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[血友病患者的牙科治疗]

[Dental management of patients with haemophilia].

作者信息

Sipos Kitti

机构信息

1 Debreceni Egyetem, Fogorvostudományi Kar, Konzerváló Fogászat nem önálló Tanszék Debrecen Magyarország.

出版信息

Orv Hetil. 2022 Jun 12;163(24):943-951. doi: 10.1556/650.2022.32491.

DOI:10.1556/650.2022.32491
PMID:35895563
Abstract

Haemophilia A and B are one of the most common inherited bleeding disorders. Nevertheless, people with congenital haemorrhagic diatheses comprise a small proportion of the total population. Therefore, treating such patients can be a challenge for dentists, as most of them have no experience in the dental management of these cases. As a result, dental care is often neglected in this cohort of patients. Despite the potential bleeding risk of the dental procedures, the most routine, non-surgical interventions can be performed in a general dental practice after consultation with a haematologist and in adherence to protocols. A guideline on the possibilities of comprehensive dental treatment of patients with congenital bleeding disorders has not been published in Hungary. Therefore, the purpose of this paper is to review the literature on dental management of patients with haemophilia and to summarize treatment options in all fields of dentistry. This systematic review of the literature may be useful for dentists to treat patients with haemophilia more confidently and to overcome the difficulties in dental care. The article also provides professionals involved in the management of haemophilia with a practical summary of dental interventions.

摘要

甲型和乙型血友病是最常见的遗传性出血性疾病之一。然而,先天性出血性素质患者在总人口中所占比例较小。因此,治疗此类患者对牙医来说可能是一项挑战,因为他们中的大多数人没有处理这些病例的牙科管理经验。结果,这一患者群体的牙科护理常常被忽视。尽管牙科手术存在潜在的出血风险,但在与血液科医生协商并遵守方案后,大多数常规的非手术干预可以在普通牙科诊所进行。匈牙利尚未发布关于先天性出血性疾病患者全面牙科治疗可能性的指南。因此,本文的目的是回顾关于血友病患者牙科管理的文献,并总结牙科各领域的治疗选择。对文献的这一系统综述可能有助于牙医更自信地治疗血友病患者,并克服牙科护理中的困难。本文还为参与血友病管理的专业人员提供了牙科干预的实用总结。

相似文献

1
[Dental management of patients with haemophilia].[血友病患者的牙科治疗]
Orv Hetil. 2022 Jun 12;163(24):943-951. doi: 10.1556/650.2022.32491.
2
Antifibrinolytic therapy for preventing oral bleeding in patients with haemophilia or Von Willebrand disease undergoing minor oral surgery or dental extractions.抗纤维蛋白溶解疗法用于预防血友病或血管性血友病患者在接受小型口腔手术或拔牙时的口腔出血。
Cochrane Database Syst Rev. 2019 Apr 19;4(4):CD011385. doi: 10.1002/14651858.CD011385.pub3.
3
Antifibrinolytic therapy for preventing oral bleeding in patients with haemophilia or Von Willebrand disease undergoing minor oral surgery or dental extractions.抗纤维蛋白溶解疗法用于预防血友病或血管性血友病患者在接受小型口腔手术或拔牙时的口腔出血。
Cochrane Database Syst Rev. 2015 Dec 24(12):CD011385. doi: 10.1002/14651858.CD011385.pub2.
4
An Update on the Dental Management of Children with Haemophilia.儿童血友病的口腔管理更新。
Prim Dent J. 2021 Dec;10(4):45-51. doi: 10.1177/20501684211066241.
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Management of patients with inherited bleeding disorders in oral surgery: A 13-year experience.口腔外科中遗传性出血性疾病患者的管理:13 年经验。
J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):e405-e410. doi: 10.1016/j.jormas.2022.02.003. Epub 2022 Feb 9.
6
Current state of play regarding dental extractions in patients with haemophilia: Consensus or evidence-based practice? A review of the literature.关于血友病患者拔牙的现状:共识还是循证实践?文献综述。
Haemophilia. 2020 Mar;26(2):183-199. doi: 10.1111/hae.13928. Epub 2020 Jan 21.
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[Treatment of haemophilia in Austria].[奥地利的血友病治疗]
Wien Klin Wochenschr. 2015 Nov;127 Suppl 3:S115-30. doi: 10.1007/s00508-015-0872-x. Epub 2015 Nov 2.
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A case report of haemophilia: a review of haemophilia and oral health implications.血友病病例报告:血友病及其对口腔健康影响的综述
Br Dent J. 2023 Jan;234(2):92-95. doi: 10.1038/s41415-023-5448-y. Epub 2023 Jan 27.
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Proposal of a standard approach to dental extraction in haemophilia patients. A case-control study with good results.血友病患者拔牙标准方法的提议。一项取得良好结果的病例对照研究。
Haemophilia. 2000 Sep;6(5):533-6. doi: 10.1046/j.1365-2516.2000.00423.x.
10
The dental management of adult patients with haemophilia and other congenital bleeding disorders.成年血友病及其他先天性出血性疾病患者的牙科治疗管理
Haemophilia. 2003 Nov;9(6):673-7. doi: 10.1046/j.1351-8216.2003.00825.x.

引用本文的文献

1
The attitudes and treatment practices of Hungarian primary care dentists regarding dental care for patients with haemophilia.匈牙利初级保健牙医对血友病患者牙科护理的态度和治疗实践。
Sci Rep. 2025 Jul 19;15(1):26261. doi: 10.1038/s41598-025-11818-w.
2
Assessing the factors affecting the accessibility of primary dental care for people with haemophilia.评估影响血友病患者获得初级牙科护理服务的因素。
Haemophilia. 2025 Jan;31(1):69-77. doi: 10.1111/hae.15124. Epub 2024 Nov 27.