复杂或罕见遗传出血障碍患者的牙科管理
Lochana Nanayakkara1,2, Norjehan Yahaya3, Miryam Parreira4,5
1Department of Restorative Dentistry, Royal London Hospital, BartsHealth NHS Trust, London, UK.
概括
新的牙科技术,包括低水平激光疗法和单一牙麻醉 (STA),改善了遗传性出血障碍 (IBD) 患者的血静,减少了住院治疗的需要.
科学领域:
- 血液学 血液学 血液学
- 牙科 牙科是指牙科的专业.
- 医疗技术 医疗技术 医学技术
背景情况:
- 血液学疗法的进步增加了复杂或罕见遗传出血障碍 (IBD) 患者的寿命和改善了生活质量.
- 不断发展的牙科管理策略对于解决IBD患者所面临的独特挑战至关重要,特别是关于牙科手术期间出血的风险.
- 在获得先进IBD治疗的全球差异需要专注于牙科专业人员的当地可用的和有效的止血剂和技术.
研究的目的:
- 评估低水平激光二极管疗法在减少手术前炎症的疗效,以改善IBD患者在牙科手术期间的血静.
- 描述单牙麻醉 (STA) 的应用和好处,这是一种计算机控制的注射系统,用于管理IBD患者的牙科护理.
- 突出口腔健康对IBD患者整体生活质量的重要性,并讨论口腔外科手术中与抑制剂相关的挑战.
主要方法:
- 一个由12名患有复杂或罕见IBD的患者进行牙科手术的病例系列.
- 在牙科干预之前,应用低水平激光二极管疗法来减少炎症.
- 在例行牙科手术中使用单牙麻醉 (STA),取代传统的阻塞注射.
主要成果:
- 在所有患者的牙科手术中,成功实现了血静,使他们能够在没有进一步的医疗干预或住院治疗的情况下返回家园.
- 在没有需要额外的静血干预的情况下,STA允许安全有效的牙科手术,即使在之前需要因子替代疗法的情况下也是如此.
- 低水平激光疗法有效降低了炎症,减轻了手术内和术后出血负担.
结论:
- 低水平激光疗法和STA代表了对IBD患者的牙科护理管理的重大进展,改善了血静,减少了复杂医疗支持的需要.
- 这些技术提高了患者的安全性和舒适性,允许在牙科环境中有效执行例行牙科程序.
- 需要进一步的研究来建立新的治疗方案,以在IBD患者的口腔手术中管理抑制剂,强调牙健康在他们的生活质量中的关键作用.
相关概念视频
01:24Disorders of Hemostasis
885
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
885
01:15Teeth
406
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
406
01:28Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
01:30Epistaxis
151
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
151
01:30Anticoagulant Drugs: Low-Molecular-Weight Heparins
690
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
690
01:26Tonsillitis II: Management
110
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
110