不治愈的提取插座:一般牙医的诊断挑战
Abdouldaim Ukwas1, Ahmed Elbego2, Mahmoud Albego2
1UCL Eastman Dental Institute, University College London, United Kingdom. abdouldaim.ukwas.09@ucl.ac.uk.
British dental journal
|December 20, 2024
概括
不治愈的提取插座可能表明严重的潜在疾病,如癌症或与药物相关的下巴骨髓缩. 牙医应该对这些罕见但重要的病例保持警.
科学领域:
- 口腔和牙面部外科手术
- 牙科医学 牙科医学
- 在瘤学瘤学.
背景情况:
- 在英国,每年都会进行超过1800万次拔牙手术.
- 大多数抽出插座都能毫不费力地愈合.
- 很少有抽出插座在数周或数月内无法愈合.
研究的目的:
- 审查非愈合的提取插座的情况.
- 为了确定非愈合口与全身性疾病,恶性瘤或全身性治疗副作用之间的联系.
主要方法:
- 在PubMed,Embase,Scopus,ProQuest和谷歌学者的系统文献搜索.
- 搜索术语:"非治愈的提取插座".
- 结果仅限于英语的人类研究.
主要成果:
- 确定了50例没有愈合的提取位 (28名女性,22名男性;平均年龄为55.2岁).
- 在所有病例中,总共拔出了71颗牙.
- 恶性瘤 (原发性和转移性) 是最常见的诊断,其次是与药物相关的骨.
结论:
- 不治愈的抽取插座可能是未被诊断的严重系统性疾病或恶性瘤的迹象.
- 牙医必须保持警持续的非愈合的提取插座.
- 这些病例可能是显著潜在病理的早期指标.
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