国际龋病检测与评估系统（ICDAS）和基于风险评估的龋病管理（CAMBRA）系统在儿童癌症患者中的应用：一例临床病例报告
Application of International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CAMBRA) systems in child cancer patients: a clinical case report.
作者信息
Hernández Fernández A, Oñate Sánchez R E, Fernández Miñano E, Iniesta López-Matencio P, Ortiz Ruiz A J
机构信息
Faculty of Dentistry, Paediatric Dental Clinic, University of Murcia, Hospital Morales-Meseguer, Avd. Marqués de los Vélez s/n, 2ª planta, 30008, Murcia, Spain.
, C/Navegante Macías del Poyo, 13 bajo, 30007, Murcia, Spain.
出版信息
Eur Arch Paediatr Dent. 2017 Jun;18(3):219-224. doi: 10.1007/s40368-017-0290-z. Epub 2017 May 13.
BACKGROUND
Leukaemia represents 30-40% of all paediatric malignant tumours and is the main cause of death in patients aged <15 years. One of the main complications in these patients is infection, which may often occur in the oral cavity. Chemotherapy-related oral health problems may be reduced by oral healthcare strategies based on the International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CABRA).
CASE REPORT
A case is reported of a 14-year-old girl treated for leukaemia who presented with established dental caries lesions which were classified and treated according to ICDAS and CABRA protocols. After three, no new caries was observed.
FOLLOW-UP AND CONCLUSION: ICDAS and CAMBRA provide useful and effective guidance for the avoidance of dental and systemic problems. Their introduction into standard practice could reduce the legal difficulties derived from dental treatment in these patients.
背景
白血病占所有儿童恶性肿瘤的30%-40%，是15岁以下患者的主要死因。这些患者的主要并发症之一是感染，常发生在口腔。基于国际龋病检测与评估系统（ICDAS）和基于风险评估的龋病管理（CABRA）的口腔保健策略可减少化疗相关的口腔健康问题。
病例报告
报告了一例14岁白血病女童的病例，其患有已确诊的龋齿病变，根据ICDAS和CABRA方案进行了分类和治疗。三个月后，未观察到新的龋齿。
随访与结论
ICDAS和CAMBRA为避免牙齿和全身问题提供了有用且有效的指导。将它们引入标准操作可减少这些患者牙科治疗带来的法律难题。
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