Monitorização materno-fetal durante procedimento odontológico em portadora de cardiopatia valvar

Neves, Itamara Lucia Itagiba; Ávila, Walkíria Samuel; Neves, Ricardo Simões; Giorgi, Dante Marcelo Artigas; Santos, Jorge Francisco Kuhn dos; Filho, Ricardo Martins Oliveira; Grupi, César José; Grinberg, Max; Ramires, José Antônio Franchini

doi:10.1590/s0066-782x2009001100005

Cited by 4 publications

(4 citation statements)

References 18 publications

(15 reference statements)

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“…Periodontal disease is presented both as a pathogenic microorganism reservoir and bacteremia dissemination, therefore, the implementation of educational practices designed to promote oral health and reduce biofilm should be a priority in these patients [9][10][11] .Associated with this, it must be mentioned that systemic changes that result in reduced salivary flow related to the use of certain medications such as beta-blockers lead to oral disease enhancement 12 . Dental health professionals must then be familiar with their patient's medical history, type of heart disease and its severity, drug interactions and their cardiovascular repercussions [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Oral health evaluation of cardiac patients admitted to cardiovascular pre-surgery intervention

Amaral

Pereira

Guy

et al. 2016

RGO, Rev. Gaúch. Odontol.

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ObjectiveTo assess the oral health status of patients admitted to pre-intervention heart surgery, observing the need index concerning invasive treatment.Methods hospitalized volunteers in number of 75 were evaluated in order to be investigated concerning which systemic changes were occurring, the patients' oral health conditions as well as the need for invasive dental procedures. Results Volunteers analyzed in the study were: 69.3% male and 30.7% female. As for the reason for hospitalization were: valvuloplasty (41.3%), coronary artery bypass surgery (24%), pacemaker implantation (16%), cardiac catheterization (8%), placement of stent (6.6%), congenital heart disease (4%). The associated systemic changes were: hypertension (54.6%), diabetes mellitus (20.0%), hypertension and diabetes mellitus (13.3%). Most patients presented the need to undergo invasive dental treatment procedures such as: Periodontal (58.6%), Restorative Dentistry (26.6%), surgical (18.6%), endodontic (12%), dental pain source (2, 6%), abscess presence (1.3%). ConclusionThe oral health status of the patients was considered poor, a significant number of patients at the time of the oral examination, needed some type of invasive dental treatment and the oral environment adequacy indicated dental condition which may cause the formation of infectious sites which in turn can trigger complications both in the oral cavity and general health, as well.

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Section: Introductionmentioning

confidence: 99%

Oral health evaluation of cardiac patients admitted to cardiovascular pre-surgery intervention

Amaral

Pereira

Guy

et al. 2016

RGO, Rev. Gaúch. Odontol.

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“…Lidocaine with adrenalin is the adequate association for local anesthesia in pregnant women. The use of 1.8 ml of 2% lidocaine with adrenalin was safe and effective for restorative procedure in pregnant women with rheumatic valvular heart disease [17].…”

Section: Dental Treatment For the Pregnant Patientmentioning

confidence: 90%

“…In Dentistry, the choice for the local anesthetic drug should be based on its efficacy for the mother and safe for the baby [9,17]. The type of anesthetic drug should be selected during anamnesis and can include those with vasoconstrictors aiming to slow the absorption of the anesthetic salt from the bloodstream -which decreases its toxicity and increases the time period of local anesthesia.…”

Section: Use Of Dental Anestheticsmentioning

confidence: 99%

Dental Treatment for the Pregnant Patient

Fagoni

Vasconcelos

Cardoso

et al. 2014

BDS

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<p>Dental treatment of pregnant women should be accomplished with safety. Consequently, the dental professional should evaluate its real need and risks for the mother and the baby. This paper reports, through a literature review, the caution with the clinical dental procedures commonly performed and possible risks of the therapeutic agents used, allowing the dentist to evaluate the treatment and the drug to be administered to the pregnant women.</p><p> </p>

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“…O atendimento odontológico a gestante deve ser evitado no primeiro e terceiro trimestre de gravidez. A prescrição medicamentosa no primeiro trimestre deve ser cautelosa, devido às desorganizações que os fármacos podem causar no processo de desenvolvimento do feto, e no terceiro trimestre o atendimento é indicado apenas em casos de urgência e emergência, pois o período é próximo ao trabalho de parto, e a paciente pode se sentir desconfortável na cadeira odontológica [8][9][10][11][12][13][14][15][16][17][18] . Contudo, nos casos de urgência odontológica, deve-se realizar o atendimento de forma cuidadosa e criteriosa, lembrando-se que tem dois pacientes na cadeira, sendo aconselhável a utilização de objetos para maior conforto da paciente durante o atendimento, como por exemplo, almofadas no quadril [8][9][10] .…”

Section: Introductionunclassified

Avaliação do conhecimento de cirurgiões-dentistas na prescrição medicamentosa e no tratamento odontológico de gestantes e lactantes

Rodrigues

Martins²,

Pereira³

2022

Rev Odontol Bras Central

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Objetivo: Avaliar o conhecimento dos cirurgiões-dentistas em relação à prescrição medicamentosa e a anestesia local, no atendimento da gestante e lactante. Material e método: Realizou-se um estudo descritivo, com abordagem quantitativa de 79 cirurgiões-dentistas, entre os anos de 2019 a 2020, por meio de entrevista com questionário fechado de 11 perguntas objetivas, aplicadas individualmente na presença de um único pesquisador, em clínicas particulares, congressos e unidades básicas de saúde. Resultados: Dos profissionais entrevistados, 67,09% afirmaram que o 1° trimestre da gestação é considerado o mais crítico, 53,16% apontaram o paracetamol como o melhor analgésico prescrito para estas pacientes, 78% relataram prescrever clindamicina quando a gestante é alérgica à penicilina, e apenas 35% apontaram a tetraciclina como antibiótico contraindicado. Conclusões: Existe uma falta de conhecimento muito grande por parte dos cirurgiões-dentistas no atendimento a gestante, bem como na prescrição medicamentosa para as mesmas.

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Monitorização materno-fetal durante procedimento odontológico em portadora de cardiopatia valvar

Abstract: SummaryBackground: The effects of local dental anesthesia with lidocaine and epinephrine on cardiovascular parameters of pregnant women with heart valve diseases and their fetuses are not fully understood.

Cited by 4 publications

References 18 publications

Oral health evaluation of cardiac patients admitted to cardiovascular pre-surgery intervention

Oral health evaluation of cardiac patients admitted to cardiovascular pre-surgery intervention

Dental Treatment for the Pregnant Patient

Avaliação do conhecimento de cirurgiões-dentistas na prescrição medicamentosa e no tratamento odontológico de gestantes e lactantes

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