对使用双膦酸盐患者进行规范化口腔治疗的研究进展

来源 :中华口腔医学杂志 | 被引量 : 0次 | 上传用户:c707569552
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双膦酸盐(bisphosphonate)是一类抗骨吸收药物,广泛应用于骨质疏松、恶性肿瘤骨转移等骨疾病的治疗,其严重的不良反应是发生药物相关性颌骨坏死(medication-related osteonecrosis of the jaw,MRONJ),临床表现为颌骨疼痛、骨面裸露、坏死等,严重影响患者口腔及全身健康。口腔诸多治疗均为侵入性操作,可能影响使用双膦酸盐患者的颌骨改建,引发MRONJ。对使用双膦酸盐的患者进行口腔治疗时,应规避MRONJ的危险因素,规范操作,降低MRONJ的发生风险。本文就使用双膦酸盐的患者如何进行规范化口腔治疗的研究进展作一综述,以期为口腔临床提供参考。“,”Bisphosphonate (BP), a group of anti-resorptive drugs, has been widely used for the treatments of osteoporosis and metastatic bone diseases. Medication-related osteonecrosis of the jaw (MRONJ), a serious well-recognized complication of patients receiving BP, adversely affects patients′ oral health and quality of life. Its clinical signs include pain, bone exposure and necrosis of the jaws. Invasive oral treatments, which may affect the repair of jaws in patients using BP, could cause the occurrence of MRONJ. Therefore, it is important to avoid the risk factors of MRONJ and to standardize the operations in order to reduce the occurrence of MRONJ in oral treatments for patients receiving BP. After reviewing the related literature, this article aims to conclude the research progress on the standardized oral treatments of patients receiving BP and to provide clinical instructions for clinicians to treat these patients.
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