医学
病因学
随机对照试验
梅德林
观察研究
系统回顾
科克伦图书馆
重症监护医学
皮肤病科
模式
疾病
循证医学
评论文章
替代医学
内科学
病理
法学
社会学
社会科学
政治学
作者
Sami K. Saikaly,Tanya Siham Saikaly,Lara E Saikaly
标识
DOI:10.1080/09546634.2017.1422079
摘要
Purpose of article: This review examines studies published between May 2012 and 2017 with a specific interest in potential recurrent aphthous ulceration (RAU) etiologies and treatment modalities/efficacy, including topical treatments, systemic regimens, vitamin repletion, and laser therapy, among others.Materials and methods: PubMed MEDLINE and Cochrane Database of Systematic Reviews were searched using various combinations of: ‘aphthous’, ‘ulcer’, and ‘treatment’. The titles and abstracts from the initial literature search were appraised to identify articles for full review and reference sections from each article were searched manually for relevant publications. Both randomized controlled trials and observational reports were included in this review, as some treatment types have not been formally examined in randomized trials. Relevant studies were reviewed, compared, and summarized.Results: RAU can result from systemic disease and trauma, but recent studies have shown a variety of potential etiologies, ranging from vitamin deficiencies, oral microbiota derangements, hematological considerations, stress, genetic polymorphisms to oxidant-antioxidant imbalances, among others. Many modalities of therapy are available and have proven efficacious.Conclusions: As the exact etiology of RAU is still unknown, therapy is based on symptomatic relief.
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