Vađenje zuba kod rizičnih pacijenata

master's thesis

• Title (english): Tooth extraction in risk patients
• Author: Dina Šimunović
• Mentor: Davor Brajdić (mentor)
• Committee member: Davor Brajdić (predsjednik povjerenstva)
• Committee member: Ivan Zajc (član povjerenstva)
• Committee member: Josip Biočić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2018-09-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Pozamašan broj naočigled zdravih pacijenata u podlozi ima neku neprepoznatu ili neadekvatno tretiranu bolest. Takvi pacijenti predstavljaju najveći rizik za razvoj komplikacija tijekom oralnokirurških zahvata. Prema tome, potrebno je voditi se osnovnim načelima kako bi se izbjegle životno ugrožavajuće situacije. Potrebno je uzeti detaljnu medicinsku i stomatološku anamnezu, poznavati potencijalne interakcije između stomatološkoga zahvata i medicinskoga stanja pacijenta i biti upoznat s protokolom u slučaju razvoja hitnog stanja. Kod pacijenata koji anamnestički navode kardiovaskularne bolesti zahvatu se pristupa samo ako je bolest adekvatno regulirana uz mjere opreza. Poremećaji zgrušavanja, endokrinološkoga i autoimunoga sustava te bolesti bubrega kontroliraju se primarno laboratorijskim nalazima na temelju kojih pacijentu pristupamo po utvrđenome protokolu. Antibiotska profilaksa opravdana je samo u određenim situacijama kod splenektomiranih pacijenata i pacijenata s umjetnim kukom te ukoliko postoji rizik za razvoj infektivnoga endokarditisa. Osteoporoza, kemoterapija i radioterapija podrazumijevaju uporabu agensa koji dovode do promjena u usnoj šupljini kao što su mukozitis, infekcije, promjene sastava sline itd. Oralnokirurški zahvati u takvoj usnoj šupljini mogu inducirati razvoj nekroze čeljusnih kostiju. Stoga je sanacija usne šupljine prije liječenja primarne bolesti od neizmjerne važnosti. Trudnoća je stanje u kojemu je potreban oprez primarno pri ordiniranju lijekova i radiološkoj dijagnostici. Alergije su rezultat prekomjernoga imunosnog odgovora na neinfektivnu stranu supstancu. Mogu se javiti kao reakcija na lijekove i materijale koji se koriste u stomatološkoj praksi.

Abstract (english)

There is a great deal of apparently well, but in fact medically compromised patients whose illnesses might be undetected or inadequately treated. This group of patients is at the greatest risk of developing complications when undergoing oral surgery. Thus, application of some general principles is advised in order to avoid fatal complications, principles such as: knowledge of the medical history of all patients, knowledge of potential interactions between medical conditions and dental treatment and knowledge of medical emergency procedures. To provide care to patients with a cardiovascular disease, dentists must be aware of its treatment and approach with caution. Patients with coagulopathy, endocrine disorders, abnormalities of the immune system and disorders of the renal system are regulated primarily by laboratory results which indicate the type of dental treatment needed. Antibiotic prophylaxis is justified only in certain situations for post-splenectomy patients and patients with total hip arthroplasty and if there is a risk of developing infective endocarditis. Osteoporosis, chemotherapy and radiotherapy imply the presence of agents that can lead to oral complications such as mucositis, infections, saliva changes etc. Oral surgery in such conditions can lead to necrosis of the jaw. Therefore, oral assessment and dental care are highly recommended before such therapies to eliminate all potential sources of oral infections and trauma. For a pregnant patient certain precautions in the use of drugs and radiographs must be taken. Allergies are a result of an excessive response of the immune system to an allergen. In dental practice, they are associated with certain drugs and materials.

• Keywords: protokol; antibiotska profilaksa; nekroza
• Keywords (english): principles; antibiotic prophylaxis; necrosis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:459993
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-01-04 09:45:12