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Friday, August 22, 2008

牙齦疾病 心臟病風險高Gum disease high-risk heart attack

牙齦疾病 心臟病風險高

●「牙疼不是病,疼起來真要命」,但牙科疾病其實遠遠不只是一個疼痛的問題,牙周病其實還與心臟病、中風、產兒體重偏低和早產等密切相關,而口腔癌導致的死亡率至少是子宮頸癌的兩倍。專家們認為定期接受檢查、必要的治療甚至疫苗注射,對於預防口腔嚴重疾病很有好處。

齲洞還只能算小問題

牙齒齲洞不是什麼好事,但就口腔健康的預防來說,它們可能還只算是小問題。

現代快報報導,專家們提供的口腔保健建議都相似:按時刷牙,使用牙線;用含氟牙膏;限制零食和含糖飲料;每年看兩次牙醫。建議雖好,但並不見得每個人都會遵守:到12歲的時候,50%的孩子會有牙齒齲洞。

另外還有兩個更嚴重的問題———牙周病和口腔癌,這兩者都是常見的牙科疾病,但它們不僅可能會導致牙齒脫落,還可能導致死亡。

牙周病與眾多炎症有關

牙周病是指牙齦的慢性細菌感染,它會破壞牙齒和周圍起固定作用的軟組織。這種病是成人牙齒脫落的主要原因。有些人生來就容易感染此類疾病,而吸菸、服用某些藥物、精神緊張以及其他一些因素又可能會加重病情。

近來有數項研究表明:牙齦疾病和心臟病危險性的增大有關。美國哥倫比亞牙科醫學院臨床牙科專業教授馬丁‧J‧戴維斯博士說:「雖然還沒有定論,但牙齦炎和心臟疾病炎症標誌物可能存在一定聯繫。」

也許是口腔中的細菌進入血液循環,然後附著於冠狀動脈的脂肪斑塊上,從而導致了血凝塊的形成,或者是炎症本身加快了斑塊的形成。2007年的一項研究發現,即使控制吸菸,牙周病仍使得男性患心臟病的危險性增加了1/3,女性增加了2倍。

研究還提出牙齦疾病與以下疾病有關:中風的危險性、糖尿病人血脂控制不穩、像子癇前期(妊娠期高血壓)之類的妊娠疾病、出生體重偏低和早產。通過消炎和減少口腔有害細菌數,不僅可以治療牙周病,還可以有效地控制身體其他部位的感染。

口腔癌比子宮頸癌更致命

口腔癌是另一個嚴重的牙科問題,美國每年大約有3.4萬人患有此病,導致8000人死亡。塔夫斯大學口腔病理學教授邁克爾‧卡亨博士說:「口腔癌所導致的死亡數,至少是子宮頸癌的兩倍,但是子宮頸刮片檢查,可以獲得醫療保險,使得子宮頸癌的發生率降低了90%。」

吸菸和酗酒是主要的致病原因,但是口腔癌患者中有25%從不吸菸或是過量飲酒。至少有部分患者的致病原因可能是人類乳突淋瘤病毒,簡稱HPV病毒,這種導致大多數子宮頸癌的性傳播病毒在口交時可以侵入口腔引起口腔癌。

卡亨博士說:「目前已經有人認為如果讓兒童接種HPV疫苗,HPV引起的口腔癌可也以有很大的改觀。」

口腔癌的首發症狀常常是口腔裏出現一個小白點或是小紅點,但是該病可以在潰瘍形成之前檢查出來。

在過去的兩三年間,醫療產品製造商已經發明了一些非侵入性的儀器,可以用於檢查肉眼不能分辨的異常組織。雖然其效果還有爭議,有些牙醫已經開始使用這種儀器。(新華網)

2008-08-17
Gum disease high-risk heart attack


● "toothache is not disease, it really terrible pain," but in fact far from dental disease is not just a question of pain, gum disease and also in fact heart disease, stroke, premature births and low weight, and so closely related, and oral Mortality caused by cancer, cervical cancer is at least twice. Experts believe that regular inspection, the necessary treatment or vaccine for the prevention of oral diseases is very good.
Qudong can only be minor problems

Qudong teeth is not a good thing, but on the prevention, oral health, they may also be regarded as only minor problems.

Modern Express reported that the experts provided by the oral care proposals are similar: on time brushing, flossing, using fluoride toothpaste; limit sugary drinks and snacks; twice a year to see dentists. Although the proposal good, but not everyone will follow: to 12 years of age, 50 percent of children have tooth Qudong.

There are also two more serious problem - gum disease and oral cancer, both of which are common dental diseases, but they not only may lead to tooth loss, may also cause death.

Gum disease and inflammation of the large number

Gum disease is chronic bacterial infection of the gums, it will damage the teeth and surrounding fixed from the role of the soft tissue. This disease is the main reason for adult tooth loss. Some life to the vulnerability of such diseases, smoking, taking certain drugs, mental tension and other factors may also increase the illness.

Several recent studies show that: gum disease and heart disease risk related to the increase. Columbia Dental School of Medicine Clinical Professor Martin dental ‧ J ‧ Dr. Dai Weisi said: "Although the jury is still out, but gingivitis and heart disease and inflammatory markers there may be some contact."

Is perhaps the oral bacteria enter the blood circulation, and then attached to the fatty plaque in the coronary artery, leading to the formation of blood clots, or inflammation itself to speed up the formation of the plaque. A 2007 study found that, even if the control of smoking, gum disease still makes men suffering from heart disease increased the risk of 1 / 3 of women increased by two times.

The study also raised gum disease and diseases related to the following: the risk of stroke, diabetes control blood lipid instability, such as preeclampsia (high blood pressure during pregnancy) diseases such as pregnancy, low birth weight and premature. Through oral anti-inflammatory and reduce the number of harmful bacteria, not only treatment of periodontal disease can also be effective in controlling other parts of the body of infection.

Oral cancer, cervical cancer more deadly than

Oral cancer is another serious dental problems, the United States each year about 34,000 people are living with the disease, resulting in 8,000 deaths. Tufts University professor of oral pathology Michael ‧ Kaheng, said: "oral cancer caused by the deaths, at least twice the cervical cancer, cervical scraping-examination, receive medical insurance, making cervical cancer Reduce the incidence of 90 percent. "

Smoking and alcohol abuse are the main causes, but in patients with oral cancer and 25 percent of never smoking or excessive drinking. At least some of the causes may be leaching of HPV virus, or HPV virus, which caused the majority of cervical cancer in oral sex sexually transmitted virus can cause oral cancer oral invasion.

Ka Heng, said: "Some people think that now if children were HPV vaccine, HPV caused oral cancer can also greatly changed."

Oral cancer is often the first symptom of oral, the emergence of a White points, or red, but the disease can check out before the formation of ulcers.

In the past two to three years, medical product manufacturers have developed a number of non-invasive equipment can be used to check the naked eye can not distinguish between the abnormal organization. Although the results are controversial, some dentists have begun using such equipment. (-)

2008-08-17

For more information, see World Journal News ePaper.




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