拔牙过程中遗传性出血性疾病的并发症及处理:系统文献综述。

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
eJournal of Oral Maxillofacial Research Pub Date : 2021-06-30 eCollection Date: 2021-04-01 DOI:10.5037/jomr.2021.12201
Olga Grigorita, Loran Omer, Gintaras Juodzbalys
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引用次数: 1

摘要

目的:系统的文献综述旨在评估患有遗传性出血性疾病的拔牙患者,了解止血药物的类型、剂量和给药方式,以确保手术内和术后的安全效果。材料和方法:在MEDLINE (PubMed)数据库和Cochrane图书馆中检索2010年1月1日至2020年10月31日发表的英文文章。在审议全文文章之前,要对标题和摘要进行筛选。结果:共筛选到78篇文献,其中3篇符合必要标准,纳入本综述。轻微的并发症,如术后从眼眶出血和鼻出血,被观察到,但他们解决了适当的医疗护理。无重大致命并发症报告。一般来说,所有的文章都提供了血液病学家和外科医生制定正确治疗计划的成功提取的证据。结论:现有的临床试验表明,局部和全身止血联合治疗可有效预防凝血疾病患者拔牙时出血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Complications and Management of Patients with Inherited Bleeding Disorders During Dental Extractions: a Systematic Literature Review.

Complications and Management of Patients with Inherited Bleeding Disorders During Dental Extractions: a Systematic Literature Review.

Objectives: The systematic literature review aims to assess patients' dental extraction with inherited bleeding disorders, to understand the type, dosage, and modality of administration of the haemostatic agents for safe intra- and postoperational results.

Material and methods: The search was undertaken in MEDLINE (PubMed) databases and Cochrane library for articles published in English from 1 January, 2010 till 31 October, 2020. Before the full-text articles were considered, titles and abstracts were screened.

Results: A total of 78 articles were screened, from which 3 met the necessary criteria and were used for the review. Minor complications, such as postoperative bleedings from the socket and epistaxis, were observed, but they were resolved with proper medical care. No major fatal complications were reported. Generally, all the articles provided evidence of successful extractions with correct treatment plans made by haematologists and surgeons.

Conclusions: Available clinical trials demonstrate that local and systemic haemostatic therapies in combination are effective in preventing bleeding during dental extractions in patients with coagulopathies.

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