Abstract

Introduction

An increased risk of dental caries and periodontal diseases has been reported for inflammatory bowel disease (IBD) patients and are challenging conditions to manage.

Areas covered

The authors searched international databases to find all studies assessing dental/periodontal outcomes in patients with IBD and other immune-mediated inflammatory disease (IMID), as well as the association between IMID medications and dental/periodontal status.

Expert opinion

IBD are associated with a higher risk of both periodontitis and caries. Some evidence from rheumatoid arthritis suggests that periodontitis may be associated with a lower response to anti-TNF. There is no reliable evidence that IBD patients may be at greater risk of complications during routine dental care. On the basis of current data, guidelines can be proposed for the dental management focusing on the detection and eradication of infectious foci prior to the implementation of immunosuppressants/biologics and modified dental treatment protocol for invasive dental procedures that includes antibiotic prophylaxis.

中文翻译：

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炎症性肠病中的牙周和牙齿健康：系统评价

摘要

介绍

据报道，炎症性肠病 (IBD) 患者患龋齿和牙周病的风险增加，并且是管理具有挑战性的条件。

覆盖区域

作者搜索了国际数据库，以找到所有评估 IBD 和其他免疫介导的炎症性疾病 (IMID) 患者牙齿/牙周结果的研究，以及 IMID 药物与牙齿/牙周状态之间的关联。

专家意见

IBD 与牙周炎和龋齿的高风险相关。来自类风湿性关节炎的一些证据表明，牙周炎可能与对抗 TNF 的反应较低有关。没有可靠的证据表明 IBD 患者在常规牙科护理期间可能面临更大的并发症风险。根据目前的数据，可以提出牙科管理指南，重点是在实施免疫抑制剂/生物制剂之前检测和根除传染性病灶，以及包括抗生素预防在内的侵入性牙科手术的改良牙科治疗方案。