基于证据的管理孤立的dentoalveolar骨折:一个系统的审查
Samriddhi Burman1, Babu Lal1, Ragavi Alagarsamy2
1Department of Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, India.
概括
牙气囊外伤管理需要及时干预. 本综述强调了为患有牙骨折的儿科和成人患者的最佳 splinting 和治疗时间表.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 创伤护理 创伤护理
背景情况:
- 牙气囊 (DA) 创伤是一种常见的紧急情况,通常涉及牙,骨和软组织.
- 紧急医生可能缺乏专业知识,导致DA骨折的治疗延迟.
- 孤立的DA骨折的最佳管理需要了解干预时间和 splinting.
研究的目的:
- 系统地审查关于孤立牙骨髓骨折的文献.
- 强调儿童和成人患者的干预时间和 splinting 技术和持续时间.
- 提供基于证据的指导,用于管理dentoalveolar创伤.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed,谷歌学者,语义学者和科克兰图书馆 (1980-2022) 中进行了搜索.
- 分析了26项专注于人口统计,病因学,诊断,治疗时间表和儿科 (2-12岁) 和成人 (>12岁) 患者群体的结果的研究.
主要成果:
- 跌倒是常见的原因,经常影响前大.
- 在24小时内 (儿科) 或48小时内 (成人) 立即管理 (移植,重新定位, splinting) 是至关重要的.
- 复合树脂结合的板经常被使用;内牙治疗时间表因年龄而异.
结论:
- 量身定制的治疗牙脉创伤是必不可少的.
- 考虑患者的年龄,牙发育,受伤以来的时间以及可用的资源.
- 及时干预和适当的 splinting 改善牙骨折的结果.
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