中华老年口腔医学杂志2024,Vol.22Issue(5) :306-310.DOI:10.19749/j.cn.cjgd.1672-2973.2024.05.010

类风湿性关节炎与牙周炎相关关系研究进展

Research progress of relationship between rheumatoid arthritis and periodontitis

王锐田 原韶钟
中华老年口腔医学杂志2024,Vol.22Issue(5) :306-310.DOI:10.19749/j.cn.cjgd.1672-2973.2024.05.010

类风湿性关节炎与牙周炎相关关系研究进展

Research progress of relationship between rheumatoid arthritis and periodontitis

王锐田 1原韶钟2
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作者信息

  • 1. 030001 太原,山西医科大学口腔医学院·口腔医院
  • 2. 030001 太原,山西医科大学口腔医学院·口腔医院;030012 太原,山西医科大学附属山西省人民医院口腔内科
  • 折叠

摘要

类风湿性关节炎(rheumatoid arthritis,RA)是以滑膜炎症、关节破坏和高滴度自身抗体为特征的慢性自身免疫性炎性疾病,牙周炎是以菌斑微生物为始动因子、引起牙周支持组织破坏的慢性炎症性疾病,主要特征为牙槽骨吸收、牙周袋形成、进行性附着丧失、牙齿松动和脱落.牙周炎与RA是以慢性炎症分别导致牙齿或关节周围的组织和骨破坏为特征的多因素疾病.近年来,RA和牙周炎之间的关系一直是国内外学者的研究热点,尽管已有研究发现两者密切相关,但对两者相关机制尚不明了.现就流行病学与临床研究、细菌因素、遗传因素、病理生理机制、环境因素、治疗等方面对牙周炎与类风湿关节炎的相关关系和可能相关机制的研究进展进行综述.

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease characterized by synovial inflammation,joint damage,and high titers of autoantibodies. Periodontitis is a chronic inflammatory disease in which plaque microorganisms act as initiating factors and cause the destruction of periodontal supporting tissues. The main features were alveolar bone resorption,periodontal pocket formation,progressive attachment loss,tooth loosening and tooth loss. Periodontitis and RA are multifactorial diseases characterized by chronic inflammation leading to tissue and bone destruction around teeth or joints,respectively. In recent years,the relationship between RA and periodontitis has been the focus for domestic and foreign scholars . Although studies have found a close correlation between RA and periodontitis,the underlying mechanisms of their relationship are still unclear. This paper reviews the research progress on the correlation and possible mechanisms between periodontitis and RA in epidemiology and clinical research,bacterial factors,genetic factors,pathophysiological mechanisms,environmental factors,and treatment.

关键词

牙周炎/类风湿性关节炎/牙龈卟啉单胞菌/相关性

Key words

Periodontitis/Rheumatoid arthritis/Porphyromonas gingivalis/Correlation

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出版年

2024
中华老年口腔医学杂志
解放军总医院 口腔医学教研室

中华老年口腔医学杂志

CSTPCD
影响因子:1.169
ISSN:1672-2973
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