related to the severity of chronic periodontitis.With the gradual severity of chronic periodontitis,the incidence of osteoporosis increases,and the decrease in BMD will increase the risk of chronic periodontitis.Regular oral examinations,BMD examinations,X-ray examinations were effective means to prevent chronic periodontitis and osteoporosis.
出处
《浙江临床医学》
2023年第9期1319-1321,共3页
Zhejiang Clinical Medical Journal
基金
浙江省中医药科技计划项目(2019ZB144)
温岭市科研项目(2019S0180055)。
关键词
慢性牙周炎
骨质疏松症
骨密度
危险因素
相关性
Chronic periodontitis
Osteoporosis
Bone mineral density
Risk factors
Correlation
