持续的牙出血与牙周疾病有关
Yosuke Iijima1, Miki Yamada1, Takumi Takahashi1
1Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, JPN.
Cureus
|January 22, 2025
概括
与牙周病 (PD) 相关的持续性牙出血 (PGB) 在老年人中很常见,特别是那些服用血液稀释剂或高血压的人. 定期的牙科护理对于预防至关重要.
科学领域:
- 在口腔外科手术.
- 牙周病学 牙周病学
- 内部医学 内部医学
背景情况:
- 与牙周病 (PD) 相关的持续性牙出血 (PGB) 是晚上和夜间访问口腔外科诊所的常见原因.
- 对于PD-PGB存在有限的表征,需要进行详细的调查.
研究的目的:
- 对患者进行详细的表征,呈现与牙周病 (PD) 相关的持续性牙出血 (PGB).
- 确定与PD-PGB相关的人口,系统和临床因素.
主要方法:
- 在2014年1月至2022年12月期间治疗的295名非创伤性牙出血 (GB) 患者的回顾性分析.
- 收集了人口统计数据,全身疾病和出血特征.
- 与对照组 (关节脱和轻微创伤患者) 的比较.
主要成果:
- 91名患者 (30.1%) 被诊断出患有PD-PGB.
- 在60岁以上的患者中,PD-PGB的流行率为93.4%.
- 与对照组相比,PD-PGB患者使用抗凝血剂/抗血小板剂 (57.1%与24.2%) 和高血压 (68.1%与34.1%) 的比例较高.
- 出血主要发生在口袋深度超过4毫米的牙上.
结论:
- PD-PGB,特别是带有深层牙周口袋,在老年人中更为常见.
- 抗凝血剂/抗血小板治疗和高血压显著加剧PD-PGB.
- PD-PGB并不罕见;牙周维护和定期牙科检查是重要的预防策略.
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