[放射颌骨的牙槽手术:感染性放射性骨坏死是一种可预防的并发症吗?]

U Konter, H D Pape, D Tirpitz, C Schippers
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引用次数: 0

摘要

尽管在放射治疗之前、期间和之后都采取了预防措施,但健康牙齿仍会出现严重的龋齿和牙周破裂。在受辐照骨区域进行牙槽骨手术时,预防性抗体、防止骨膜广泛脱落、仔细的切骨或拔骨、完全平滑尖锐的牙槽嵴和骨膜外塑料覆盖可以降低发生感染性放射性骨坏死的风险。当需要进行大范围牙槽手术时,预防性应用术前和术后高压氧可进一步降低并发症的发生率。
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[Dento-alveolar surgery of the irradiated jaw: is infected osteoradionecrosis a preventable complication?].

In spite of preventive procedures before, during and after radiotherapy, profound caries and periodontal breakdown of healthy teeth occur. In the course of dentoalveolar surgery in the region of irradiated bone, the risk of development of an infected osteoradionecrosis can be reduced by prophylactic antibodies, prevention of extensive detaching of the periosteum careful osteotomy or extraction, complete smoothing of sharp alveolar ridges and epiperiosteal plastic coverage. When extensive dentoalveolar surgery is necessary, the application of prophylactic pre- and postoperative hyperbaric oxygen may reduce the rate of complications even more.

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