摘要
目的探讨血液肿瘤病患儿在化疗前或化疗间歇期进行牙科治疗的可行性及安全性。方法对24例由血液肿瘤科转诊至口腔科的、血象达标的血液肿瘤患儿,进行龋齿充填、牙髓拔除术、根管治疗术、拔牙术、窝沟封闭、涂氟防龋等治疗,记录治疗前、治疗中、治疗后的牙齿及全身情况,并进行分析总结。结果所有病例在牙科治疗中及治疗后均未发生血液病并发症及不良反应。74颗充填治疗的牙齿在观察期内出现继发龋9颗(12.16%),充填物脱落或崩折共6颗(8.11%),8颗根尖周炎患牙进行根管治疗,有1颗(12.5%)治疗失败,14例拔牙病例中,仅有1例(7.14%)术后出现发热。结论只要血象达标,选好适应证,遵循原则治疗,血液肿瘤患儿的牙科治疗是可行和安全的;治疗后需保持良好口腔卫生,定期复诊,做窝沟封闭和涂氟治疗,可达到良好的远期效果。
Objective To evaluate the safety of dental treatment before and during chemotherapy in pediatric patients with hematologic malignancies. Methods The study included 24 pediatric patients with hematologic malignancies to be scheduled dental treatment, including caries treatment, pulpectomy, root canal therapy, tooth extraction and fissure sealant, etc, before and during chemotherapy under the certain blood condition. We analyzed the systemic and local reflections, pain, fever and other complications. Results All the dental treatment were performed successfully without any complication at all times. Of 74 caries filling, the emergence of secondary caries was 12.16%, and that of restoration falling was 8.11%. Of 8 primary teeth with periapical disease, 1 tooth failed after root canal therapy. Of 14 extraction cases, only one case took fever. Conclusion As long as the hematologic values are within the suggested range, dental treatments are safe in pediatric patients with hematologic malignancies.
出处
《现代口腔医学杂志》
CAS
CSCD
2014年第1期14-17,共4页
Journal of Modern Stomatology
关键词
血液肿瘤
化疗前
化疗间歇期
拔牙
根管治疗
Hematologic malignancies Chemotherapy Tooth extraction Root canal therapy
