对急性冠周炎的洞察和对循证护理标准的需求

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Open Dentistry Journal Pub Date : 2019-09-01 DOI:10.3390/dj7030088
C. Wehr, G. Cruz, S. Young, W. Fakhouri
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引用次数: 15

摘要

背景:冠周炎是一种与部分爆发的第三磨牙相关的包盖炎症。这是一种非常普遍的口腔感染,表现为牙冠周围软组织的疼痛感。虽然冠周炎很常见,但急性冠周炎急诊患者的治疗尚无循证护理标准。研究设计:在这项研究中,匿名临床医生被要求参加一项在线调查,调查的问题是确定专业临床背景、急性冠周炎的首选急救治疗、相关并发症的数量、第三磨牙拔牙的频率和患者满意度。结果与结论:对收集到的不同治疗方案及相关并发症的差异进行统计分析,发现在冠周炎的治疗上没有一致的意见。针对急性冠周炎急诊患者首选治疗方案的反应缺乏一致性,因此需要制定一套基于精心设计的随机对照临床试验和荟萃分析的护理标准来培训未来的牙科专业人员。实际意义:最终目标是开发一种并发症最少的治疗方案,为冠周炎患者提供最佳的医疗保健。这一问题不仅被视为一种急性感染,而且有可能影响整体健康。
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An Insight into Acute Pericoronitis and the Need for an Evidence-Based Standard of Care
Background: Pericoronitis is inflammation of the operculum associated with a partially erupted third molar. It is a highly prevalent infection of the oral cavity and presents as a painful sensation of the soft tissue encompassing the crown of the involved tooth. Though pericoronitis is common, there is no evidence-based standard-of-care for treatment of emergency patients with acute pericoronitis. Study Design: In this study, anonymous clinicians were asked to participate in an online survey with questions formulated to identify professional clinical background, emergency treatment preferred for acute pericoronitis, number of associated complications, frequency of third molar extraction, and patient satisfaction. Results and Conclusion: A statistical analysis of the collected data regarding the variance among different treatment plans and associated complications revealed little consensus in the treatment of pericoronitis. The lack of consistency of the responses focusing on the preferred treatment for emergency patients with acute pericoronitis reinforces the need for developing a standard-of-care to train future dental professionals based on well-designed randomized controlled clinical trials and meta-analyses. Practical Implications: The ultimate goal is developing a treatment option with the fewest complications to provide the best health care for patients with pericoronitis. This issue is seen not only as an acute infection but also has the potential to impact overall health.
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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