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一個可能與牙周骨質喪失有關的因子:骨質疏鬆症(文獻回顧)

A Relative Factor to Periodontal Bone Loss:Osteoporosis (Literature Review)

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摘要


骨質疏鬆症是一種因代謝失調而造成骨質脆弱易斷的疾病,好發於停經後婦女,而牙周病則是一種常發生於成年人口腔內經由一些特定細菌對牙周組織造成破壞的疾病。本文從(1)全身性的骨質與下顎骨質流失之關係、(2)下顎骨之骨質密度與全身骨質之間關係以及(3)治療全身骨質流失時是否亦可以同時控制牙周病所引起牙骨破壞等三方面來探討互相關係。結果發現停經後婦女其全身性骨質流失與下顎骨質流失之間是有關係。其次、牙骨之喪失與骨質之密度則沒有直接的關係,最後從各文獻中發現停經後婦女經接受荷爾蒙補充後其齒齦出血及牙齒喪失的機會則有下降趨勢。至目前為止骨質疏鬆症與牙周病及骨質喪失之間的關係仍未定論,故需要更多研究來作進一步探討。

關鍵字

骨質疏鬆症 牙周病

並列摘要


Osteoporosis is a kind of metabolic disease usually found in manopause women to decrease bone density generally and fragile, easy to be fractured. Periodontitis is kind of oral disease caused by certain groups of microorganisms that invade jaw bone and periodontal apparatus and finally tooth loss. According to (1) the relationship between general bone loss to the mandibular bone loss, (2) the bone density of mandible and the whole body and (3) the possibility of bone loss control in manopause women with medical treatment may also control jaw bone loss. There is a relationship between mandibular bone loss to osteoporosis. There is no relationship between tooth loss and at last, manopause women with hormone replacement has a trend of decreasing gingival bleeding and tooth loss. There still need further studies to prove the relation of osteoporosis and periodontitis.

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