癌症患者的牙周治疗：一种跨学科方法。
Periodontal Treatment in Cancer Patients: An Interdisciplinary Approach.
作者信息
Decker A M, Taichman L S, D'Silva N J, Taichman R S
机构信息
Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Department of Family Medicine, University of Michigan School of Medicine.
出版信息
Curr Oral Health Rep. 2018 Mar;5(1):7-12. Epub 2018 Jan 27.
PURPOSE OF REVIEW
Dental care is an essential component in the comprehensive treatment for the cancer patient. As such, a review of the literature was completed to determine the relationships between periodontal and dental care in the cancer patient and provide strategic suggestions.
RECENT FINDINGS
Periodontal treatment must be personalized depending on the patient's current oral health status, systemic status, and progress in treatment. Oral mucositis, periodontal status, and osteonecrosis of the jaw (ONJ) remain periodontal concerns in the cancer patient. Contributing factors of ONJ include root amputation (OR= 6.64), extraction of a single tooth (OR=3.7), severe tooth mobility (OR = 3.60), and unclosed wound (OR = 2.51).
SUMMARY
Preventive maintenance, oral hygiene instruction, use of fluoride and chlorhexidine are all important therapeutic strategies. If extractions are required in patients who have received bone modifying drug infusions, flap management and primary wound closure is needed to reduce the risk of complications.
综述目的
牙科护理是癌症患者综合治疗的重要组成部分。因此，完成了一项文献综述，以确定癌症患者牙周护理与牙科护理之间的关系，并提供策略性建议。
最新研究结果
牙周治疗必须根据患者当前的口腔健康状况、全身状况和治疗进展进行个性化定制。口腔黏膜炎、牙周状况和颌骨骨坏死（ONJ）仍是癌症患者的牙周问题。ONJ的促成因素包括牙根切断术（OR = 6.64）、单颗牙拔除（OR = 3.7）、严重牙齿松动（OR = 3.60）和伤口未愈合（OR = 2.51）。
总结
预防性维护、口腔卫生指导、使用氟化物和氯己定都是重要的治疗策略。如果接受过骨改良药物输注的患者需要拔牙，则需要进行瓣处理和一期伤口闭合，以降低并发症风险。
Zotero 插件