Gencay Koray, Tuna Elif Bahar, Yaman Duygu, Ozgen Mehmet, Demirel Korkud
Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
Quintessence Int. 2013;44(8):631-4. doi: 10.3290/j.qi.a29613.
Iatrogenic trauma can be defined as any adverse condition in a patient resulting from treatment by a physician or dentist. Orthodontic treatment carries with it the risks of tissue damage and treatment failure. The aim of this article is to present traumatic oral tissue lesions resulting from iatrogenic orthodontic origin with a 2-year follow-up period based on orthodontic intervention followed by periodontal surgery. The management of traumatic injuries is dependent on the severity of the involvement of the periodontal tissues. While, in most cases, the elimination of the offending agent and symptomatic therapy is sufficient, in severe cases, or when the injury resulted in permanent defects, periodontal/regenerative therapy may be necessary. The dentist must be aware of these risks in order to help the patient make a fully informed choice whether to proceed with orthodontic treatment. The skill, experience, and up-to-date knowledge of dentists are the main factors to prevent possible iatrogenic traumas.
医源性创伤可定义为患者因医生或牙医的治疗而产生的任何不良状况。正畸治疗存在组织损伤和治疗失败的风险。本文旨在呈现基于正畸干预并随后进行牙周手术的、具有2年随访期的医源性正畸起源的创伤性口腔组织病变。创伤性损伤的处理取决于牙周组织受累的严重程度。虽然在大多数情况下,消除致病因素和对症治疗就足够了,但在严重病例中,或者当损伤导致永久性缺损时,可能需要进行牙周/再生治疗。牙医必须意识到这些风险,以便帮助患者就是否进行正畸治疗做出充分知情的选择。牙医的技能、经验和最新知识是预防可能的医源性创伤的主要因素。