臼齿切牙低矿化患者评估:综合口腔、临床记录和行为评估。

Monographs in oral science Pub Date : 2024-01-01 Epub Date: 2024-07-01 DOI:10.1159/000538872
Manuel Restrepo, Aline Leite de Farias, Juan Manuel Cárdenas, Diego G Bussaneli, Kasandra Verónica Yupanqui, Lourdes Santos-Pinto
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引用次数: 0

摘要

全面评估臼齿切牙矿化不足(MIH)需要将病史和临床数据结合起来,以进行诊断、制定护理计划和预测预后。病史可揭示缺陷与时间、患者期望和对生活质量的影响之间的关系。临床研究强调了黄褐色不透明的后发症,突出了识别风险因素的重要性。对与 MIH 相关的临床特征进行分类和记录至关重要,这有助于对患者进行纵向随访。对龋齿病变、口腔卫生和疼痛的评估可为护理计划提供指导。根据MIH和相关症状的严重程度,可能需要进行口腔内X光检查和锥形束计算机断层扫描。在计划拔牙的情况下,则需要口外X光片、照片和研究模型。对生活质量、美学感知、牙科恐惧和焦虑的评估为了解患者的情绪状态提供了宝贵的视角,并为移情治疗提供指导。积极的牙科治疗体验建立在与患者的沟通、信任和正确使用行为引导技术的基础上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Molar Incisor Hypomineralisation Patient Assessment: Comprehensive Oral, Clinical Records and Behavior Evaluation.

Comprehensively evaluating molar incisor hypomineralisation (MIH) involves the integration of anamnesis and clinical data to diagnose, create a care plan, and predict prognoses. Anamnesis reveals relationships between defects and time, patient expectations, and impacts on the quality of life. Clinical studies emphasize posteruptive breakdown in yellow-brown opacities, highlighting the importance of identifying risk factors. The classification and recording of the clinical features associated with MIH are essential and allow for the longitudinal follow-up of the patient. Assessment of dental caries lesions, oral hygiene, and pain guides the care plan. Depending on the severity of MIH and associated symptoms, intraoral radiographs and cone beam computed tomography may be necessary. In cases of scheduled extractions, extraoral radiographs, photographs, and study models are indicated. Evaluations of the quality of life, aesthetic perception, and dental fear and anxiety provide valuable insights into the patient's emotional status and guide empathetic practice. A positive dental experience is based on communication with the patient, trust, and the proper use of behavior guidance techniques.

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