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Demographic Factors as Prognostics of Patients’ Morbidity Following Wisdom Tooth Surgery 人口统计学因素作为智齿手术后患者发病率的预后因素
Pub Date : 2022-10-29 DOI: 10.37191/mapsci-2582-3736-4(4)-145
Abdurrahman A Al-Samman
Background: Surgical removal of impacted mandibular third molars is a common procedure in oral and maxillofacial surgical practice with undesirable consequences such as pain and swelling that have a major concern for most patients. This study aimed to investigate the impact of age and gender on postoperative intensity of pain and swelling experienced by patients following mandibular third molar surgery (M3MS).Material and Methods: The study involved 46 patients underwent surgical extraction of mandibular third molar under local anesthesia. The visual analogue scale measured pain and swelling for seven consecutive days after surgery.Results: After M3MS, patients experienced the most pain severity in the day of surgery, while facial swelling reaching a maximum in the first postoperative day. It was found that the influence of age and gender on the intensity of pain and degree of swelling was insignificant.Conclusion: Pain and swelling after M3MS peaked on the day of surgery and the day after respectively with mild to moderate intensity, it subsided gradually to minimal levels on day 7. Short-term outcomes of M3MS with respect to degrees of pain and swelling were found to be similar, and it seems to be independent of both’ age and gender.
背景:手术切除下颌阻生第三磨牙是口腔颌面外科手术中常见的手术,其不良后果如疼痛和肿胀是大多数患者主要关注的问题。本研究旨在探讨年龄和性别对下颌第三磨牙手术(M3MS)后疼痛和肿胀程度的影响。材料与方法:46例患者在局部麻醉下行下颌第三磨牙拔除手术。视觉模拟量表测量术后连续7天的疼痛和肿胀。结果:M3MS后,患者手术当天疼痛最严重,面部肿胀在术后第一天达到最大。研究发现,年龄和性别对疼痛强度和肿胀程度的影响不显著。结论:M3MS术后疼痛和肿胀分别在手术当天和术后1天达到高峰,强度为轻至中度,第7天逐渐消退至最低水平。在疼痛和肿胀程度方面,M3MS的短期结果是相似的,并且似乎与年龄和性别无关。
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引用次数: 0
Clear Cell Odontogenic Carcinoma of the Mandible, Case Report 下颌骨透明细胞牙源性癌1例报告
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-2582-3736-4(4)-143
Roberto Almeida
Caucasian patient, ECOG-PS 0, 38 years old, presented at the hospital with symptoms of pain in the lower left region of the mandible, objectively without swelling, on radiographic examination, she presented an extensive lesion with radiolucency in the region of element 37, with image filling, displacement of element 38 and apical involvement of element 36. In the tomographic exam, he presented a lesion with great destruction of the lingual wall and accentuated bone sequestration. It was opted for the differential diagnosis of the same by biopsy of the region with partial removal of healthy and diseased tissue associated with aspiration puncture, the histopathological examination was diagnosed as odontogenic clear cell carcinoma, a rare malignant tumor of epithelial origin, common in aged over 50 years and without behavioral pattern at its emergence.
高加索人患者,ECOG-PS 0,38岁,在医院出现下颌骨左下区域疼痛症状,客观上没有肿胀,在放射学检查中,她在37号元素区域出现了一个具有放射性的广泛病变,图像填充、38号元素移位和36号元素顶端受累。在断层检查中,他发现了一个病变,舌壁严重破坏,骨隔离加重。它被选择通过对该区域进行活检并部分切除与抽吸穿刺相关的健康和病变组织来进行鉴别诊断,组织病理学检查被诊断为牙源性透明细胞癌,这是一种罕见的上皮性恶性肿瘤,常见于50岁以上的老年人,出现时没有行为模式。
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引用次数: 0
Comparison of the Antimicrobial Effect of Chlorine Dioxide, Sodium Hypochlorite and Chlorhexidine, on Bacteria Isolated from the Root Canal 二氧化氯、次氯酸钠和氯己定对根管分离细菌抑菌效果的比较
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-2582-3736-4(4)-141
Paulina Yaret Alvarado Rodríguez
Aim: To compare the antimicrobial capacity of Chlorine Dioxide (ClO2), Sodium Hypochlorite (NaOCl) and Chlorhexidine (CHX) in microorganisms isolated from persistent apical periodontitis and ATCC strains.Materials and methods: The microorganisms included were analyzed by Minimum Inhibitory Concentration (MIC): 50 µl of saline solution and 100 µl of Chlorine Dioxide 0.25%, Sodium Hypochlorite 1% and Chlorhexidine 2% were used to make the following dilutions of 1:2, 1:4, 1:8, 1:16, 1:32, 1:64, 1:128, 1:256, 1:512, 1:1024 and test them with the following microorganisms, E. faecalis from root canal and S. viridans, anginosus group from the alveolus, in adittion, Escherichia coli ATCC and Staphylococcus aureus ATCC were included to observe bacterial growth after 18h of incubation.Results: NaOCl inhibited the microorganisms in all the dilutions, the ClO2 showed bacterial growth in dilution 1:128, CHX1:8, in E. faecalis, S. viridans, anginosus group, ClO2:1:32, CHX:1:8, Escherichia coli ATCC ClO2:1:32, CHX:1:128, Staphylococcus aureus ATCC ClO2:1:64 and CHX:1:256.Conclusion: NaOCl was the chemical agent that inhibited all the strains evaluated, followed by ClO2 and Chlorhexidine 2% needed higher concentrations for the eradication of the analyzed strains.
目的:比较二氧化氯(ClO2)、次氯酸钠(NaOCl)和氯己定(CHX)对持续性根尖周炎和ATCC菌株微生物的抗菌能力。材料和方法:采用最小抑菌浓度(MIC)对所含微生物进行分析:用50µl生理盐水和100µl 0.25%的二氧化氯、1%的次氯酸钠和2%的氯己定配制如下稀释液:1:2、1:4、1:8、1:16、1:32、1:64、1:128、1:256、1:512、1:1024,并用以下微生物进行测试,将来自根管的粪大肠杆菌和来自肺泡的病毒性链球菌、来自声门的脉管菌群、大肠杆菌ATCC和金黄色葡萄球菌ATCC包括在内,以观察培养18小时后的细菌生长。结果:NaOCl在所有稀释液中都能抑制微生物,ClO2在稀释液1:128、CHX1:8中显示细菌生长,在粪大肠杆菌、病毒性链球菌、心绞痛组、ClO2:1:32、CHX:1:8、大肠杆菌、金黄色葡萄球菌、,其次是ClO2和氯己定,2%需要更高的浓度来根除所分析的菌株。
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引用次数: 0
Comparison of the Effectiveness of Orthodontic Treatment with Adenotonsillectomy Procedures in Children with Obstructive Sleep Apnea (OSA) 正畸治疗与腺扁桃体切除术治疗阻塞性睡眠呼吸暂停(OSA)患儿的疗效比较
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-2582-3736-4(4)-142
H. Achmad
Background: Obstructive Sleep Apnea Syndrome (OSA) is a syndrome of total or partial obstruction of the airways, leading to significant disturbances with varying clinical impact. In children, the main cause is thought to be overgrowth (hypertrophy) of the tonsils and adenoids, as well as structural abnormalities in Pierre Robin and Down Syndrome. The airway structures are significantly narrowed in children with head-face bone abnormalities or craniofacial anomalies, causing them to experience airway obstruction even in the absence of adenoid hypertrophy. The incidence of OSA in children needs to be observed as well as rising risk factors such as obesity. Pediatric obstructive sleep apnea (OSA) is typically treated with an adenotonsillectomy and the use of orthodontic procedures including rapid maxillary expansion and mandibular advancement devices. Each approach has different treatment advantages. Systematic reviews and meta-analysis of OSA treatments have been reported, however there have been relatively few comparisons of various treatments. In a systematic review of the evidence for the efficacy of AT and orthodontic treatment, Templier et al. concluded that combined AT orthodontic treatment (RME and/or MAD) was more effective than either therapy alone for treating OSA in pediatric patients.Objective: To systemically analyze the literature on the effectiveness of orthodontic treatment with adenotonsillectomy surgery in children with obstructive sleep apnea (OSA) and to identify differences in the two treatments’ effectiveness.Conclusion and implications: The effectiveness of adenotonsillectomy, orthodontic treatment, and orthodontic treatment combined with adenotonsillectomy was assessed in children with mild OSA and mandibular retrognathia. That study, which needed a large sample size (352 children) and had a high dropout rate, revealed that combine orthodontic adenotonsillectomy (RME and/or MAD treatment) was more effective when given simultaneously than when given individually for treating OSA in pediatric patients. To date, the effectiveness of these two treatments cannot currently be compared due to a lack of strong evidence. If the treatment outcomes were unsatisfactory at 7 months after the initial treatment, subjects could receive further treatment following assessment by a stomatologist and ear, nose, and throat (ENT) specialist.Limitations: Of the 10 publications included in this review, 8 were randomized controlled trials, the remaining 2 non-randomized research journals were vulnerable to many biases that impair the certainty of the evidence gained, especially by confounding factors and the lack of control groups.
背景:阻塞性睡眠呼吸暂停综合征(OSA)是一种气道完全或部分阻塞的综合征,可导致不同临床影响的严重障碍。在儿童中,主要原因被认为是扁桃体和腺样体过度生长(肥大),以及Pierre Robin和唐氏综合症的结构异常。头面部骨骼异常或颅面异常儿童的气道结构明显变窄,即使在没有腺样体肥大的情况下,也会导致气道阻塞。需要观察儿童OSA的发病率以及肥胖等风险因素的增加。儿童阻塞性睡眠呼吸暂停(OSA)通常通过腺扁桃体切除术和使用正畸程序进行治疗,包括快速上颌扩张和下颌前移装置。每种方法都有不同的治疗优势。OSA治疗的系统综述和荟萃分析已有报道,但对各种治疗的比较相对较少。在对AT和正畸治疗疗效证据的系统综述中,Templier等人得出结论,在治疗儿童OSA方面,联合AT正畸治疗(RME和/或MAD)比单独治疗更有效。目的:系统分析腺扁桃体切除术正畸治疗儿童阻塞性睡眠呼吸暂停(OSA)的疗效文献,并确定两种治疗方法的疗效差异。结论和意义:评估了腺扁桃体切除术、正畸治疗以及正畸治疗结合腺扁桃体切除术治疗轻度OSA和下颌后颚症的有效性。这项研究需要大样本量(352名儿童),并且辍学率很高。研究表明,在治疗儿童OSA时,同时给予正畸腺扁桃体切除术(RME和/或MAD治疗)比单独给予更有效。到目前为止,由于缺乏强有力的证据,这两种治疗方法的有效性目前无法进行比较。如果在初次治疗后7个月治疗结果不令人满意,受试者可以在口腔医生和耳鼻喉(ENT)专家的评估后接受进一步治疗。局限性:在这篇综述中包括的10篇出版物中,8篇是随机对照试验,其余2篇非随机研究期刊容易受到许多偏见的影响,这些偏见损害了所获得证据的确定性,特别是由于混杂因素和缺乏对照组。
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引用次数: 0
Advantages of Interceptive Orthodontic Treatment; Rapid Maxillary Expansion in Children with Malocclusion Resulting from Mouth Breathing Habits 正畸截留治疗的优点口腔呼吸习惯所致错颌儿童上颌快速扩张
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-2582-3736-4(4)-139
H. Achmad
Background: One of the causes of malocclusion in developing children is the practice of mouth breathing. Morphological disturbances may occur during the growth phase in children with chronic mouth breathing. This resulting in the unfavorable development of dentofacial and craniofacial complexes.Mouth breathing in children as a condition has come to the attention of health care professionals. Malocclusion incidence will be decreased and eventually eliminated with the early identification and treatment of these poor oral habits.Purpose: The study determines the benefits of interceptive orthodontics Rapid Maxillary Expansion treatment in children with malocclusion caused by the habit of mouth breathing. Methods: Data were gathered by searching and analyzing literature from electronic databases PubMed, Wiley, and Science Direct in the 2012 and 2022 publication period. Interceptive orthodontics; rapid maxillary expansion; mouth breathing; malocclusion and children keywords were used to conduct the systematic search of the data.Results: One of the most frequent malocclusions is caused by the practice of mouth breathing which narrows the maxillary arch. Some of the characteristic features are decreased distance between nasal cavity’s lateral walls, bilateral or unilateral posterior crossbite, crowding of the anterior teeth, and deep palate.
背景:发育中儿童牙合错误的原因之一是口腔呼吸的习惯。慢性口呼吸儿童在生长阶段可能出现形态障碍。这导致不利的发展牙面和颅面复合体。儿童口呼吸作为一种疾病已经引起了卫生保健专业人员的注意。通过及早发现和治疗这些不良的口腔习惯,可以减少并最终消除错牙合的发生率。目的:研究口腔呼吸习惯导致的儿童错颌畸形,采用拦截式正畸快速上颌扩张治疗的疗效。方法:通过检索PubMed、Wiley和Science Direct电子数据库2012年和2022年出版期的文献并进行分析。截断的正畸治疗;上颌快速扩张;张口呼吸;使用错颌和儿童关键词对数据进行系统检索。结果:口腔呼吸使上颌弓变窄是最常见的牙合错误之一。一些特征是鼻腔外侧壁之间的距离减小,双侧或单侧后交叉咬合,前牙拥挤和深腭。
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引用次数: 0
Peri-Implantitis: A Comprehensive Overview for the General Dental Practitioner 种植周围炎:全科牙科医生的全面综述
Pub Date : 2022-10-10 DOI: 10.37191/mapsci-2582-3736-4(4)-140
T. Wiedemann
Considering the significant role of implants in contemporary dentistry, practitioners must be able to acknowledge and anticipate the clinical signs and the appropriate treatment measures of peri-implant disease. The article aims to provide an overview of peri-implantitis, outlining its prevalence, etiology, risk factors, diagnosis, and management for the general practitioner. Peri-implantitis is a pathological condition usually associated with plaque. It exhibits inflammation around the peri-implant mucosa and subsequent progressive bone loss. While some patients show clinical signs, most implants exhibiting peri-implant disease are asymptomatic. As a result, clinicians must first develop an accurate diagnosis based on clinical and radiographic findings. The diagnosis of peri-implantitis usually done if the following criteria are met: 1) presence of bleeding, 2) progressive bone loss, and 3) increased probing depths. It is widely accepted that peri-implantitis is difficult to manage and prevention is the best form of treatment. Early diagnosis and management are essential to the successful clinical outcomes in the treatment of peri-implantitis. While non-surgical treatment may not always be effective but should always come first in patients with advanced peri-implantitis. Good oral hygiene, the location of the damaged implant, and the configuration of the bone defect, appear to be the key factors that influence the clinical predictability surgical interventions.
考虑到种植体在当代牙科中的重要作用,从业者必须能够认识和预测种植体周围疾病的临床症状和适当的治疗措施。本文旨在概述种植体周围炎的发病率、病因、危险因素、诊断和全科医生的管理。种植体周围炎是一种通常与斑块相关的病理状况。它表现出种植体周围粘膜的炎症,随后进行性骨丢失。虽然一些患者表现出临床症状,但大多数表现出种植体周围疾病的种植体都是无症状的。因此,临床医生必须首先根据临床和放射学结果制定准确的诊断。种植体周围炎的诊断通常符合以下标准:1)出血,2)进行性骨丢失,3)探查深度增加。人们普遍认为种植体周围炎很难控制,预防是最好的治疗方式。早期诊断和治疗对于治疗种植体周围炎的成功临床结果至关重要。虽然非手术治疗可能并不总是有效的,但在晚期种植体周围炎患者中,应始终放在首位。良好的口腔卫生、受损植入物的位置和骨缺损的形态似乎是影响临床可预测性手术干预的关键因素。
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引用次数: 0
Immunologically Neutral Dental Implants Ceramic (Zirconia) Implants 免疫中性牙种植体陶瓷(氧化锆)种植体
Pub Date : 2022-09-20 DOI: 10.37191/mapsci-2582-3736-4(3)-137
Alan Arturo Zarzar
Since their introduction in the 1960s, titanium implants have dominated the field of dental implants. As a result, titanium implant systems are largely the foundation for the goods and solutions, scientific and clinical research, as well as the development and effectiveness of this treatment.The subject of when and why to substitute titanium implants with ceramics is evident for practitioners thinking about adding ceramic implants to their portfolios. Of course, every situation and patient are different, but there are a few things to take into account if ceramic and Titanium implants are an option based on the signs.The patient's resistance to having metallic medical devices inside their body, which might manifest as mucosal recession and the visibility of gray Titanium is one of the problems with titanium implants. The emotional feel of a more 'natural' alternative may be of preference.From a clinical perspective, recent developments in zirconia solutions now mean that the restorative flexibility of a two-piece, cemented, and/or screw-retained options are available, along with proven osseointegration and soft tissue adhesion, [1] generally lower plaque accumulation, [2] and less bacterial adhesion than titanium implants [3]. Titanium implants are narrower at the implant-abutment transition; however, ceramic implants should be wider, and which is what SDS has done since the wide tulip stabilizes the gingiva allowing it to attach. To preserve soft tissue and pink esthetics, Ceramic implants should be placed tissue-level. This will also prevent the disturbance of the valuable bond between implant and the tissue.In various range of cases, Ceramic implants are used as the substitute of the titanium implants as they are given esthetic white appearance and are 100% metal-free.
自20世纪60年代问世以来,钛种植体一直主导着牙科种植领域。因此,钛种植体系统在很大程度上是产品和解决方案、科学和临床研究以及这种治疗的发展和有效性的基础。当从业者考虑将陶瓷植入物添加到他们的投资组合时,何时以及为什么用陶瓷代替钛植入物的主题是显而易见的。当然,每个情况和病人都是不同的,但如果根据症状选择陶瓷和钛植入物,有一些事情需要考虑。患者对植入金属医疗器械的抗拒,可能表现为粘膜萎缩和灰色钛的可见性,这是钛植入物的问题之一。更“自然”的选择的情感感受可能是首选。从临床角度来看,氧化锆解决方案的最新发展意味着两件式、胶结和/或螺钉保留的修复灵活性是可用的,同时证明了骨整合和软组织粘连,[1]通常比钛种植体[3]更低的斑块积累,[2]和更少的细菌粘连。钛种植体在种植体-基台过渡时较窄;然而,陶瓷种植体应该更宽,这就是SDS所做的,因为宽的郁金香可以稳定牙龈,使其附着。为了保持软组织和粉红色的美观,陶瓷种植体应放置在组织水平。这也将防止干扰植入物和组织之间有价值的联系。在各种情况下,陶瓷种植体被用作钛种植体的替代品,因为它们具有美观的白色外观,并且100%不含金属。
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引用次数: 1
Ligneous Gingivitis: A Systematic Review 木质牙龈炎的系统评价
Pub Date : 2022-09-20 DOI: 10.37191/mapsci-2582-3736-4(3)-138
A. Labrador
Objective: Ligneous gingivitis (LG) is an uncommon disease caused by plasminogen deficiency with fibrin deposition, which affects principally the conjunctiva of the eyes. A systemic review of reported cases and case series was undertaken to evaluate this disease.Methods: Searches of detailed databases were performed. The variables were demographics, treatment, follow-up, location, histopathological findings, symptoms and plasminogen test results.Results: 49 cases were identified; LG was most frequently seen in white females (68.4%). The average age was 20.0 years, for males 17.1 years and for females was 20.9 years. The main symptom was pain with (40.8%), followed by painless presentation with (20.4%). The most common sign was bleeding (32.3%). Clinically, both upper and lower gingiva where most commonly evident in 49% of the cases, followed by the lower gingiva only with (18.4%). The mean size was 2.7cm. The presence of concurrent ligneous conjunctivitis was (69.4%). The average for plasminogen activity test was 24.7mg/mL. The recurrence was 59.2% and the mean follow-up was 18.9 months.Conclusion: The diagnosis was difficult to establish, there is not standard treatment, and recurrence is common. For the oral clinician this disease needs to be addressed in the differential diagnosis of gingival oral lesions.
目的:木质性牙龈炎是一种由纤溶酶原缺乏伴纤维蛋白沉积引起的罕见疾病,主要累及眼结膜。对报告的病例和病例系列进行了系统审查,以评估这种疾病。方法:检索详细数据库。变量包括人口统计学、治疗、随访、地点、组织病理学发现、症状和纤溶酶原检测结果。结果:共检出49例;LG最常见于白人女性(68.4%)。平均年龄为20.0岁,男性17.1岁,女性20.9岁。以疼痛为主(40.8%),无痛次之(20.4%)。最常见的症状是出血(32.3%)。临床上,上颌和下龈均为最常见的,占49%,其次为下龈,占18.4%。平均尺寸为2.7cm。并发木质结膜炎占69.4%。纤溶酶原活性试验平均值为24.7mg/mL。复发率为59.2%,平均随访18.9个月。结论:本病诊断困难,治疗无标准,易复发。对于口腔临床医生来说,这种疾病需要在牙龈口腔病变的鉴别诊断中加以解决。
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引用次数: 0
Horizontal Bone Augmentation in the Pre-Maxilla Region with Used the Bone Block Xenogeneic Origin - Clinical and Tomographic Analysis 应用骨块异种骨源行上颌前区水平骨增强术的临床及体层摄影分析
Pub Date : 2022-08-28 DOI: 10.37191/mapsci-2582-3736-4(3)-133
Felipe Andres Ortiz Poblete
Tooth loss, especially in the anterior region, generates a loss of local bone structure affecting the aesthetics and function for the patient and a viable tactic is the use of deproteinized bovine bone block graft. This reconstructive method allows the possibility of partial or total reconstruction of the maxilla and mandible in a safe and predictable way, where it seeks the maintenance of the three-dimensional structure, viability of bone neoformation and favoring implant-supported rehabilitation. This case report aims to reveal and support the longitudinal follow-up of 5 years of a horizontal alveolar reconstruction in the anterior maxillary region with heterogeneous bone block and subsequent implantation and rehabilitation with metal-ceramic crown.
牙齿脱落,尤其是前部区域的牙齿脱落,会导致局部骨骼结构的丧失,影响患者的美观和功能,一种可行的策略是使用脱蛋白牛骨块移植物。这种重建方法允许以安全和可预测的方式对上颌骨和下颌骨进行部分或全部重建,寻求维持三维结构、骨新生的可行性,并有利于植入物支持的康复。本病例报告旨在揭示并支持5年的纵向随访,即用异种骨块在上颌前区进行水平牙槽骨重建,以及随后用金属陶瓷冠进行植入和康复。
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引用次数: 0
Mucormycosis of Maxilla, as a Post Covid Complication in a Diabetic Patient, A Case Report 糖尿病患者新冠后并发上颌骨毛霉病1例
Pub Date : 2022-08-28 DOI: 10.37191/mapsci-2582-3736-4(3)-132
Kambadi Dinaka
The current pandemic for coronavirus disease (COVID-19) has caused great concern around the world, as it is capable of causing severe lung disease, and even death, in many patients. The people who develop more severe complications when infected by this disease are people with comorbidities such as Diabetes Mellitus (D.M.).The current medication used to manage the symptoms of COVID-19 includes systemic glucocorticoids, which suppress the immune system. Moreover, poorly controlled D.M. also predisposes to the development of infections by opportunistic germs.That is why people with COVID-19 and D.M. are more prone to develop opportunistic infections than others. In this case, a clinical case is reported about a diabetic patient diagnosed with COVID-19 who received corticosteroids in the treatment, later developing mucormycosis of the maxilla.
当前的冠状病毒病(COVID-19)大流行引起了全世界的极大关注,因为它能够在许多患者中引起严重的肺部疾病,甚至死亡。当感染这种疾病时,出现更严重并发症的人是患有糖尿病(dm)等合并症的人。目前用于控制COVID-19症状的药物包括抑制免疫系统的全身性糖皮质激素。此外,控制不佳的D.M.也容易被机会性细菌感染。这就是为什么COVID-19和dm患者比其他人更容易发生机会性感染的原因。本病例报告了一例临床病例,诊断为COVID-19的糖尿病患者在治疗中使用皮质类固醇,后来发生上颌骨毛霉菌病。
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引用次数: 0
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Journal of dentistry and oral sciences
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