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periodontal disease:A silent factor in the development and progression of diabetic retinopathy

World Journal of Diabetes 2024年第8期15卷 1672-1676页

作者： Sarah Monserrat LomelíMartínez Irán Cortés Trujillo Melissa Martínez Nieto Ana Esther Mercado González Department of Medical and Life Sciences Centro Universitario de la CiénegaUniversidad de GuadalajaraOcotlán 47810Mexico Master of Public Health Department of Wellbeing and SustainableCentro Universitario del NorteUniversidad de GuadalajaraColotlán 46200Mexico Periodontics Program Department of Integrated Dentistry ClinicsCentro Universitario de Ciencias de la SaludUniversidad de GuadalajaraGuadalajara 44340Mexico Antiguo Hospital Civil de Guadalajara“Fray Antonio Alcalde” Guadalajara 44280Mexico

The global increase in the prevalence of type 2 diabetes mellitus(T2DM)and its complications presents significant challenges to public ***,periodontal disease(PD)was recognized as a factor that is likely to influence the progression of T2DM and its complications due to its potential to exacerbate systemic inflammation and oxidative *** this editorial,we comment on the article published by Thazhe Poyil et al in the very recent issue of the World Journal of Diabetes in 2024,which investigated the correlation between PD and diabetic retinopathy(DR)in T2DM patients,with emphasis on the association between periodontal swollen surface area,glycated hemoglobin(HbA1c),interleukin-6(IL-6),and lipoprotein(a).The findings by Thazhe Poyil et al are significant as they demonstrate a strong link between PD and DR in T2DM *** correlation highlights the importance of addressing periodontal health in diabetes management to potentially reduce the risk and severity of DR,a complication of *** integration of periodontal evaluation and treatment into diabetes care protocols may lead to improved glycemic control and better overall outcomes for T2DM patients.A few studies have established an interconnection between PD and diabetic complication,specifically DR,in T2DM patients,which we aim to highlight in this *** was placed on the different mechanisms that suggest a bidirectional relationship between PD and T2DM,where the presence of periodontal inflammation negatively influenced glycemic control and contributed to the development and progression of DR through shared inflammatory and vascular *** article highlights the importance of collaboration amongst diabetes specialists,ophthalmologists,periodontists,and public health professionals to advance the prevention,early detection,and treatment of PD and *** will improve the health and quality of life of T2DM ***,the editorial highlights the need for further re

关键词： Type 2 diabetes mellitus periodontal disease Periodontitis Diabetic retinopathy Editorial

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periodontal disease and risk of benign prostate hyperplasia: a cross-sectional study

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Military Medical Research 2020年第2期7卷 157-165页

作者： Lan Wu Bing-Hui Li Yun-Yun Wang Chao-Yang Wang Hao Zi Hong Weng Qiao Huang You-Jia Zhu Xian-Tao Zeng Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China department of Stomatology Zhongnan Hospital of Wuhan UniversityWuhan 430071China Center for Evidence-Based Medicine Institute of Evidence-Based Medicine and Knowledge TranslationHenan UniversityKaifeng 475000China Department of Urology Zhongnan Hospital of Wuhan UniversityWuhan 430071China

Background:Both periodontal disease and benign prostatic hyperplasia are age-related diseases that affect millions of people ***,this study aimed to investigate the association between periodontal disease and the risk of benign prostatic ***:A total of 4930 participants were selected from an available health examination that was carried out in 2017,only males were considered for further *** eligible males were divided into benign prostatic hyperplasia and normal groups,the benign prostatic hyperplasia group was then divided into prostate volume≤60 g and>60 g subgroups;all their periodontal status was extracted and then into normal(CPI score of 0),periodontal disease(CPI score between 1 and 4),and periodontitis(CPI score between 3 and 4)*** correlation between periodontal disease and benign prostatic hyperplasia was investigated using logistic regression analyses and greedy matching case-control *** analysis based on prostate volume was also *** analyses were conducted with SAS 9.4 ***:A total of 2171 males were selected for this *** presence of periodontal disease significantly increased the risk of benign prostatic hyperplasia by 1.68 times(OR=1.68,95%CI:1.26–2.24),and individuals with periodontitis showed a higher risk(OR=4.18,95%CI:2.75–6.35).In addition,among matched cases and controls,this association remained robust(periodontal disease:OR=1.85,95%CI:1.30–2.64;periodontitis:OR=4.83,95%CI:2.57–9.07).Subgroup analysis revealed that periodontal disease significantly increased benign prostate hyperplasia risk as well(for prostate volume≤60 g:OR=1.64,95%CI:1.22–2.20;for volume>60 g:OR=2.17,95%CI:1.04–4.53),and there was a higher risk in the group with a prostate volume greater than 60 ***:periodontal disease is significantly and positively associated with an increased risk of benign prostatic *** validation studies should be performed to explore the re

关键词： Benign prostate hyperplasia periodontal disease Periodontitis Risk factor Inflammatory disease

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Effect of periodontal treatment on glycosylated hemoglobin levels in elderly patients with periodontal disease and type 2 diabetes

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中华医学杂志(英文版) 2011年第19期124卷 3070-3073页

作者： OU Long LI Ru-fan Department of Periodontology General Hospital of People's Liberation Army Postgraduate Medical School Beijing 100853China

Background periodontal disease is closely related to type 2 diabetes and is an important complication of *** study aimed to investigate the effect of periodontal treatment on levels of blood glucose(Glu)and glycosylatedhemoglobin(HbA1 c)among elderly patients with type 2 diabetes and periodontal *** A total of 107 elderly patients with type 2 diabetes and periodontal disease were selected and divided into twogroups according to their HbA1c *** A was a well-controlled diabetic group and group B was *** probing depth(PD),attachment loss(AL),the value of Glu and HbA1c were analyzed before periodontal treatmentand 4 months *** There was a significant difference in periodontal condition between groups A and B(Pperiodontalcondition for both groups was significantly(Pperiodontal *** effect of treatment in group Awas more pronounced than group B,and the difference was significant(Pperiodontal treatment,Gluand HbA1c were reduced significantly in both groups(Pperiodontal condition is related to the control of Glu level among elderly patients with type 2 diabetes andperiodontal *** treatment can effectively reduce the level of Glu and HbA1c as well as improve theperiodontal condition in elderly type-2 diabetes patients with penodontal disease.

关键词： periodontal disease type 2 diabetes glycosylated hemoglobin

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Maternal periodontal disease and Risk of Preeclampsia:A Meta-analysis

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2014年第5期34卷 729-735页

作者：黄希王娟刘健华立张丹胡婷葛自力 Department of Stomatology the First Affiliated Hospital of Soochow University Department of Gynaecology and Obstetrics the First Affiliated Hospital of Soochow University Department of Otorhinolaryngology the First Affiliated Hospital of Soochow University

Research on the association between maternal periodontal disease and the risk of pree- clampsia has generated inconsistent results. This meta-analysis was conducted to evaluate the asso- ciation between maternal periodontal disease and the risk of preeclampsia. A literature search of PubMed and Embase was performed to identify relevant papers published before March 2013. Only observational studies that assessed maternal periodontal disease and the risk of preeclampsia were selected. Patients＇ periodontal status was examined at different time points during pregnancy or after delivery （at 14-32 weeks of gestation, within 48 h prior to or within 5 days after delivery）. Pooled odds ratios （ORs） and corresponding 95% confidence intervals （CIs） were calculated for cases and controls. Cases were defined as women with concurrent hypertension and proteinuria after 20 weeks of gestation. Eleven studies involving 1118 women with preeclampsia and 2798 women without preeclampsia were identified and analyzed. Women with periodontal disease before 32 weeks of ges- tation had a 3.69-fold higher risk of developing preeclampsia than their counterparts without perio- dontal disease （OR=3.69; 95% CI=2.58-5.27）. periodontal disease within 48 h prior to delivery was associated with a 2.68-fold higher risk of preeclampsia （OR=2.68; 95% CI=1.39-5.18）. Pregnant women with periodontal disease within 5 days after delivery had a 2.22-fold higher risk of pree- clampsia than women without periodontal disease （OR=2.22; 95% CI= 1.16-4.27）. In conclusion, this meta-analysis suggests that maternal periodontal disease is an independent predictor ofpreeclampsia.

关键词： periodontal disease preeclampsia risk factor pregnancy meta-analysis

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periodontal disease is associated with increased coronary heart disease risk:A meta-analysis based on 38 case-control studies

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World Journal of Meta-Analysis 2013年第1期1卷 47-56页

作者： Wei-Dong Leng Xian-Tao Zeng Yong-Ji Chen Zhong-Qun Zhan Yong Yang Departmen of Stomatology Taihe Hospital Hubei University of Medicine Department of Cardiology Taihe Hospital Hubei University of Medicine

AIM: To investigate whether periodontal disease(PD) is associated with increasing coronary heart disease(CHD) risk by performing a ***: Two authors independently searched Pub Med and China National Knowledge Infrastructure up to January 10 th, 2013 for relevant case-control studies that investigated the association between PD and CHD. After quality assessment using Newcastle-Ottawa Scale and data extraction by two independent authors, the overall and subgroup meta-analyses were performed and publication bias were examined using the Comprehensive Meta-Analysis V2 software. Potential publication bias was assessed using visual inspection of the funnel plots, Egger linear regression test, and trims and fill ***: Finally 38 relevant case-control studies were identified, involving 4950 CHD patients and 5490 controls. Eleven studies were rated low quality and 27 were high quality. Based on random-effects, a significant association was identified between PD and CHD(OR 3.79, 95%CI: 2.23-6.43, P < 0.001, I2 = 98.59%), and sensitivity analysis showed that this result was robust. Subgroup analyses according to adjusted/unadjusted ORs, source of control, methodological quality, end point, assessment of PD/CHD, and ethnicity also indicated a significant association. Publication bias was detected, and the estimated OR including the "missing" studies did not substantially differ from our estimate with adjustment for missing studies(OR 4.15, 95%CI: 2.62-6.54, P < 0.001).CONCLUSION: Based on the meta-analysis, PD is probably associated with CHD risk independently and significantly.

关键词： periodontal disease Coronary heart disease Case-control study Risk factor Meta-analysis

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Effect of periodontal treatment on glycosylated hemoglobin levels n elderly patients with periodontal disease and type 2 diabetes

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Chinese Medical Journal 2011年第19期 3070-3073页

作者： OU Long LI Ru-fan Department of Periodontology General Hospital of People＇s Liberation Army Postgraduate Medical School Beijing 100853 China

Background periodontal disease is closely related to type 2 diabetes and is an important complication of *** study aimed to investigate the effect of periodontal treatment on levels of blood glucose （Glu） and glycosylated hemoglobin （HbA1c） among elderly patients with type 2 diabetes and periodontal *** A total of 107 elderly patients with type 2 diabetes and periodontal disease were selected and divided into two groups according to their HbA1c levels. Group A was a well-controlled diabetic group and group B was *** probing depth （PD）, attachment loss （AL）, the value of Glu and HbA1c were analyzed before periodontal treatment and 4 months *** There was a significant difference in periodontal condition between groups A and B （P 〈0.01）. The periodontal condition for both groups was significantly （P〈0.01） improved after periodontal therapy. The effect of treatment in group A was more pronounced than group B, and the difference was significant （P 〈0.01）. After the periodontal treatment, Glu and HbA1c were reduced significantly in both groups （P 〈0.05）.Conclusions periodontal condition is related to the control of Glu level among elderly patients with type 2 diabetes and periodontal disease. periodontal treatment can effectively reduce the level of Glu and HbA1c as well as improve the periodontal condition in elderly type-2 diabetes patients with periodontal disease.

关键词： periodontal disease type 2 diabetes glycosylated hemoglobin

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Causal relationship between inflammatory bowel disease and gingivitis or periodontal disease:A two-sample Mendelian randomized analysis

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Journal of Nutritional Oncology 2023年第2期8卷 107-114页

作者： Yi-Chao Ma Wen-Qi Li ChenWei Fei Wang Yi-Qun Liao Bin Zhao Yu-Ji Chen Qi Zhao Jie Qiu Dong Tang Clinical Medical College Yangzhou UniversityYangzhouJiangsuChina Department of Newborn Infants Children's Hospital of Nanjing Medical UniversityNanjingJiangsuChina Department of Clinical Medical College Dalian Medical UniversityDalian 116044LiaoningChina Department of General Surgery Institute of General SurgeryClinical Medical CollegeYangzhou UniversityNorthern Jiangsu People's HospitalYangzhouJiangsuChina

Background:Observational studies have shown that inflammatory bowel disease(IBD),such as ulcerative colitis(UC)and Crohn disease(CD),is associated with gingivitis and periodontal disease(GP).This study aims to investigate whether there is a causal relationship between IBD and ***:This study assessed the causal relationship between IBD and GP through a two-sample Mendelian randomization(MR)*** required data were obtained through the IEU OpenGWAS *** variable screening and the MR and sensitivity analyses were performed using the“TwoSampleMR”R ***:IBD,UC,and CD may have a causal effect on GP(IBD,inverse variance weighting[IVW]OR=1.05,95%CI=1.00–1.10,P=0.03;UC,IVWOR=1.05,95%CI=1.00–1.11,P=0.03;CD,weighted median OR=1.06,95%CI=1.00–1.13,P=0.04;simple mode OR=1.15,95%CI=1.02–1.31,P=0.03).Scatterplots,forest plots,and funnel plots showed a significant relationship between IBD and GP and confirmed the robustness of the *** sensitivity testing,no horizontal pleiotropy or heterogeneity was found in this ***:This study found a possible causal relationship between IBD(UC and CD)and GP,which deserves to be considered in clinical practice.

关键词： Gingivitis Inflammatory bowel disease Mendelian randomization study periodontal disease

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Effectiveness of Oral Health Education Program on Prevention of periodontal disease in Japanese Pregnant Women

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Open Journal of Nursing 2016年第4期6卷 282-293页

作者： Mayumi Noguchi Akira Tagaya Ayako Sakoda Hitoshi Komatsuzawa Natsumi Fujiwara Motoyuki Sugai Japanese Red Cross Hiroshima College of Nursing Hatsukaichi Japan Japanese Red Cross Toyota College of Nursing Toyota Japan (Current) Nagano College of Nursing Komagane Japan Department of Bacteriology Hiroshima University Graduate School of Biomedical & Health Sciences Hiroshima Japan Department of Oral Microbiology Kagoshima University Graduate School of Medical and Dental Sciences Kagoshima Japan (Current) Department of Oral Health Care Promotion Tokushima University Graduate School of Biomedical Sciences Tokushima Japan (Current)

The prevalence of periodontal disease among pregnant women increases with gestational age. Therefore, oral health education in the early stage of pregnancy should prevent periodontal disease and decrease the risk of an adverse pregnancy outcome such as preterm delivery and low birth weight. However, there has been no study on oral health care intervention for prevention of periodontal disease during pregnancy. The purpose of this study was to examine the efficiency of an oral health education program on periodontal disease among Japanese low-risk pregnant women. A total of 207 pregnant women before 20 weeks of gestation were recruited. The first 131 of them were assigned to the control group and the remaining 76 to the experimental group. The experiment participants received an oral health education program including the toothpick brushing method in their early stage of pregnancy. Improvement of the self-assessment score of periodontal symptoms was used as a binary outcome variable. A logistic regression analysis indicated that the intervention (OR = 3.83) and proficiency of the toothpick brushing method (OR = 24.93) were statistically significant predictors of the outcome in the late stage of pregnancy. The positive outcome appeared after practice of the toothpick method brushing for 20 or more weeks, and was associated with the decrease in the log-transformed proportion of the count of Candida species in salivary microbiota (p = 0.026).

关键词： periodontal disease Pregnancy Oral Health Educational Intervention Toothpick Brushing Method

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Assessment of Knowledge of the Relationship between periodontal disease and Systemic disease among Dental Students and Its Impact on Oral Hygiene Practices

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Open Journal of Stomatology 2022年第1期12卷 10-19页

作者： Grace Onyenashia Alade Efetobo Victor Orikpete Department of Preventive and Social Dentistry University of Port Harcourt Port Harcourt Rivers State Nigeria Department of Oral Pathology and Oral Biology University of Port Harcourt Port Harcourt Rivers State Nigeria

Background: Dental students play a role in both oral and general health education in their communities, so it is important that they have good knowledge to enable them offer good counsel. Knowing the relationship between periodontal disease and systemic conditions will put them in better stead when giving oral health education. The aim of this study was to assess the level of knowledge among dental students of the relationship between periodontal diseases and systemic conditions, and to determine whether there was a correlation between this knowledge and their oral hygiene practices. Methods: This was a cross-sectional study among dental students of the University of Port Harcourt, Rivers State, Nigeria. Consenting participants were given a self-administered questionnaire eliciting socio-demographic information, knowledge about the relationship between periodontal diseases and systemic diseases, as well as oral hygiene practices. Each correct response on knowledge was scored as 1, while incorrect responses were scored 0, with a maximum score of 7. Participants’ knowledge was graded as poor (0 - 2), fair (3 - 5) and good (6 - 7). Data was analyzed using IBM SPSS version 21. p ≤ 0.05 was considered statistically significant. Spearman’s ranked correlation was used to assess the correlation between knowledge of the relationship between periodontal diseases and systemic diseases and oral hygiene practices. Results: There were 109 dental students (58 males, 51 females) in this study, with a mean age of 24.1 ± 3.6 years. Preclinical students were 43 (39.4%) while clinical students were 66 (60.6%). All (100%) participants knew that oral health was important to systemic health, with 89.9% knowing that periodontal disease was specifically linked to systemic disease. Only 50.5% of participants knew that there was a link between periodontal disease and diabetes mellitus. Sixty-four (58.7%) of the participants regularly cleaned

关键词： periodontal disease Systemic disease Oral Hygiene Practices Dental Students

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Endothelial Nitric Oxide Synthase Gene Polymorphism and periodontal disease

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Open Journal of Blood diseases 2012年第2期2卷 34-37页

作者： Fernanda Gobbi Amorim Maria Bernadete Depoli Giovana Machado Souza Simoes Bianca Prandi Campagnaro Clarissa Loureiro Tonini Iuri Drumond Louro Jose Airton Arruda Elisardo Corral Vasquez Silvana dos Santos Meyrelles Biotechnology Graduate Program Health Sciences CenterFederal University of Espirito SantoVitoriaBrazil Department of Physiological Sciences Health Sciences CenterFederal University of Espirito SantoVitoriaBrazil Intercath-Meridional Hospital CariacicaBrazil.

The endothelial isoform of nitric oxide synthase (eNOS) is responsible for the physiological production of NO in endo-thelial cells and platelets. There is evidence that the G894T polymorphism of the eNOS gene is associated with this enzyme's basal activity and NO production, which could contribute to the pathogenesis of periodontal diseases (PD). Therefore, this study was designed to investigate the role of G894T polymorphism in the eNOS gene as a predisposing factor to periodontal disease. In this study we investigated the association of this polymorphism with PD in an admix-ture population (N = 119) separated into three groups: Healthy control, Moderate and Severe PD, without statistical differences among them for risk factors for PD, such as age, gender and smoking status. We observed that the GG ge-notype was associated with the progression of PD as indicated by an increase in frequency of approximately 18% in the Moderate and 26% in the Severe groups compared to the Healthy control group (p = 0.0302). This finding indicates that patients carrying the GG genotype have a greater chance of developing PD compared with those carrying the T allele, and it reinforces the notion that genetic factors contribute to the development and aggravation of PD.

关键词： eNOS Polymorphism periodontal disease

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