- 期刊
Potential adjunctive effects of diet therapy in patients with periodontitis under non-surgical periodontal treatment
飲食相關療法對牙周炎患者非手術性牙周治療的潛在輔助作用
摘要
Periodontitis is a common disease with high prevalence among adults and seniors worldwide. It is characterized by chronic inflammation of periodontal tissues which are triggered by the pathogenic bacterial microorganism. Non-surgical periodontal therapy, including scaling and root planing (SRP), had proven to be the treatment of choice for most patients with periodontitis. However, maintaining the therapeutic effects after SRP has often been a difficult task for various reasons such as periodontopathic bacteria remains in the subgingival environment of inaccessible areas such as root concavities, deep periodontal pockets, root furcation and grooves. Several approaches were used as adjunctive therapy to SRP including antibiotics for systemic or local use, and non-steroidal anti-inflammatory medication result in a various degree of success. Nevertheless, the side effects derived from these treatments preclude their long-term use. Considering the efficacy for long-term use, emerging concepts and evidence demonstrate the therapeutic benefit of diets or diets-related products may offer an alternative way to increase or maintain the effects of SRP for patients with periodontitis. This evidence-based review article will provide some clues for these potential approaches.
並列摘要
牙周炎是一種常見疾病，普遍發生於世界各地的成年人及老年人。它的特徵是由於牙菌斑的積累引起牙周組織的慢性發炎。事實證明，對大多數慢性的牙周病患者而言，包括洗牙暨牙根整平術（SRP）在內的非手術性牙周病治療是首選治療方法。但是，由於各種原因，在SRP之後維持治療效果仍然是一項艱鉅的任務。例如牙周病細菌殘留在牙齦下難以接近的區域，如具有分叉，凹槽，凹陷和牙周囊袋之區域。數種被用作SRP的輔助療法，包括全身或局部使用抗生素，以及非類固醇類抗發炎藥的使用均獲得了不同程度的成功。然而，從這些治療中產生的副作用排除了它們的長期使用的可能性。考量長期使用的可能性，使用飲食或與飲食相關的產品的概念和證據，可能為加強或維持牙周病患者的SRP治療效果提供了另一種方法。這篇基於實證醫學的文獻回顧將為這些有潛力方法提供一些線索。