牙拔除术后神经功能障碍的防治策略新进展
New strategies to prevent and control nerve dysfunction after dental extraction
汪宇昊 1曹钰彬 1潘剑1
作者信息
- 1. 四川大学华西口腔医院口腔颌面外科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,成都 610041
- 折叠
摘要
神经功能障碍是牙拔除术的一种常见术后并发症.牙拔除术中涉及的神经主要包括下牙槽神经、舌神经、颊神经、颏神经和鼻腭神经等.神经功能障碍严重影响患者的生活质量.本文概括了牙拔除术后神经功能障碍的临床表现和病理机制,归纳了其临床危险因素和预防策略,分析了牙拔除术后神经功能障碍后感觉自然恢复的临床特点和生理机制,最后总结了近年来在治疗牙拔除术后神经功能障碍方面的前沿治疗手段和研究方向.本文旨在全面回顾牙拔除术后神经功能障碍从临床到分子机制、从发病到防治策略的前沿进展,力求为口腔颌面外科医师预防和应对牙拔除术后治疗神经功能障碍提供参考.
Abstract
Nerve dysfunction is a common postoperative complication of dental extractions.In dental extraction,the nerves involved mainly include the inferior alveolar nerve,lingual nerve,buccal nerve,chin nerve and nasopalatine nerve.Nerve dysfunction will seriously affect the patient's quality of life and may lead to medical disputes.This review firstly summarizes the clinical manifestations and pathological mechanisms of post-dental extraction nerve dysfunction,then summarizes its clinical risk factors and preventive strategies,then analyzes the clinical characteristics and physiological mechanisms of natural sensory recovery after dental extraction nerve dysfunction,and finally summarizes the cutting-edge therapeutic tools and research directions in the treatment of post-dental extraction nerve dysfunction in recent years.The aim of this article is to comprehensively review the cutting-edge advances in post-dental extraction nerve dysfunction from clinical to molecular mechanisms,and from pathogenesis to prevention and treatment strategies,and seeks to provide reference for oral surgeons in preventing and responding to the treatment of nerve dysfunction after dental extraction.
关键词
拔牙/下牙槽神经/三叉神经/神经功能障碍/感觉异常Key words
Tooth extraction/Inferior alveolar nerve/Trigeminal nerve/Nerve dysfunction/Paresthesia引用本文复制引用
出版年
2024
NETL
NSTL
万方数据