The relationship of periodontal disease to diseases and disorders at distant sites Communication to health care professionals and patients

被引:22
作者
Lamster, Ira B. [1 ]
DePaola, Dominick P. [6 ,7 ]
Oppermann, Rui V. [4 ,5 ]
Papapanou, Panos N. [1 ,2 ]
Wilder, Rebecca S. [3 ]
机构
[1] Columbia Univ, Coll Dent Med, Sect Oral & Diagnost Sci, New York, NY 10032 USA
[2] Columbia Univ, Coll Dent Med, Div Periodont, New York, NY 10032 USA
[3] Univ N Carolina, Sch Dent, Chapel Hill, NC USA
[4] Univ Fed Rio Grande do Sul, Sch Dent, Porto Alegre, RS, Brazil
[5] Univ Fed Rio Grande do Sul, Dept Periodontol, Porto Alegre, RS, Brazil
[6] Forsyth Inst, Boston, MA USA
[7] Nova SE Univ, Coll Dent Med, Ft Lauderdale, FL 33314 USA
关键词
Periodontal diseases; health promotion; communication; oral health;
D O I
10.14219/jada.archive.2008.0051
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background. The body of research defining relationships among periodontal disease and certain systemic diseases and disorders has been expanding, and questions have been raised regarding what information should be conveyed to health care professionals and patients. Methods. Representatives from dentistry, medicine, the academic community and the insurance industry convened a two-day workshop July 23 and 24, 2007. Results. The workshop participants achieved general consensus on a number of issues, including the need for greater cooperation between the health care professions. This cooperation should translate into improved clinical care as physicians refer patients for dental care, and dentists are proactive in regard to the general health of their patients. Conclusion. Communication to health care professionals requires a multifaceted approach that includes publication of research findings in medical and dental journals, cooperation among professional organizations and initiatives at the local level such as presentations at; medical grand rounds. Dental schools should play a role in their health science centers. Communication with patients may improve through the use of targeted informational brochures in the offices of medical specialists, appropriate media campaigns and efforts led by local dental organizations. Practice Implications. It is too early to provide specific recommendations regarding the treatment of periodontal disease to improve specific health outcomes, but dentists can become advocates for a general health promotion and disease prevention message. The lifestyles approach includes an improved diet, smoking cessation, appropriate hygiene practices and stress reduction. These strategies can improve oral and general health outcomes.
引用
收藏
页码:1389 / 1397
页数:9
相关论文
共 58 条
[1]   Control of periodontal infection reduces the severity of active rheumatoid arthritis [J].
Al-Katma, Mhd. Khaldoun ;
Bissada, Nabil F. ;
Bordeaux, Judith M. ;
Sue, J. ;
Askari, Ali D. .
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2007, 13 (03) :134-137
[2]   An examination of periodontal treatment and per member per month (PMPM) medical costs in an insured population [J].
Albert, David A. ;
Sadowsky, Donald ;
Papapanou, Panos ;
Conicella, Mary L. ;
Ward, Angela .
BMC HEALTH SERVICES RESEARCH, 2006, 6 (1)
[3]  
*AM AC PER, OR HLTH INF PUBL MOU
[4]  
*AM DENT ASS, OR HLTH TOP A Z OR S
[5]  
[Anonymous], 2006, Cochrane Database of Syst Rev, DOI DOI 10.1002/14651858.CD000259.PUB2
[6]  
[Anonymous], OFF REC UN CONF NA 1
[7]   The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: A meta-analysis [J].
Bahekar, Amol Ashok ;
Singh, Sarabjeet ;
Saha, Sandeep ;
Molnar, Janos ;
Arora, Rohit .
AMERICAN HEART JOURNAL, 2007, 154 (05) :830-837
[8]  
Beck JD, 2008, J PERIODONTOL, V79, P90, DOI [10.1902/jop.2008.070223, 10.1902/jop.2008.070223 ]
[9]   Systemic effects of periodontitis: Epidemiology of periodontal disease and cardiovascular disease [J].
Beck, JD ;
Offenbacher, S .
JOURNAL OF PERIODONTOLOGY, 2005, 76 (11) :2089-2100
[10]  
Bellolio MF, 2009, ANN EMERG MED, V53, P685, DOI [10.1016/j.annemergmed.2008.05.034, 10.1002/14651858.CD003030.pub2]