Abstract:

The procedure of tooth extraction can be affected by urinary system diseases，endocrine system diseases or metabolic diseases. On the other hand，the process of tooth extraction can also make the symptoms of these diseases worse. Furthermore，the medications used in tooth extraction may interact with those used for systemic diseases. Thus，the aim of this paper is to review the risks of tooth extraction when dealing with patients with urinary system diseases，endocrine system diseases or metabolic diseases，in order to provide reference for the safe and smooth tooth extraction.

Key words: urinary system disease, endocrine system disease, metabolic disease, tooth extraction, prevention

摘要：

泌尿及内分泌系统和代谢性疾病的临床症状和体征会干扰此类患者拔牙操作的正常进行。此外，拔牙过程也可能会加重患者系统性疾病的临床症状，且围手术期用药亦可能对系统性疾病治疗所用药物造成影响。文章针对泌尿及内分泌系统和代谢性疾病患者拔牙可能出现的风险及其预防和处理进行阐述，以期为口腔医生在临床工作中能够对此类患者安全、顺利地实施牙拔除术提供参考。

关键词: 泌尿系统疾病, 内分泌系统疾病, 代谢性疾病, 拔牙, 预防