中国牙周病的现状、临床技术及应对策略

The present situation,clinical improvement and strategy on controlling periodontal diseases in China

牙周病作为人类最常见的口腔慢性炎症性疾病,在中国人群中的流行状况仍居高不下,人群的健康和就诊意识不强是重要原因之一。牙周病不仅直接危害口腔咀嚼效能、美观和发音等,也是成年人牙齿丧失的最主要原因;而且做为长期慢性持续性感染源,可引发人体的慢性炎症和免疫反应,对系统性全身健康也有重大的间接损害和高风险。因此,口腔治疗对提高个体的生存率和生活质量方面会有重要影响。牙周病的治疗及技术正朝着可视化、精细化、微创化的方向发展;而对易感者的鉴别、系统性风险评估、再生性修复等方面的研究也在持续推进中。总之,需要全民树立口腔健康意识、国家医疗体制改革政策调整、医生和患者相配合等各方面努力,才能从根本上改善和提高牙周健康状况。

Periodontal diseases arewidespread human chronic inflammatory diseases, and statistical data show that the incidence still remains high in China, partly due to the poor health consciousness. Periodontitis can threaten oral functions including chewing and pro- nunciation, as well as systemic health caused by periodontitis-induced chronic inflammation and immune responses, which suggests the significance of dental treatment on improving survival rates and quality of life. Currently, periodontal treatments are moving towards vi- sualization, refinement and mini-invasion. In addition, research on susceptible subject identification, systemic risk assessment and re- generative repair are is also advancing persistently. In general, fundamental improvement of periodontal condition requires the awareness of oral health consciousness, reformation of national medicalpolicy and physician-patient cooperation.