J Int Med Res:白塞氏病伴重度牙周炎患者的牙周治疗——病例报道

2018-04-01 MedSci MedSci原创

白塞氏病是一种病因不明的全身性疾病,可侵犯多个器官系统,其特征是反复发作的口腔溃疡以及眼部、生殖器和皮肤损伤。口腔溃疡会影响患者刷牙并影响口腔卫生。其结果是,牙齿表面生物膜积聚,牙齿和牙周组织的状况恶化。本病例报告的目的是强调牙周治疗对白塞氏病患者的疗效。患者男性,51岁,白塞氏病患者伴有广泛的严重牙周炎。牙周基础治疗后,对其存在骨缺损的几个部位进行牙周手术。然而,患者在牙周手术后出现严重的口腔粘

白塞氏病是一种病因不明的全身性疾病,可侵犯多个器官系统,其特征是反复发作的口腔溃疡以及眼部、生殖器和皮肤损伤。口腔溃疡会影响患者刷牙并影响口腔卫生。其结果是,牙齿表面生物膜积聚,牙齿和牙周组织的状况恶化。本病例报告的目的是强调牙周治疗对白塞氏病患者的疗效。

患者男性,51岁,白塞氏病患者伴有广泛的严重牙周炎。牙周基础治疗后,对其存在骨缺损的几个部位进行牙周手术。然而,患者在牙周手术后出现严重的口腔粘膜和牙龈溃疡。经抗微生物剂头孢地尼治疗后并无好转,然而,随后使用西他沙星则明显改善了患者的溃疡状况。

本病例表明,牙周治疗对缓解白塞氏病口腔症状和体征非常有用。使用西他沙星(而非头孢地尼)进行全身抗生素治疗和机械清创可有效预防牙周手术后阿弗他溃疡暴发的复发。

原始出处:

Morikawa S, Ouchi T, et al., Treatment of severe generalized chronic periodontitis in a patient with Behçet's disease: A case report. J Int Med Res. 2018 Jan 1:300060518762267. doi: 10.1177/0300060518762267. 

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    2018-04-02 wxl882001

    学习一下

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1934341, encodeId=9a0119343414f, content=<a href='/topic/show?id=5d1195823b1' target=_blank style='color:#2F92EE;'>#重度牙周炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95823, encryptionId=5d1195823b1, topicName=重度牙周炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a35a460, createdName=fengyi812, createdTime=Fri Dec 21 03:17:00 CST 2018, time=2018-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1450850, encodeId=2eea14508501c, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab585558129, createdName=liuyong2982, createdTime=Tue Apr 03 10:17:00 CST 2018, time=2018-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493521, encodeId=e5b614935214c, content=<a href='/topic/show?id=dc4c6e51457' target=_blank style='color:#2F92EE;'>#牙周治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67514, encryptionId=dc4c6e51457, topicName=牙周治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc259064725, createdName=cooco, createdTime=Tue Apr 03 10:17:00 CST 2018, time=2018-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1608706, encodeId=0e541608e062c, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Tue Apr 03 10:17:00 CST 2018, time=2018-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=302096, encodeId=469b30209659, content=学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Mon Apr 02 18:35:29 CST 2018, time=2018-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=301793, encodeId=d862301e93c2, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sun Apr 01 20:12:01 CST 2018, time=2018-04-01, status=1, ipAttribution=)]
    2018-04-01 天地飞扬

    了解一下.谢谢分享!

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