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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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常见的口腔疾病:一个回顾
Eric T Stoopler1, Alessandro Villa2, Mohammed Bindakhil3,4
1Penn Dental Medicine, Philadelphia, Pennsylvania.
JAMA
|March 26, 2024
概括
口腔干燥,口腔候群和口腔是影响生活质量的常见口腔问题. 第一线治疗包括非处方药,局部抗真菌药和局部皮质类固醇,对于持续的病例有全身治疗的选择.
科学领域:
- 口腔医学
- 皮肤病学
- 传染性疾病
背景情况:
- 口腔干燥,口腔白血病和复发性口腔是普遍存在的口腔疾病,导致显著的不适和生活质量下降.
- 这些情况与各种因素有关,包括药物使用,放射治疗,免疫抑制,营养缺乏,以及诸如Sjögren和腹腔疾病等全身性疾病.
研究的目的:
- 审查口腔干燥,口腔角膜炎和复发性口腔的患病率,危险因素和治疗策略.
- 强调及时诊断和适当治疗这些常见的口腔疾病的重要性.
主要方法:
- 对26项基于人口的队列和横截面研究进行的口腔干燥流行情况的元分析.
- 对口腔干燥和口腔疹风险的6个观察队列的元分析.
- 对复发性口腔炎的遗传因素,营养缺陷和系统关联的病例对照研究的元分析.
主要成果:
- 全球口腔干燥症状的患病率为23%,口腔疹风险增加了11.5%.
- 口服白病在免疫抑制的个体中更常见,并且与抗生素使用有关.
- 复发性口腔炎与特定的基因多态,营养缺乏 (B12,叶酸,费里丁) 和腹腔疾病有关.
结论:
- 有效治疗口腔干燥,口腔候群和口腔对于患者的健康至关重要.
- 第一线治疗包括非处方药,局部抗真菌药和局部皮质类固醇.
- 对于那些对初始治疗没有反应的口服疾病,系统性药物可能是必要的.
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