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Zeitschrift für Komplementärmedizin 2021; 13(03): 14-21
DOI: 10.1055/a-1475-1486
Praxis
Parodontitis und Ernährung

Parodontitis: Lokale Entzündung mit systemischer Wirkung

Christina L. Pappe∗
,
Henrik Dommisch∗
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Summary

Parodontitis zählt zu den 6 häufigsten chronischen nicht-ansteckenden Erkrankungen weltweit. Unbehandeltführt diese zu Zahnverlust. Für die Destruktion des Zahnhalteapparates ist ein komplexes Zusammenspiel zwischen dem dysbiotischen Plaque-Biofilm und der körpereigenen Immunantwort verantwortlich. Lokale Entzündungsreaktionen bleiben jedoch nicht auf die Mundhöhle beschränkt, sondern können auch systemische Auswirkungen zeigen. Moderate bis schwere Parodontitiden erhöhen das Risiko für Typ 2 Diabetes mellitus und kardiovaskuläre Erkrankungen. Umgekehrt modulieren diese systemischen Erkrankungen die Pathogenese parodontaler Entzündungsreaktionen. Verhaltensfaktoren wie Rauchen oder Ernährungsgewohnheiten können modifizierend auf die lokalen und systemischen Entzündungsprozesse einwirken. Die aktuelle Forschung rückt Ernährungsinterventionen bzw. -restriktionen als potenzielle Bestandteile nicht-invasiver Intervention und/oder Präventionsstrategie zur Vermeidung parodontaler Entzündungen und Stoffwechselerkrankungen in den Fokus – ein vielversprechender Ansatz.

Keywords

Parodontitis - Diabetes - Adipositas - Ernährung - Fasten


Publication History

Article published online:
02 June 2021

© 2021. Thieme. All rights reserved.

© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co.
KG

 

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