問題詳情

11.關於阻生齒拔牙後處置的說明,下列何者正確?
(A)冰敷不一定能預防術後腫脹,但病人大抵會覺得舒服
(B)使用類固醇有許多副作用,不建議使用於預防拔牙術後腫脹
(C)為預防拔牙術後感染,健康病人亦需使用抗生素
(D)局部使用抗生素如四環黴素,並無證據顯示可以預防dry socket 發生

參考答案

答案:A
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洪郡謙】評論

Contemporary Oral and Maxillary surgery 7e P.183, 184(B)To minimize the swelling that is common after the surgical removal of impacted third molars, some surgeons give parenteral corticosteroids. Intravenous administration of a glucocorticoid steroid provides sufficient antiinflammatory activity to greatly limit edema.類固醇可以提供抗發炎能力來防止Edema!(D)many surgeons deliver an antibiotic such as tetracycline into the sockets of lower third molars to help prevent osteitis sicca (dry socket).很多醫師會開Tetracyclin來防止乾性齒槽炎的發生!附加:a relatively common one is the single administration of 8 mg dexamethasone before surgery. Dexamethasone is a long-acting steroid, and its efficacy in controlling third molar postsurgical edema is documented. This drug can then be continued in an oral dose of 0.75 to 1.25 mg twice a day for 2 to 3 days to continue edema control.術前打8 mg dexamethasone(IV),術後再吃2-3天的口服dexamethasone