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维生素C与牙齿愈合:测试及安慰剂效应

Vitamin C and dental healing: testing and placebo effect.

作者信息

Abrahmsohn G M, Halberstein R A, Fregeolle S

机构信息

International Institute of Nutrition and Stress, Dental Connection, Key Biscayne, Florida, USA.

出版信息

Gen Dent. 1993 Nov-Dec;41(6):523-7; quiz 529-30.

PMID:23087948
Abstract

The present study augments a growing body of evidence that indicates supplemental vitamin C may be beneficial in speeding healing following tooth extraction and in reducing the likelihood of alveolalgia and other complications. No adverse side effects were encountered from administration of vitamin C in our studies or in a recent investigation involving intake of 10 g/day; thus, carefully tested higher dosages ("megadose therapy") might be applied successfully to patients with alveolalgia or orthognathic conditions. Hanck comments on the relative safety of ascorbic acid in medicine: "The few literature references suggesting adverse effects of ascorbic acid are outnumbered by a large number of clinical studies in which no adverse effects have been observed. Up to 5 g of ascorbic acid daily may be administered safely even over a long-term". Further research is recommended to determine whether vitamin C is of similar value in hastening proper recovery from other oral surgical procedures. Vitamin C is a relatively safe, inexpensive, over-the-counter product that may be more effective in dental healing than previously known.

摘要

本研究进一步证明了越来越多的证据,表明补充维生素C可能有助于加快拔牙后的愈合速度,并降低干槽症和其他并发症的发生几率。在我们的研究以及最近一项涉及每日摄入10克维生素C的调查中,均未发现服用维生素C有任何不良副作用;因此,经过仔细测试的更高剂量(“大剂量疗法”)可能成功应用于患有干槽症或正颌疾病的患者。汉克评论了抗坏血酸在医学上的相对安全性:“少数文献提及抗坏血酸有不良影响,但大量临床研究均未观察到不良影响,数量远超前者。即使长期服用,每天安全服用量可达5克抗坏血酸”。建议进一步研究以确定维生素C在加速其他口腔外科手术的正常恢复方面是否具有类似价值。维生素C是一种相对安全、廉价的非处方产品,在牙齿愈合方面可能比之前认为的更有效。

相似文献

1
Vitamin C and dental healing: testing and placebo effect.维生素C与牙齿愈合:测试及安慰剂效应
Gen Dent. 1993 Nov-Dec;41(6):523-7; quiz 529-30.
2
Vitamin C and dental healing. III: The nutrition factor.
Gen Dent. 1995 Nov-Dec;43(6):539-44.
3
Clinical management and control of alveolalgia ("dry socket") with vitamin C.
Am J Dent. 2003 Jun;16(3):152-4.
4
Influence of trans-operative complications on socket healing following dental extractions.拔牙术中并发症对拔牙创愈合的影响。
J Contemp Dent Pract. 2007 Jan 1;8(1):52-9.
5
An evaluation of complications following dental extractions using either sterile or clean gloves.使用无菌手套或清洁手套拔牙后并发症的评估。
Int J Oral Maxillofac Surg. 2001 Dec;30(6):550-4. doi: 10.1054/ijom.2000.0128.
6
Clinical evaluation of post-extraction site wound healing.拔牙后创口愈合的临床评估
J Contemp Dent Pract. 2006 Jul 1;7(3):40-9.
7
Antibiotic prophylaxis in third molar surgery: A randomized double-blind placebo-controlled clinical trial using split-mouth technique.第三磨牙手术中的抗生素预防:一项采用分口技术的随机双盲安慰剂对照临床试验。
Int J Oral Maxillofac Surg. 2010 Feb;39(2):107-14. doi: 10.1016/j.ijom.2009.12.014. Epub 2010 Feb 1.
8
[Lincomycin applied to the alveolus on TCP carrier and its effect on wound healing after surgical extraction of a third molar].[林可霉素负载于TCP载体上应用于牙槽窝及其对第三磨牙拔除术后伤口愈合的影响]
Ann Acad Med Stetin. 2009;55(2):59-64.
9
Influence of a pedicle flap design on acute postoperative sequelae after lower third molar removal.第三磨牙低位阻生拔除术后,分析不同颊侧去骨瓣设计对术后急性并发症的影响。
Int J Oral Maxillofac Surg. 2012 Mar;41(3):371-5. doi: 10.1016/j.ijom.2011.08.006. Epub 2011 Oct 26.
10
Predictive variables for postoperative pain after 520 consecutive dental extraction surgeries.
Gen Dent. 2012 Jan-Feb;60(1):58-63.

引用本文的文献

1
A Systematic Review on the Role of Vitamin C in Tissue Healing.维生素C在组织愈合中作用的系统评价
Antioxidants (Basel). 2022 Aug 19;11(8):1605. doi: 10.3390/antiox11081605.
2
Taking 200 mg Vitamin C Three Times per Day Improved Extraction Socket Wound Healing Parameters: A Randomized Clinical Trial.每日三次服用200毫克维生素C可改善拔牙创愈合参数:一项随机临床试验。
Int J Dent. 2022 Mar 10;2022:6437200. doi: 10.1155/2022/6437200. eCollection 2022.
3
Rinsing with L-Ascorbic Acid Exhibits Concentration-Dependent Effects on Human Gingival Fibroblast In Vitro Wound Healing Behavior.
用L-抗坏血酸冲洗对人牙龈成纤维细胞体外伤口愈合行为具有浓度依赖性影响。
Int J Dent. 2020 Mar 21;2020:4706418. doi: 10.1155/2020/4706418. eCollection 2020.