牙漂白引起的化学疼痛创伤后三角神经病变:一个病例报告
Ashley Lebel1,2, Tal Wizman1, Géraldine Lescaille1,2
1Service Odontologie, Hôpital Pitié Salpêtrière, Paris, France.
Journal of clinical and experimental dentistry
|February 5, 2024
概括
一个罕见的神经性疼痛病例发生在使用碳胺过氧化物美白牙后. 用 gabapentin 治疗成功地解决了严重的神经疼痛,为管理这种不良影响提供了见解.
科学领域:
- 牙科 牙科是指牙科的专业.
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 牙美白是一种常见的牙科手术.
- 碳胺过氧化物是用于关键牙的主要美白剂.
- 这一案例突出了碳胺过氧化物的罕见不良影响.
研究的目的:
- 报告一种罕见的碳胺过氧化物用于牙美白的不良反应.
- 描述了经过漂白手术后的神经病痛的诊断和成功管理.
- 讨论化学诱导的神经病变的潜在病理生理机制和治疗策略.
主要方法:
- 一个29岁的病人经历了严重的神经病变疼痛后,氧化碳漂白的病例报告.
- 临床检查显示,没有明显的病变或创伤.
- 确立了化学起源的疼痛性创伤后三角神经病变 (PTTN) 的诊断.
- 治疗包括每天900毫克的抗 gabapentin.
主要成果:
- 该患者出现了严重的神经病痛,这种疼痛归因于10%的碳胺过氧化物漂白治疗.
- 加巴丁治疗导致疼痛的逐渐减少,最终完全消失.
- 没有明显的病变或创伤事件被确定为疼痛的原因.
结论:
- 碳胺过氧化物应用可能会导致神经损伤,导致神经病痛.
- 化学来源的疼痛性创伤后三角神经病变 (PTTN) 是牙美白的可能不良影响.
- 用 gabapentin 成功管理为类似病例提供了潜在的治疗方法.
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