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哮喘与牙齿侵蚀

Asthma and dental erosion.

作者信息

Manuel S T, Kundabala M, Shetty N, Parolia A

机构信息

Department of Conservative Dentistry and Endodontotics, Manipal College of Dental Science, Mangalore, India.

出版信息

Kathmandu Univ Med J (KUMJ). 2008 Jul-Sep;6(23):370-4. doi: 10.3126/kumj.v6i3.1714.

Abstract

Asthma is a chronic inflammatory condition of the airway, characterised by the presence of airflow obstruction which is variable over short periods of time, or is reversible with treatment. Medication comprises of bronchodilators, corticosteroids and anticholinergic drugs. Most asthma drugs are inhaled using various forms of inhalers or nebulizers. Inhaled drugs must be used regularly. The effects of these drugs on the dentition such as tooth decay and erosion have been a subject of debate among dental practitioners. Asthmatic medications can place the patient at risk of dental erosion by reducing salivary protection against extrinsic or intrinsic acids. Asthmatic individuals are one of the higher risk groups suffering from dental erosion. Therefore patients with bronchial asthma should receive special prophylactic attention. This article presents a case of an asthmatic with dental manifestations and reviews the possible causes and management of the same.

摘要

哮喘是一种气道慢性炎症性疾病,其特征为存在短期内可变的气流阻塞,或经治疗可逆转。药物包括支气管扩张剂、皮质类固醇和抗胆碱能药物。大多数哮喘药物通过各种形式的吸入器或雾化器吸入。吸入药物必须定期使用。这些药物对牙列的影响,如龋齿和牙侵蚀,一直是牙科医生争论的话题。哮喘药物会通过减少唾液对外部或内部酸的保护作用,使患者面临牙侵蚀的风险。哮喘患者是患牙侵蚀风险较高的群体之一。因此,支气管哮喘患者应接受特殊的预防性关注。本文介绍了一例有牙齿表现的哮喘病例,并对其可能的病因及处理方法进行了综述。

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