口服双酸盐诱导的骨髓缩并发症在牙拔牙的患者:一个系统的审查和文献更新
M Dioguardi1, M Di Cosola, C Copelli
1Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy. mario.dioguardi@unifg.it.
European review for medical and pharmacological sciences
|July 17, 2023
概括
口服双酸盐在拔牙后增加了骨缩的风险 (铜/红). 较长的双酸盐治疗持续时间与更高的并发症率相关,特别是在下.
科学领域:
- 口腔和牙面部外科手术
- 药理学 药理学是指药理学的学科.
- 在瘤学瘤学.
背景情况:
- 双酸盐是常见的抗吸收药物,用于治疗骨疾病.
- 在接受双酸盐治疗的患者中,口腔手术后骨 (BRONJ/MRONJ) 是一个显著的风险.
- 双酸盐会影响骨质细胞的功能,导致潜在的骨并发症.
研究的目的:
- 在使用口服双酸盐的患者中,系统地审查有关拔牙后/黑风险的文献.
- 确定影响/黑发展的因素.
- 探索BRONJ/MRONJ的潜在管理策略.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆的系统文献搜索.
- 包括使用关键词的研究,如"口服双酸盐和拔牙".
- 手动审查参考文献和分析灰色文献,遵循PRISMA指南.
主要成果:
- 总共有7项研究被纳入 (4项追溯研究,2项前研究,1项病例报告).
- 骨瘤是主要的并发症,与双酸盐治疗持续时间相关的发病率较高.
- 后下是BRONJ/MRONJ最常见的部位;也注意到伤口愈合的延迟.
结论:
- 口服双酸盐暴露的持续时间是BRONJ/MRONJ发病的关键因素.
- 对口腔环境在骨质稳定中的作用进行进一步的研究可能会为BRONJ/MRONJ提供新的预防策略.
- 了解口腔微环境是管理和预防双酸相关骨硬化的关键.
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