在接受慢性皮质类固醇治疗狼发疹患者的患者中进行缩放和根植规划
Payam Mirfendereski1, Rogan Magee2, Katherine France1
1Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA.
牙科提供者必须识别系统性红斑狼 (SLE) 的口腔症状. 接受皮质类固醇治疗的SLE患者面临感染和牙周炎的风险增加,影响牙科治疗决策.
科学领域:
- 口服药是一种口服药.
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 系统性红斑狼 (SLE) 呈现出各种口腔表现.
- 患有SLE的患者经常接受慢性皮质类固醇治疗,影响口腔健康.
- 狼性炎和抗脂综合征等并发症需要仔细的牙科管理.
研究的目的:
- 为牙科提供者提供有关SLE患者口腔健康考虑的信息.
- 为了突出与SLE患者使用皮质类固醇相关的风险.
- 为SLE患者指导牙科治疗计划,考虑全身并发症.
主要方法:
- 关于SLE口腔表现的当前文献的综述.
- 对SLE治疗对牙科护理的影响分析.
- 讨论特定的临床情景和管理策略.
主要成果:
- SLE的口腔表现可能包括各种病变和对感染的敏感性增加.
- 对SLE的皮质类固醇治疗增加了牙周炎和机会性口腔感染的风险.
- 分析了SLE的全身并发症及其对牙科手术的影响.
结论:
- 牙科提供者需要了解SLE的口腔表现和治疗影响.
- 在牙科中SLE患者的管理需要考虑皮质类固醇的使用和全身性疾病活动.
- 在慢性皮质类固醇治疗的SLE患者的牙科手术中,通常不需要补充类固醇.
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