妊娠期口腔急症的临床考量

张雪峰, 刘显, 刘畅, 华成舸

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华西口腔医学杂志 ›› 2024, Vol. 42 ›› Issue (2) : 142-153. DOI: 10.7518/hxkq.2024.2023367
特约述评

妊娠期口腔急症的临床考量

  • 张雪峰, 刘显, 刘畅, 华成舸()
作者信息 +

Clinical considerations of emergent oral manifestations during pregnancy

  • Zhang Xuefeng, Liu Xian, Liu Chang, Hua Chengge()
Author information +
History +

摘要

妊娠期是口腔疾病患病和治疗的特殊时期,妊娠期发生的口腔急症需得到恰当的处置。一方面,孕妇生理环境、个人习惯的改变增加了部分口腔疾病的易患性;另一方面,为了保证孕妇和胎儿安全,临床治疗策略局限。孕妇应掌握口腔健康知识、增强口腔保健意识。口腔医生应在“孕前预防,孕期治标,孕后治本”的原则下,根据不同的妊娠时期制定合适的治疗方案,以最安全、简单、有效的手段控制急症、防止疾病进展,避免对孕妇和胎儿的不良影响。防治结合,让孕妇和口腔医生共同维护妊娠期口腔健康。本文围绕妊娠期治疗原则,对妊娠期口腔急症治疗的时机选择、临床管理和不同疾病的治疗策略等进行了总结。

Abstract

Pregnancy is a special period for developing and treating oral diseases. Oral emergencies during pregnancy need to be handled appropriately. Changes in the physiological environments and personal habits of pregnant women increase susceptibility to some oral diseases. However, clinical treatment strategies are limited due to the need to ensure the safety of pregnant women and fetuses. Pregnant women should obtain oral health knowledge and enhance their awareness. Dentists should adhere to the principle of “prevention before pregnancy, controlling symptoms during pregnancy, and treating diseases after pregnancy” for different pregnancy periods. They should also formulate appropriate treatment plans to control emergencies, prevent disease progression, and avoid harmful effects on pregnant women by using the safest, simplest, and most effective strategies that avoid adverse effects on fetuses. Pregnant women and dentists should combine prevention and treatment while collaborating in maintaining oral health during pregnancy. This article focuses on the principles of treatment during pregnancy, and the treatment timing, clinical management, and treatment strategies of different diseases causing oral emergencies during pregnancy are reviewed.

关键词

妊娠期 / 口腔疾病 / 急症 / 治疗时机 / 临床管理 / 治疗策略

Key words

pregnancy / oral diseases / emergency / treatment timing / clinical management / treatment strategy

中图分类号

R78

引用本文

导出引用
张雪峰, 刘显, 刘畅, 华成舸. 妊娠期口腔急症的临床考量. 华西口腔医学杂志. 2024, 42(2): 142-153 https://doi.org/10.7518/hxkq.2024.2023367
Zhang Xuefeng, Liu Xian, Liu Chang, Hua Chengge. Clinical considerations of emergent oral manifestations during pregnancy. West China Journal of Stomatology. 2024, 42(2): 142-153 https://doi.org/10.7518/hxkq.2024.2023367

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四川大学华西口腔医院临床研究项目(LCYJ2019-7)

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