国外指南解读
ENGLISH ABSTRACT
国际牙外伤学会牙外伤治疗指南(2020版)解读
秦满
作者及单位信息
·
DOI: 10.3760/cma.j.cn112144-20210726-00340
Interpretation of the International Association of Dental Traumatology guidelines for the management of traumatic dental injuries (2020)
Qin Man
Authors Info & Affiliations
Qin Man
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
·
DOI: 10.3760/cma.j.cn112144-20210726-00340
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摘要

国际牙外伤学会(International Association of Dental Traumatology,IADT)于2020年6月更新了牙外伤治疗指南( http://www.dentaltraumaguide.org)。在本版指南中IADT对儿童和成人牙外伤的诊治提出了“核心共识”。依据对牙外伤方面的研究文献进行系统性回顾,将那些被研究证明可普适于不同类型牙外伤的结果归入“通用结果”;对研究证明与某种或多种特定的牙外伤类型相关的结果归入“特异性结果”。本文旨在帮助临床医师学习新版指南,快速准确掌握更新内容的要点,运用新版指南指导临床判断患者病情,评估远期预后,选择优化的治疗方案,以期获得更好的治疗效果。

牙,乳;牙外伤;指南;年轻恒牙;成熟恒牙
ABSTRACT

An update version of the International Association of Dental Traumatology (IADT) guidelines for the management of traumatic dental injuries has been released in June 2020 ( http://www.dentaltraumaguide.org). In this current revision, IADT has put forward a "core outcome set" (COS) for the diagnosis and treatment of dental trauma both in children and adults. The COS was developed and underpinned by a systematic review of the outcomes in the literature of dental trauma treatment. An outcome that was relevant to all traumatic dental injuries (TDI) was identified as "generic outcome" and those related only to one or more particular TDI were then included as "injury-specific outcomes". The aims of the present article are to help the dental clinicians in learning the latest version of the guideline so that they may quickly and accurately grasp the essence of the updated content and to assist them to choose the optimized treatment plan after judging and evaluating the specific clinical circumstances so as to maximize the chance of a favorable outcome.

Tooth, deciduous;Traumatic dental injuries;Guideline;Incompletely developed permanent tooth;Fully developed permanent tooth
Qin Man, Email: mocdef.labiamxofnam-niq, Tel: 0086-10-82195928
引用本文

秦满. 国际牙外伤学会牙外伤治疗指南(2020版)解读[J]. 中华口腔医学杂志,2021,56(09):833-839.

DOI:10.3760/cma.j.cn112144-20210726-00340

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牙外伤(dental trauma)是指牙齿受到急剧创伤,特别是打击或撞击所引起的牙体硬组织、牙髓组织和牙周支持组织的损伤。因受力大小、方向、部位和患者年龄等因素不同,牙外伤的表现具有多样性和复杂性。恒牙外伤以冠折多见,乳牙外伤最常见的类型是脱位性损伤。牙外伤常伴有口唇黏膜撕裂伤,严重者可伴牙槽骨骨折,甚至颌骨骨折。国际牙外伤学会(International Association of Dental Traumatology,IADT)基于Andreasen分类法在2001年发布了第1版牙外伤治疗指南 1,并分别于2007和2012年进行了更新 2 , 3 , 4 , 5 , 6 , 7。在回顾1996至2019年 Embase、Medline、Pubmed、Scopus和Cochrane 数据库文献的基础上,结合2000至2019年 Dental Traumatology发表的文献,IADT于2020年6月再次更新了牙外伤治疗指南( http://www.dentaltraumaguide.org)。本文旨在帮助临床医师学习新版指南,快速准确掌握更新内容的要点,合理运用新版指南指导临床判断患者病情,评估远期预后,选择优化的治疗方案,获得更好的治疗效果。
2020版指南包括总论(General Introduction)、折断及脱位性损伤(Fractures and Luxations)、恒牙全脱出(Avulsion of Permanent Teeth)和乳牙外伤(Injuries in the Primary Dentition)四部分。
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备注信息
A
秦满,Email: mocdef.labiamxofnam-niq,电话:010-82195928
B

秦满. 国际牙外伤学会牙外伤治疗指南(2020版)解读[J]. 中华口腔医学杂志, 2021, 56(9): 833-839. DOI: 10.3760/cma.j.cn112144-20210726-00340.

C
作者声明不存在利益冲突
D
北京大学口腔医院国家重大疾病多学科合作诊疗能力建设项目 (PKUSSNMP-201904)
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