Association between Steroid Anti-Inflammatory Drugs and Oral-Dental State- A Literature Review

T. Borisova
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Abstract

It has been established that people accepting oral corticosteroids often suffer from lack of teeth or are characterized with caries-non-resistant dentition. Corticosteroids can affect the consistency of alveolar bone, causing its osteoporotic alteration related to reduction of osteoblasts and amount of osteoid matrix. Parallel to the application of corticosteroids, there is a tendency of decrease of the height of alveolar bone and fibrous transformation of the periodontal space. There can be established severe loss of supporting alveolar bone. Corticosteroids therapy interrelates to enhanced potential for clinical manifestation of alterations of taste sensation, periodontitis, gingivitis, ulceration, candidiasis, tooth decay, xerostomia.
类固醇抗炎药与口腔-牙齿状况的关系——文献综述
已经确定,接受口服皮质类固醇的人通常患有缺牙或具有龋齿无抗性的特征。皮质类固醇可影响牙槽骨的一致性,导致其骨质疏松性改变,与成骨细胞减少和类骨基质数量减少有关。在使用皮质类固醇的同时,有牙槽骨高度降低和牙周间隙纤维转化的趋势。可以确定有严重的牙槽骨缺损。皮质类固醇治疗与味觉改变、牙周炎、牙龈炎、溃疡、念珠菌病、蛀牙、口干等临床表现的潜在增强相关。
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