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流血疾病和牙科植入物:审查和临床适应症
Christian Bacci1, Claudia Schiazzano1, Ezio Zanon2
1Department of Neurosciences, School of Dentistry, University of Padua, 35128 Padua, Italy.
Journal of clinical medicine
|July 29, 2023
概括
牙植入物可以安全地放置在患有出血障碍的患者中,包括先天性凝血障碍 (CCD),抗血小板诱导出血障碍 (APBD) 和抗凝血剂诱导出血障碍 (ACBD). 精心的手术前评估和出血控制对于成功的结果至关重要.
科学领域:
- 在口腔外科手术.
- 血液学 血液学 血液学
- 牙科植入物学 牙科植入物学
背景情况:
- 流血障碍对牙植入物安置构成挑战.
- 这些类别包括先天性凝血障碍 (CCD),抗血小板诱导出血障碍 (APBD) 和抗凝血剂诱导出血障碍 (ACBD).
研究的目的:
- 对患有出血障碍的患者的牙植入术的证据进行审查.
- 为管理这些患者的临床医生提供实际建议.
主要方法:
- 在主要数据库 (PubMed/MEDLINE,Scopus,Web of Science,Cochrane Library) 进行了全面的文献搜索,截至2022年7月.
- 包括的研究类型包括病例报告,系列,队列,截面,病例控制,审查,共识报告,调查和动物研究.
主要成果:
- 确定了17篇关于CCD,14篇关于APBD和26篇关于ACBD的文章.
- 治疗方法各不相同:CCD可能需要输血凝固因子,APBD通常允许继续治疗,ACBD需要基于特定抗凝剂的管理.
结论:
- 牙植入物可以安全地放置在患有出血障碍的患者身上.
- 强制性措施包括彻底的手术前评估和实施局部和术后出血控制策略.
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