Author/Editor		Skalerič, Uroš
Title		Parodontalna medicina - stičišče med stomatologijo in medicino
Translated title		Periodontal medicine - junction between stomatology and medicine
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 69, št. Suppl 3
Publication year		2000
Volume		str. III-23-7
Language		slo
Abstract		Background. Review article deals with association between periodontal disease and systemic diseases. Short history and possible mechanisms of oral and dental focal infections are described. Periodontal disease is the most common chronic infection of mankind. It could be explained on the model of chronic "infected wound" which is under constant irritation due to mastication and tooth cleaning. These procedures may lead to recurrent transient bacteremias. The article describes the results of the contemporary research demonstrating the association between inflammatory periodontal disease and preterm labor, low birth weight, caridovascular diseases, respiratory diseases, diabetes and osteoporosis. Conclusions. The results of the studies imply that periodontal disease not only influences the survival or teeth but also have an impact on development of some systemic diseases responsible for major morbidity and mortality among population. Appropriate periodontal diagnosis and treatment may thus contribute to longevity of dentition but also to lower prevalence and complications of some important systemic diseases.
Summary		Izhodišča. Članek opisuje povezanost med parodontalno boleznijo in sistemskimi boleznimi. Prikazana je kratka zgodovina oralne žariščne okužbe in možni mehanizmi njenega delovanja. Parodontalna bolezen je najbolj razširjena kronična okužba sodobnega človeštva. Razložimo jo lahko na modelu kronično "okužene rane", ki že zaradi običajnega žvečenja in čiščenja zob vodi do večkrat ponav jajoče se tranzitorne bakteriemije. V članku so prikazani rezultati sodobnih raziskav o povezanosti vnetne parodontalne bolezni s prezgodnjim porodom otrok in nizko porodno težo ter o povezanosti z boleznimi srca in oži ja, boleznimi dihal, diabetesom in osteoporozo. Zaključki. Rezultati nakazujejo, da parodontalna bolezen ne ogroža samo obstoja zob, ampak pomembno prispeva tudi k razvoju ali poslabšanju nekaterih sistemskih bolezni, ki so glavni vzrok obolevnosti in smrtnosti prebivalstva. Ustrezna diagnostika in zdravljenje parodontalne bolezni ne podaljša samo obstoja in funkcije zobovja, ampak lahko pomembno prispeva k zmanjšanju pojavnosti in zapletov nekaterih pomembnih sistemskih bolezni.
Descriptors		PERIODONTAL DISEASES LABOR, PREMATURE OSTEOPOROSIS INFANT, LOW BIRTH WEIGHT CARDIOVASCULAR DISEASES RESPIRATORY TRACT DISEASES DIABETES MELLITUS