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首页> 外文期刊>The Journal of Prosthetic Dentistry >Conservative management of medication-related osteonecrosis of the maxilla with an obturator prosthesis
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Conservative management of medication-related osteonecrosis of the maxilla with an obturator prosthesis

机译：闭孔假体的药物相关上颌骨坏死的保守治疗

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Advanced maxillary medication-related osteonecrosis of the jaw can cause extensive hard and soft tissue destruction that results in long-term oroantral fistulae. The surgical treatment of medication-related osteonecrosis of the jaw may relieve acute symptoms and eliminate the signs of inflammation, but the primary and sustained plastic closure of these defects can challenge both the clinician and the patients. Although the use of obturator prostheses for maxillary defects after ablative oncologic surgery is well documented, studies about this treatment for similar medication-related osteonecrosis of the jaw related defects are missing. This presentation of clinical situations describes the use of obturators as a conservative alternative to repetitive surgery for the rehabilitation of selected maxillary defects with oroantral communications.
机译：晚期上颌药物相关的颌骨坏死可导致广泛的硬组织和软组织破坏，从而导致长期口鼻瘘。药物相关的颌骨坏死的外科手术治疗可以缓解急性症状并消除炎症迹象，但是这些缺陷的初步和持续的塑封可能会挑战临床医生和患者。尽管消融肿瘤手术后使用上颌假体治疗上颌骨缺损已有充分文献记载，但有关这种与下颌骨相关缺损的药物相关性骨坏死的类似治疗方法的研究仍缺乏。这种临床情况的介绍描述了使用闭孔器作为重复手术的保守替代方法，用于通过口-耳沟通来修复选定的上颌骨缺损。

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