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猫的创伤性牙槽及颌面损伤:诊断与处理概述

Traumatic Dentoalveolar and Maxillofacial Injuries in Cats: Overview of diagnosis and management.

作者信息

Soukup Jason W, Snyder Christopher J

机构信息

School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA.

School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA

出版信息

J Feline Med Surg. 2014 Nov;16(11):915-27. doi: 10.1177/1098612X14552367.

Abstract

PRACTICAL RELEVANCE

Maxillofacial and traumatic dentoalveolar injuries can cause pain and inflammation, and reduce function of the mouth, impacting a cat's quality of life. Many traumatically induced feline fractures have been reported to involve the mandible or skull and, in cats with maxillofacial trauma, traumatic dentoalveolar injuries are particularly prevalent. Traumatic dentoalveolar injuries can also often be found in otherwise healthy cats.

CLINICAL CHALLENGES

Some traumatic dentoalveolar injuries require emergency treatment; timely recognition and managment is therefore important for achieving the optimal outcome. Multiple approaches exist for the management and repair of maxillofacial traumatic injuries. However, those for traumatic dentoalveolar injuries may be more limited.

AUDIENCE

This review is aimed at feline and general practitioners, as well as veterinarians with expertise in dentistry.

EVIDENCE BASE

The authors draw on their clinical experience and evidence from the literature, where appropriate, to produce an overview of foundation guidelines. It is hoped that this will serve as a stimulus for deeper consideration as to what constitutes 'best practice' principles for cats with traumatic dentoalveolar and maxillofacial injuries.

摘要

实际意义

颌面及创伤性牙牙槽损伤可引起疼痛和炎症,降低口腔功能,影响猫的生活质量。据报道,许多创伤性猫骨折涉及下颌骨或颅骨,在患有颌面创伤的猫中,创伤性牙牙槽损伤尤为普遍。创伤性牙牙槽损伤也常出现在其他方面健康的猫身上。

临床挑战

一些创伤性牙牙槽损伤需要紧急治疗;因此,及时识别和处理对于取得最佳治疗效果很重要。颌面创伤损伤的处理和修复有多种方法。然而,创伤性牙牙槽损伤的处理方法可能更为有限。

目标受众

本综述针对猫科动物和全科医生,以及牙科专业的兽医。

证据基础

作者借鉴他们的临床经验,并在适当情况下引用文献中的证据,以概述基础指南。希望这将促使人们更深入地思考对于患有创伤性牙牙槽和颌面损伤的猫,什么构成“最佳实践”原则。

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本文引用的文献

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An alternative symphyseal wiring technique.
J Vet Dent. 2012 Fall;29(3):176-84. doi: 10.1177/089875641202900307.
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Temporomandibular joint injuries and ankylosis in the cat.猫的颞下颌关节损伤与关节强硬
Vet Comp Orthop Traumatol. 2012;25(5):366-74. doi: 10.3415/VCOT-11-10-0146. Epub 2012 Jul 25.
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Root and pulp response after intentional injury from miniscrew placement.微螺钉植入所致故意损伤后的牙根及牙髓反应
Am J Orthod Dentofacial Orthop. 2009 Nov;136(5):708-14. doi: 10.1016/j.ajodo.2007.12.031.

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