医源性牙外伤的发生原因和防治策略

Causes and prevention strategies of iatrogenic dental trauma

医源性牙外伤是指在口腔及全身疾病治疗过程中由医源性因素如拔牙、麻醉等有创诊疗意外造成的牙外伤。医源性牙外伤表现为累及牙体硬组织、牙髓和牙周组织的单一或合并损伤。针对医源性牙外伤的预防和处理策略是临床诊疗的重点和难点。显微镜、数字化导航技术等精准和微创的辅助设备在口腔及全身治疗中的逐渐普及和应用,为降低医源性牙外伤提供更多可能性。本文通过系统性总结医源性牙外伤的发生原因,以期为临床中如何避免发生医源性牙外伤的治疗方案选择提供参考。

Iatrogenic dental trauma refers to tooth injuries caused by iatrogenic factors such as extractions,anesthesia,and other invasive treatment accidents during the management of oral and systemic diseases.These injuries can manifest as isolated or combined damages to the hard tissues of the tooth,the pulp,and the periodontal tissues.Preventive and management strategies for iatrogenic dental trauma are critical and challenging aspects of clinical practice.The increasing use and integration of precision and minimally invasive auxiliary equipment,such as microscopes and digital navigation technology,in both oral and systemic treatments offer more possibilities for reducing iatrogenic dental trauma.This article systematically reviewed the causes of iatrogenic dental trauma,aiming to provide references for selecting treatment plans in clinical practice to avoid such injuries.