Endodontski zahvati kod rizičnih pacijenata

master's thesis

• Title (english): Endodontic procedures in high-risk patients
• Author: Marina Đerek
• Mentor: Nada Galić (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2005, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Stomatološko liječenje pacijenata s kroničnim medicinskim stanjima povezano je s brojnim problemima za stomatološku struku. Pacijenti s nizom stanja i bolesti kao što su bolesti srca, kronične respiratorne bolesti, epilepsija, HIV i hepatitis B i C i diabetes melitus čine skupinu rizičnih pacijenata. Sva ta stanja utječu na stomatološko liječenje. Produženo uzimanje lijekova može imati snažan utjecaj na oralne strukture i sustavno funkcioniranje pacijenta. Neželjeni nusefekti takvih lijekova mogu uključivati hiperplaziju gingive i ostale oralne promjene. Strah od stomatološkog liječenja, bol, anksioznost i uzimanje nekih lijekova
doprinose kompleksnosti stomatološkog liječenja tih pacijenata. Stomatološka skrb tih pacijenata postaje složena i zahtjeva ispunjenje specifičnih uvjeta. Endodontsko liječenje rizičnih pacijenata treba se provoditi uz antibakterijsku zaštitu i lokalnu
medikaciju endodonta. U liječenju pacijenata s infektivnim bolestima (HIV i hepatitis) stomatolog mora poduzeti posebne mjere zaštite da se smanji rizik od infekcije. Pružanje stomatološke skrbi, uključujući i endodontsko liječenje, zahtjeva dodatnu edukaciju i vještine, kao i posebne mjere opreza. Unapređenje oralnog zdravlja u skupini rizičnih pacijenata i primjena antibakterijskih sredstava kao što je klorheksidin indicirani su za smanjenje rizika od razvoja karijesa zuba i gingivitisa.

Abstract (english)

The management of dental patients with chronic medical conditions is associated with numerous problems to the dental profession. Patients with many conditions and diseases as coronary disease, chronic respiratory disease, epilepsy, HIV and hepatitis B and C, diabetes mellitus are some of those representing group of patients at risk. All these conditions affect dental care. Prolonged drug treatment can have a profound effect on the oral structures and systemic functioning of the patient. Unwanted side effects of such drugs can induce gingival hyperplasia and other oral changes. Dental fear, pain, anxiety, and taking of certain medications contribute to the complexity of dental treatment of these patients. Dental care of such patients becomes complex and require fulfilment of specific conditions. Endodontic treatment in medically compromised patients has to be carried out under antibacterial protection and local endodontic medications. In treatment of patients with infectious disease (HIV and hepatitis) particular precautions should be taken by dentist to reduce risk of infection. Delivery of dental care, including endodontic treatment, requires additional education and skills, as well as special measures of precaution. Promotion of oral health in group of medically compromised patients and use of antibacterial medications such as chlorhexidine are indicated to reduce risk of development of dental caries and gingivitis.

• Keywords: endodoncija; stomatološka skrb za kronične bolesnike
• Keywords (english): Endodontics; Dental Care for Chronically Ill
• Language: croatian
• URN:NBN: urn:nbn:hr:127:898479
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-08-30 11:13:09