口腔疾病防治 ›› 2021, Vol. 29 ›› Issue (3): 145-150.DOI: 10.12016/j.issn.2096-1456.2021.03.001

• 专家论坛 • 上一篇    下一篇

慢性肾脏病患者的口腔种植治疗

袁泉()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院种植科, 四川 成都(610041)
  • 收稿日期:2020-05-07 修回日期:2021-02-07 出版日期:2021-03-20 发布日期:2021-01-12
  • 通讯作者: 袁泉
  • 作者简介:袁泉,四川大学华西口腔医院教授、博士生导师。日本广岛大学联合培养口腔医学博士,美国哈佛大学牙学院博士后,加州大学洛杉矶分校访问学者;入选 “万人计划”科技创新领军人才,教育部“长江学者奖励计划”青年学者和四川省卫健委学术技术带头人;担任中国医师协会口腔医师分会口腔种植工作委员会副主任委员,中华口腔医学会口腔种植专业委员会常务委员,四川省口腔医学会口腔种植专业委员会候任主任委员,国际牙科研究会(IADR)种植研究学组副主席,国际牙医师学院(ICD)fellow,国际牙种植学会(ITI)fellow。参编《口腔种植学》、《口腔修复学》规划教材和专著10部,发表SCI收录论文70余篇。
  • 基金资助:
    国家自然科学基金(81722014)

Dental implant treatment for patients with chronic kidney disease

YUAN Quan()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-05-07 Revised:2021-02-07 Online:2021-03-20 Published:2021-01-12
  • Contact: Quan YUAN
  • Supported by:
    National Natural Science Foundation of China(81722014)

摘要:

慢性肾脏病是威胁人类健康的全球公共卫生问题,影响全身多器官系统功能。随着疾病的进展,患者的口腔健康常受影响。种植牙已成为牙缺失的最佳修复方式,为慢性肾病患者提供安全可靠的牙种植治疗,是需要,也是挑战。口腔种植医师应从全局出发,综合评估患者的健康情况,充分了解患者既往及当前接受的治疗与药物使用情况;完善患者术前血液生化、凝血功能、影像学等检查;为患者制定可行可靠的个性化治疗方案,包括术前预防性使用抗生素、术中无痛微创操作、术后加强感染控制、延期修复、多学科协作防治术中及术后并发症,以期为慢性肾脏病患者提供个性化、安全有效的口腔种植治疗。

关键词: 口腔种植, 慢性肾脏病, 骨结合, 终末期肾脏病, 尿毒症, 血液透析, 肾脏移植, 口腔健康

Abstract:

Chronic kidney disease is a global public health problem threatening human health and affects the function of multiple organ systems. The oral health of patients is often affected as the disease progresses. Dental implants have become the best way to repair tooth loss. It is necessary and challenging to provide safe and reliable dental implant treatment for patients with chronic kidney disease. Dental clinicians should evaluate the health of patients comprehensively, complete blood biochemistry, coagulation function, and imaging examinations, and provide feasible, reliable and personalized treatment plans. During the treatment phase, dental clinicians need to consider prophylactic antibiotics, painless minimally invasive surgery, infection control, and delayed restoration, and they must cooperate with other clinicians in multiple disciplines to reduce risks to provide personalized, safe, and effective oral implant treatment for patients with chronic kidney disease.

Key words: dental implant, chronic kidney disease, osseointegration, end stage renal disease, uremia, hemodialysis, renal transplantation, oral health

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