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中华口腔医学研究杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 340 -344. doi: 10.3877/cma.j.issn.1674-1366.2024.05.010

综述

妊娠期患者口腔诊疗进展
张静1, 刘畅2, 华成舸3,()   
  1. 1. 口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院口腔全科,成都 610041
    2. 口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院循证口腔教研室,成都 610041
    3. 口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院口腔全科,成都 610041;口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院循证口腔教研室,成都 610041
  • 收稿日期:2024-07-10 出版日期:2024-10-01
  • 通信作者: 华成舸

Progress in the treatment of oral diseases during pregnancy

Jing Zhang1, Chang Liu2, Chengge Hua3,()   

  1. 1. State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Department of General Dentistry, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Department of Evidence-Based Dentistry, Sichuan University, Chengdu 610041, China
    3. State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Department of General Dentistry, Sichuan University, Chengdu 610041, China; State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Department of Evidence-Based Dentistry, Sichuan University, Chengdu 610041, China
  • Received:2024-07-10 Published:2024-10-01
  • Corresponding author: Chengge Hua
引用本文:

张静, 刘畅, 华成舸. 妊娠期患者口腔诊疗进展[J]. 中华口腔医学研究杂志(电子版), 2024, 18(05): 340-344.

Jing Zhang, Chang Liu, Chengge Hua. Progress in the treatment of oral diseases during pregnancy[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 340-344.

妊娠期妇女生理状态和饮食习惯的改变会导致口腔卫生发生变化,易患牙龈、牙周和冠周疾病。同时,因顾虑孕妇和胎儿安全,妊娠期的口腔疾病通常无法得到及时、妥善的治疗。本文从妊娠期生理状态和口腔疾病特点出发,总结妊娠期口腔疾病治疗的时机、用药和放射检查等研究进展,对妊娠期口腔疾病的临床管理和治疗策略进行综述。孕妇和口腔医师应立足防治结合,遵循"孕前预防、孕期治标、孕后治本"的原则,根据妊娠不同时期的生理特点,制定恰当的治疗方案,以最安全、有效的手段控制或治疗口腔疾病,维护妊娠期口腔健康,避免对孕妇和胎儿造成不良影响。

Changes of the physiological status and dietary habits of pregnant women can lead to changes in oral hygiene, making some diseases more susceptible (e.g. gingivitis, periodontitis and periodontitis etc.). At the same time, concerns about the safety of gravidas and fetuses often prevent appropriate treatment of oral diseases. Based on the physiological status and characteristics of oral diseases during pregnancy, this article summarizes the progresses in the treatment timing, medication and radiation examination of oral diseases during pregnancy, and reviews the clinical strategies of oral diseases during pregnancy. Pregnant women and dentists should cooperate in oral hygiene controlling and diseases treatment, following the principle of "prevention before pregnancy, controlling promptly and treatment after pregnancy". The appropriate treatment strategy based on the physiological characteristics of different stages of pregnancy is helpful for the maintaining of oral health and more effective treatments of oral diseases, to avoid adverse effects on pregnant women and fetuses from oral diseases.

表1 妊娠期口腔诊疗常用口服或注射药物的安全分级
表2 口腔治疗常用局部药物在妊娠期使用的安全性
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