中国实用口腔科杂志

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拔牙窝止血类覆盖及充填材料的选择及应用

王静娟胡开进刘平张林林张述寅   

  1. 军事口腔医学国家重点实验室,第四军医大学口腔医学院口腔外科,陕西  西安  710032
  • 出版日期:2017-10-15 发布日期:2017-11-22
  • 作者简介:张述寅,第四军医大学口腔医学院口腔外科主治医师,医学博士在读。研究方向主要为种植体表面处理、颌骨重建及再生材料,临床擅长微创拔牙术、拔牙位点保存术及即刻种植术等。发表学术论文10余篇,其中SCI收录2篇。参编、参译专著6部。
  • 基金资助:

    国家重点研发专项项目(2016YFC1102903)

  • Online:2017-10-15 Published:2017-11-22

摘要:

拔牙后出血是牙拔除术后常见的并发症,全身及局部多种因素可导致拔牙后出血。合理的选择及应用局部止血材料覆盖和(或)充填拔牙窝是治疗及预防拔牙后出血的重要措施。随着口腔材料学的发展,越来越多的止血材料被用于处理及预防拔牙后出血。各类止血材料覆盖及充填拔牙窝后均有一定的止血效果,在临床操作中,应根据拔牙窝出血情况、患者全身及经济状况进行合理选择。文章将对目前临床上常用的拔牙窝止血类材料进行介绍,并结合患者全身及局部创伤情况,分析常用拔牙窝止血材料的特点,为临床医生合理选择及应用拔牙窝止血材料提供帮助。

关键词: 拔牙窝, 出血, 牙拔除术, 止血材料

Abstract:

Postpartum hemorrhage is a common complication after tooth extraction. Many systemic and local factors can cause bleeding after tooth extraction. Reasonable selection and application of local hemostatic material for filling extraction socket is a good way to reduce and prevent post-extraction bleeding,and reduce the suffering of patients. With the development of oral materials science,more and more hemostatic materials are used to treat and prevent bleeding after tooth extraction. All kinds of hemostatic materials for filling extraction socket have a certain hemostatic effect. In clinical operation,our treatment should be based on the situation of tooth socket bleeding and the patient's general and economic conditions. In order to help clinicians to choose and apply hemostatic material,we will introduce the commonly used hemostatic materials,and analyze the characteristics of commonly used tooth extraction hemostatic materials in this paper.

Key words: tooth socket, bleeding, tooth extraction, hemostatic material