牙医患有慢性周周病变的急性恶化:一篇自传病例报告
Ramya Sekar1, Thangadurai Maheswaran2, Mathimaraiselvan Chittrarasu3
1Oral, Maxillofacial Pathology and Oral Microbiology, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, IND.
Cureus
|February 5, 2026
概括
这一案例突出了急性周周腹的快速内牙干预. 它还探讨了 analgesic 策略,强调个性化,基于症状的处方在固定持续时间的牙痛管理.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 药理学 药理学是指药理学的学科.
背景情况:
- 慢性近牙病理的急性恶化需要与药物治疗一起迅速进行手术或内牙干预.
- 对于急性牙痛的止痛药的最佳选择,升级和旋转并未得到充分确立.
- 一位有牙创伤史的牙医呈现出来自非重要牙的严重急性疼痛,并出现慢性周围牙颗粒瘤.
研究的目的:
- 报告一种急性围牙病理病例,通过内牙干预来管理,并探索止痛药管理的作用.
- 讨论患者自我指导的止痛剂升级和降低升级策略.
- 考虑在急性牙痛性疼痛中对止痛剂旋转的概念.
主要方法:
- 一名39岁的男性牙医自行治疗,服用不断增加的止痛药剂,包括黄,布洛芬,阿塞克洛芬和埃托利可西布,以及抗生素 (阿莫西西林,美特罗尼达).
- 在第三天进行了牙周内接入,从而带来了立即的疼痛缓解和最小的排水.
- 牙周内治疗包括留下道开放,用氧化药物治疗,最后用gutta-percha和氧化-eugenol密封剂进行封闭.
主要成果:
- 在内牙科干预后,获得了即时和完全的疼痛缓解.
- 随访三年后,没有发现症状复发.
- 该案例说明了症状驱动的止痛调整,并提出了关于止痛旋转在急性牙痛中有用性的问题.
结论:
- 及时的内牙干预是急性围牙腹的首要治疗方法.
- 对急性牙痛的止痛药的处方应该是个性化和基于症状的,轮换要谨慎考虑.
- 镇痛剂在急性口腔疼痛中的作用有限,特别是在具有类似不良特征的非类固醇抗炎药物 (NSAIDs) 中.
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