抗吸收药物对骨整合牙科植入物的影响:系统性审查
Joyce Tin Wing Li1, Yiu Yan Leung1
1Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Journal of clinical medicine
|April 13, 2024
概括
抗吸收药物显著增加牙植入物失败,主要是由于与药物相关的骨缩 (MRONJ). 早期监测和良好的口腔健康对于服用这些药物的患者至关重要.
科学领域:
- 口腔和牙面部外科手术
- 牙科植入物学 牙科植入物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗吸收药物广泛用于骨质疏松症和癌症治疗.
- 这些药物可以影响骨代谢和愈合.
- 牙科植入物周围的潜在并发症需要进行彻底的调查.
研究的目的:
- 系统地审查抗吸收药物治疗对骨整合牙植入物的影响.
- 评估抗吸收药物和与药物相关的下骨硬化 (MRONJ) 之间的关联.
主要方法:
- 在多个数据库和期刊中进行系统的文献搜索.
- 用于选择相关研究的纳入标准.
- 来自8项研究的数据分析,涉及135名受试者的445个植入物.
主要成果:
- 在服用抗吸收药物后,在牙科植入物中观察到23%的失败率.
- 与药物相关的下巴骨髓缩 (MRONJ) 占这些植入器失败的83%.
- 在开始抗吸收药物治疗后大约34个月,MRONJ发生,大多数病例被归类为第二阶段.
结论:
- 抗吸收药物对牙植入物成功有很大的负面影响,而MRONJ是导致失败的主要原因.
- 周植入炎可能起到MRONJ发展的触发作用.
- 密切监测,良好的牙周健康状况和患者教育对于在牙科植入物患者中管理MRONJ风险至关重要.
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