妊娠期常见口腔感染性疾病的临床诊疗和管理策略

Clinical diagnosis,treatment,and management strategies of common oral infectious disease during pregnancy

口腔感染性疾病是妊娠期最常见的疾病之一。出于对安全风险和治疗效果不确定的考虑,部分临床医师选择拒绝或推迟妊娠期间口腔疾病的治疗。实际上,作为孕期健康的重要组成部分,对妊娠期口腔疾病的合理干预有利于患者的身心健康,并可以减少口腔致病菌的母婴传播。因此,建议在遵循安全性、必要性、舒适化和多学科合作等原则的前提下,选择合适的时机,根据妊娠期患者生理的特殊性,防治并行,对口腔感染性疾病进行科学规范的管理。本文通过梳理现有的相关文献和证据,对妊娠期常见口腔感染性疾病临床管理的要点进行归纳分析,以期为实施妊娠期口腔局部感染安全而有利的管理决策提供参考。

Oral infectious disease is one of the most common diseases during pregnancy.However,some dentists choose to refuse or postpone treatment of oral diseases during pregnancy due to concerns about safety and uncertain out‐comes.As an important part of pregnancy health,proper intervention on oral diseases during pregnancy is beneficial to the physical and mental health of patients and may reduce the mother-to-child transmission of oral pathogens.Therefore,under the premise of following the principles of safety,necessity,comfort,and multidisciplinary cooperation,scientific and standardized management of oral infectious diseases is thus recommended.This strategy requires choosing the right time,according to the specific physiological characteristics of the patient during pregnancy.Prevention and treatment should also be carried out.In this paper,we summarize existing relevant literature and evidence and analyze the main points of the clinical management of common oral infectious diseases during pregnancy.We aim to provide a reference for the implementation of safe and favorable management decisions for oral infections during pregnancy.