华西口腔医学杂志2024，Vol.42Issue(4)：426-434,9.DOI:10.7518/hxkq.2024.2023427
拔牙后的感染与防治
Postextraction infections,prevention,and treatment
摘要
Abstract
Postoperative infection is one of the most common complications of tooth extraction.It may manifest as lo-calized infection or develop to systemic infection.Clinically,oral surgeons can prevent postoperative infections by urg-ing patients to strengthen oral hygiene,applying antibiotics in a rational and compliant manner,and choosing appropriate surgical methods for tooth extraction.For the treatment of infection,the oral surgeon should formulate a response strate-gy on the basis of different diagnoses.For local infections such as dry socket,delayed alveolar osteitis,gap infection,and marginal osteomyelitis of the jaws,the infection can be controlled by local debridement,therapeutic use of antibiotics,and incise and drain if necessary.For patients suspected of necrotizing fasciitis,timely extensive debridement should be made to reduce the area of tissue necrosis.For those who have received radiotherapy or anti-resorptive drugs,tooth extraction should follow the recommenda-tions of the relevant clinical guidelines or expert consen-sus to minimize the risk of osteonecrosis of the jaws.For patients with poor systemic health or dysfunction of the immune system,attention should be paid to identifying infective endocarditis and intracranial infection to ensure the life safety of patients.In this study,the author intends to combine lit-erature review and clinical experience to tackle postextraction infection and its prevention to provide a reference for col-leagues on oral and maxillofacial surgery.关键词
牙槽外科/牙拔除术/干槽症/间隙感染/预防Key words
alveolar surgery/tooth extraction/dry socket/interstitial infection/prevention分类
医药卫生引用本文复制引用
曹钰彬,叶立,潘剑..拔牙后的感染与防治[J].华西口腔医学杂志,2024,42(4):426-434,9.基金项目
Cadre Healthcare Key R&D Program of Sichuan Province(ZH2024-901) （ZH2024-901）
Centrally Guided Local-Free Exploration Project of Sichuan Science and Technology Program(2023ZYD0110) （2023ZYD0110）
Universal Application Project of Health Commission of Sichuan Province(21PJ062) （21PJ062）
Research and Develop Program of West China Hospital of Stomatol-ogy,Sichuan University(RD-03-202405) 四川省干部保健重点研发项目(川干研ZH2024-901) （RD-03-202405）
四川省科技厅中央引导地方-自由探索项目(2023ZYD0110) （2023ZYD0110）
四川省卫生健康委员会普及应用项目(21PJ062) （21PJ062）
四川大学华西口腔医院探索与研发项目资助(RD-03-202405) （RD-03-202405）
