Covid-19を受けた患者における口腔粘膜疾患の臨床的特徴-パンデミックにおいて歯科医師は何を知っておくべきか？

[CLINICAL CHARACTERISTICS OF DISEASES OF THE ORAL MUCOSA IN PATIENTS WHO HAVE UNDERGONE COVID-19 - WHAT DOES A DENTIST NEED TO KNOW IN A PANDEMIC?]

抄録

パンデミック時の歯科治療の有効性を高め、歯科医師の継続的な能力開発のための条件を整えるために、Covid-19を受けた患者における口腔粘膜の疾患の統一化と統一化を図った。Covid-19を受けた患者は42名で，36歳から70歳で，独自に申し込んだか，Ternopil市の民間クリニックの医師から紹介された患者であった。患者の性別分布は、男性19名、女性23名であった。急性呼吸器ウイルス感染症Сovid-19患者の臨床検査では、主観的方法の段階で、以下の訴えが明らかになった：味覚喪失が38人（90％）に、唾液分泌障害（ドライマウスまたは過流動）-40人（95％）に、舌や口腔粘膜の他の解剖学的構成要素の灼熱感、不快感、「クリーピングアリ」は29人（69％）に見られた。口腔粘膜の完全性についての訴えとそれに伴う痛みは13人（31％）であった。Covid-19と診断された患者は，舌痛症7人（17％），カンジダ性口内炎12人（28％），ヘルペス性口内炎5人（12％），慢性再発性アフタ性口内炎8人（19％），落屑性舌炎10人（24％）であった．また、複数の病名が混在している症例も10名（24%）に認められた。この結果は，パンデミック時の歯科診療に必要な歯科診療データの作成に役立つと考えられる．

ization and unification of diseases of the oral mucosa in patients who underwent Covid-19, in order to increase the effectiveness of qualified dental care for this group of people in a pandemic and create conditions for continuous professional development of dentists. 42 patients were attended, who came through Covid-19, aged 36 to 70 years, who applied independently or were referred by doctors of private clinics in the city of Ternopil. The gender distribution of patients was 19 males and 23 females. Clinical examination of patients with acute respiratory viral infection Сovid-19, at the stage of subjective methods, revealed the following complaints: loss of taste was found in 38 people (90%) patients, salivation disorders (dry mouth or hypersalivation) - in 40 people (95%) patients, burning sensation, discomfort and «creeping ants» in the tongue or other anatomical components of the oral mucosa in 29 people (69%) patients. Complaints about the integrity of the oral mucosa and the associated pain were associated with pain in 13 people (31%). Patients diagnosed with Covid-19 were diagnosed with glossodynia 7 individuals, (17%), candidal stomatitis 12 individuals, (28%), herpetic stomatitis 5 individuals, (12%), and chronic recurrent aphthous stomatitis 8 individuals, (19%), desquamative glossitis in 10 people (24%). In some clinical cases, 10 people (24%) observed a combination of nosological units. The obtained results substantiate the development of the necessary algorithm of dental examination of dental data of patients in a pandemic.