- 期刊
術前牙齒動搖度評估－以消化道疾病為例
Pre-operative Tooth Mobility Evaluation of Gastrointestinal Disease Patients
摘要
過往研究顯示，牙周病會提高消化道癌前病變、消化道癌症的風險。本研究回溯2018至2020年在某醫學中心家庭牙醫科門診就醫，因消化道疾病而需進行手術前口腔檢查之病人，當Miller動搖度指數（Miller mobility index, MMI）為2或3時，被認定是嚴重牙周病，需要進行術前牙科處置包含齒間暫時固定或拔牙。結果顯示消化道癌症者需要進行牙科處置為34.04%，而非消化道癌則為25.00%，達顯著相關（p-value=0.0101）。進一步將年齡分層，可發現到60到小餘70歲族群中，消化道癌症患者中需要術前牙科處置佔比提高至47.75%，而非癌症者則有30.00%（p-value=0.0136）。本研究顯示，牙周病會提高消化道癌症的風險，和過往研究結果一致。
並列摘要
Previous studies showed periodontal diseases increased the risk for gastrointestinal (GI) precancerous lesion and cancer. Our retrospective study used the International Classification of Diseases (ICD) data from gastrointestinal-disease patients who received tooth mobility evaluation before operation in the Division of Family Dentistry in one medical center during 2018-2020. Preoperative dental treatments, including tooth splinting and extraction, were performed when Miller mobility index (MMI) was 2 or 3, which meant severe periodontal diseases. The results showed 34.04% patients with GI cancer needed dental treatments, and 25.00% patients with non-GI cancer needed dental treatments (p-value= 0.0101). In age stratified analysis, 47.75% patients with GI cancer needed dental treatments, and 30.00% patients with non-GI cancer needed dental treatment in the 60-<70 -age group (p-value= 0.0136). Our result was same as previous studies: periodontal diseases increased the risk for GI cancer.