管理牙髓并发症:牙髓病并发症的管理:病理生理学和发作期的治疗。

Mona Meshkin, Rebekah Lucier Pryles, Brooke Blicher
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引用次数: 0

摘要

根管治疗的核心是挽救患者的牙齿。非手术根管治疗和非手术再治疗可以说是牙髓病学的 "面包和黄油",它们不仅有利于保护天然牙,而且在许多情况下还能减轻疼痛。大多数患者在接受牙髓治疗时都希望症状能得到缓解。然而,其中一小部分患者的经历却恰恰相反。在 48 到 72 小时内,这些患者的症状会加重,包括肿胀和疼痛,他们可能会想知道在治疗过程中发生了什么意外。这些症状的加重被称为牙髓病发作,在文献中也有详细的记载。在大多数情况下,它们的发生并不反映从业人员缺乏判断力或技能,而是由于细菌群落的微妙平衡发生了变化以及根尖周的炎症事件导致的生物事件。这篇文章回顾了牙髓病发作的病理生理学和治疗方法,从而为围绕这些事件的患者沟通策略提供信息,以保护相关牙齿和患者关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Managing Endodontic Complications: The Pathophysiology and Treatment of Flare-ups.

At its core, endodontics is a specialty centered on saving patients' teeth. Nonsurgical root canal therapy and nonsurgical retreatment, arguably the "bread and butter" of endodontics, not only facilitate the preservation of the natural dentition, but in many cases, alleviate pain. Most patients arrive for endodontic treatment expecting symptom relief. A small percentage of these patients, however, experience just the opposite. Within 48 to 72 hours, these select patients experience worsening symptoms, including swelling and pain, and may wonder what mishaps may have occurred during their treatment. These symptom exacerbations are referred to as endodontic flare-ups and are well-documented in the literature. In most cases their occurrence does not reflect a lack of practitioner judgment or skill, but rather a biologic event resulting from a shift in the delicate balance of the bacterial communities and inflammatory events at the periapex. This article reviews the pathophysiology and treatment of endodontic flare-ups, thereby informing patient communication strategies surrounding these events, to preserve both the teeth in question as well as patient relationships.

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