国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (6): 621-628.doi: 10.7518/gjkq.2021117

• 专家笔谈 •    下一篇

妊娠期常见口腔感染性疾病的临床诊疗和管理策略

刘程程(),丁一()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙周病科 成都 610041
  • 收稿日期:2021-04-25 修回日期:2021-09-02 出版日期:2021-11-01 发布日期:2021-10-28
  • 通讯作者: 丁一
  • 作者简介:刘程程,副教授,博士,Email： <email>liuchengcheng519@163.com</email> <br/>刘程程,四川大学华西口腔医院牙周病科副教授、硕士研究生导师。四川大学华西口腔医学院与美国路易斯维尔大学牙学院联合培养博士,美国路易斯维尔大学牙学院博士后。四川省口腔医学会激光医学专业委员会常务委员,四川省口腔医学会牙周病学专业委员会委员。从事牙周病的医疗、教学和科研工作。 <br/>主要研究领域为牙周炎与全身健康相关机制。主持国家自然科学基金青年科学基金和四川省科技厅科技创新苗子工程等科研项目5项,参与国家重点研发计划国际科技合作项目、973计划前期研究专项课题及国家自然科学基金项目等10余项;在国内外相关学术期刊上发表论文40余篇,其中第一作者或通信作者20余篇;参编学术著作5部。擅长牙周病的多学科综合治疗、微创治疗及牙周引导组织再生术等手术治疗。2015年10月获第4届口腔生物医学优秀青年研究奖,2016年6月获国际牙科研究会年会Arnold Bleiweis Travel Award。
  • 基金资助:
    国家自然科学基金面上项目(82071121)

Clinical diagnosis, treatment, and management strategies of common oral infectious disease during pregnancy

Liu Chengcheng(),Ding Yi()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-04-25 Revised:2021-09-02 Online:2021-11-01 Published:2021-10-28
  • Contact: Yi Ding
  • Supported by:
    National Natural Science Foundation of China(82071121)

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摘要：

口腔感染性疾病是妊娠期最常见的疾病之一。出于对安全风险和治疗效果不确定的考虑,部分临床医师选择拒绝或推迟妊娠期间口腔疾病的治疗。实际上,作为孕期健康的重要组成部分,对妊娠期口腔疾病的合理干预有利于患者的身心健康,并可以减少口腔致病菌的母婴传播。因此,建议在遵循安全性、必要性、舒适化和多学科合作等原则的前提下,选择合适的时机,根据妊娠期患者生理的特殊性,防治并行,对口腔感染性疾病进行科学规范的管理。本文通过梳理现有的相关文献和证据,对妊娠期常见口腔感染性疾病临床管理的要点进行归纳分析,以期为实施妊娠期口腔局部感染安全而有利的管理决策提供参考。

关键词: 妊娠期, 口腔感染, 牙周感染, 龋病, 牙髓感染, 第三磨牙冠周炎

Abstract:

Oral infectious disease is one of the most common diseases during pregnancy. However, some dentists choose to refuse or postpone treatment of oral diseases during pregnancy due to concerns about safety and uncertain outcomes. As an important part of pregnancy health, proper intervention on oral diseases during pregnancy is beneficial to the physical and mental health of patients and may reduce the mother-to-child transmission of oral pathogens. Therefore, under the premise of following the principles of safety, necessity, comfort, and multidisciplinary cooperation, scientific and standardized management of oral infectious diseases is thus recommended. This strategy requires choosing the right time, according to the specific physiological characteristics of the patient during pregnancy. Prevention and treatment should also be carried out. In this paper, we summarize existing relevant literature and evidence and analyze the main points of the clinical management of common oral infectious diseases during pregnancy. We aim to provide a reference for the implementation of safe and favorable management decisions for oral infections during pregnancy.

Key words: pregnancy, oral infections, periodontal infection, dental caries, pulp infection, pericoronitis of the third molar

中图分类号: 

  • R78
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