Specific Problem Areas

Scully, Crispian; Dios, Pedro Diz; Kumar, Navdeep

doi:10.1016/b978-0-443-07151-5.50005-6

Cited by 2 publications

(12 citation statements)

References 241 publications

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“…Good pain control is essential to minimize stress on the myocardium secondary to pain sensation. The local anesthetic should be administered slowly with an aspirating syringe to assess the physiological response and reduce the risk of cardiovascular toxicity 58 . There is insufficient evidence to suggest that local anesthetic with or without adrenaline as a vasoconstrictor poses a risk to patients with hypertension or other cardiomyopathies 61 .…”

Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

“…An aspirating local anesthetic syringe should always be used 58 . The local anesthetic solution should be delivered in areas without localized inflammation and/or infection, as the presence of inflammation may affect the success of local anesthesia.…”

Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

“…They confirmed that nonsurgical periodontal therapy can be safely performed when the international normalized ratio is <4, and that surgical periodontal therapy surgery can be safely performed when the international normalized ratio is <3. These international normalized ratio values are applicable in patients without other concomitant factors that may favor bleeding, such as liver failure or uncontrolled hypertension 58 …”

Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

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Complications and treatment errors in periodontal therapy in medically compromised patients

Leira

Marletta

Orlandi

et al. 2022

Periodontology 2000

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In 2019, worldwide life expectancy was estimated at approximately 72 years of age. This has improved dramatically over decades, and is mirrored in childhood survival rates. 1 As a consequence, the number of people presenting with long-term conditions is increasing rapidly, as it is closely related to aging. 2 Multimorbidity in this aging population is common and it has been rising in prevalence over recent years, with one in three adults living with more than one chronic disease. 3,4 Evidence on the prevalence of systemic diseases in patients presenting for periodontal care suggests that between 40% and 52% of patients have more than one systemic condition, and these estimates increase with age. [5][6][7] In addition, the type of medical problems patients present with can differ significantly depending upon the facility where periodontal care is provided. 8 Findings from a retrospective analysis demonstrated a lower prevalence of medically compromised patients with periodontitis who attended a private dental practice (28%) compared with those attending a dental school or hospital clinic (46% and 74%, respectively). 8 Differences between participants in terms of age, socioeconomic status, or health awareness could explain these findings. 8 The most frequently reported medical problems in the dental office are allergies to medications followed by cardiovascular diseases (including hypertension) and endocrine disorders (including diabetes mellitus). [5][6][7][8][9][10] As a direct consequence of medical comorbidities, a substantial number of patients will be taking multiple medications, which may also have an impact on their periodontal management.Radfar and Suresh 11 observed that of 1041 patients treated in their dental school, 360 (35%) were taking antihypertensives, 202 (19%) painkillers, 181 (17%) antidepressants, 107 (10%) antidyslipidemic agents, and 95 (9%) antiplatelet drugs. This highlights an additional consideration in terms of the potential pharmacologic interactions with anesthetics or other medications that we might need to prescribe for these patients after certain periodontal procedures.In addition to the systemic pathology inherent to age and polypharmacy, the increased survival of patients with certain congenital diseases with periodontal manifestations has created a growing demand for periodontal treatment. These congenital disorders includeThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

Section: Prevention and Management Of Complications And Treatment Err...mentioning

confidence: 99%

See 1 more Smart Citation

Complications and treatment errors in periodontal therapy in medically compromised patients

Leira

Marletta

Orlandi

et al. 2022

Periodontology 2000

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“…These individuals are at greater risk of dental and facial injuries, and in the long term are likely to develop mental health problems, such as depression and anxiety. 12,29 Specific barriers to accessing and accepting dental care must also be considered 30 (Table 3). The responsibility of the dental team in identifying and providing help to an alcohol-dependent patient must not be understated.…”

Section: Alcohol Misuse and Clinician Responsibilitymentioning

confidence: 99%

“…The responsibility of the dental team in identifying and providing help to an alcohol-dependent patient must not be understated. The Delivering better oral health toolkit highlights the importance of a social history with use of specific screening questionnaire tests such as AUDIT-C. 29 30…”

Section: Alcohol Misuse and Clinician Responsibilitymentioning

confidence: 99%

Necrotising periodontal diseases and alcohol misuse - a cause of osteonecrosis?

Tkacz

Gill

McLernon³

2021

Br Dent J

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Raises clinician awareness on the topic of necrotising periodontal diseases and describes diagnosis and treatment modalities.Explores and explains the link between alcohol misuse, malnutrition and necrotising periodontal diseases.Encourages dentists to liaise with healthcare professionals in the management of patients suffering from underlying comorbidities, highlighting the importance of holistic patient care.

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Specific Problem Areas

Cited by 2 publications

References 241 publications

Complications and treatment errors in periodontal therapy in medically compromised patients

Complications and treatment errors in periodontal therapy in medically compromised patients

Necrotising periodontal diseases and alcohol misuse - a cause of osteonecrosis?

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