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在使用计算机控制局部麻醉输送系统进行内关节麻醉后,前关节的发育障碍:儿童的八年随访研究
Khlood Baghlaf1, Sara M Bagher1, Rana A Alamoudi1
1Pediatric Dentistry, King Abdulaziz University, Jeddah, SAU.
Cureus
|January 23, 2024
概括
使用计算机控制局部麻醉输送系统 (CCLAD) 进行关节内麻醉 (ILA) 并没有增加永久前的发育障碍. 通过CCLAD缓慢的ILA给药对牙发育是安全的.
科学领域:
- 牙科 牙科是指牙科的专业.
- 儿科牙科 儿科牙科
- 麻醉学 麻醉学
背景情况:
- 通过计算机控制局部麻醉输送系统 (CCLADS) 进行的下关节内麻醉 (ILA) 是传统下膜神经阻塞 (IANB) 的替代方案.
- 人们担心,在牙发育过程中,麻醉剂在牙附近沉积,可能会对永久牙芽造成损害.
研究的目的:
- 使用CCLADS评估永久第二前中发育障碍的患病率,其牙芽暴露于下ILA后.
- 为了比较ILA与CCLADS和传统IANB之间的发育缺陷发生率.
主要方法:
- 随机临床试验队列的纵向随访.
- 收集的数据包括麻醉类型 (ILA与CCLADS,IANB与CCLADS,传统IANB),患者人口统计和牙科并发症史.
- 在后续访问中评估了永久前的发育障碍.
主要成果:
- 在40名参加随访的儿童中,只有2名儿童表现出发育缺陷.
- 一个接受传统IANB治疗的孩子的面膜不透明 (有史).
- 一名接受ICLA与CCLADS治疗的儿童表现出前细胞低成形. 在麻醉类型和缺陷之间没有发现显著的关联.
结论:
- 在母牙中通过CCLADS缓慢地注射ILA似乎不会增加永久牙芽发育障碍的风险.
- 这种技术是儿童牙科麻醉的潜在安全替代品.
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