Postupanje s rizičnim bolesnicima u ordinaciji dentalne medicine

master's thesis

• Title (english): Treatment of at-risk patients in the dental office
• Author: Petra Mihalić
• Mentor: Krešimir Bašić (mentor)
• Committee member: Krešimir Bašić (predsjednik povjerenstva)
• Committee member: Ivana Šutej (član povjerenstva)
• Committee member: Ivana Savić Pavičin (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Pharmacology); Zagreb
• Defense date and country: 2022-09-30, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Doktori dentalne medicine svakodnevno se susreću sa sve većim brojem rizičnih bolesnika u
svojim ordinacijama. Sa stomatološkog stajališta rizični bolesnici su osobe s različitim
sistemskim bolestima i poremećajima koji predstavljaju rizik od razvoja životno ugrožavajućih
stanja za vrijeme ili nakon stomatološkog liječenja, a postupanje s takvim pacijentima prema
preporučenim smjernicama uvelike smanjuje taj rizik, iako je on uvijek prisutan. Pacijenti s
različitim oblicima kardiovaskularnih bolesti posebno su osjetljivi na fizičke ili emocionalne
izazove s kojima se mogu susresti tijekom stomatološkog liječenja. Odgovarajuća
preoperativna priprema hematoloških bolesnika značajno smanjuje rizik od krvarenja tijekom i
nakon kirurških zahvata. Loše kontrolirane endokrinološke bolesti kontraindikacija su za
provedbu stomatološkog liječenja zbog povećanog rizika od razvoja životno ugrožavajućih
stanja. Izbjegavanje ili reduciranje provocirajućih čimbenika na najmanju moguću razinu od
velike je važnosti za pacijente oboljele od astme. Prilagodba doze većine lijekova iz
stomatološke prakse provodi se kod pacijenata s uznapredovalim bolestima jetre i bubrega.
Onkološki bolesnici zahtijevaju kontinuirano praćenje i stomatološko zbrinjavanje što doktora
dentalne medicine čini važnim članom interdisciplinarnog tima koji sudjeluje u liječenju
onkoloških pacijenata.

Abstract (english)

Doctors of Dental Medicine encounter with an increasing number of at – risk patients in their
dental offices on a daily basis. From a dental point of view, at – risk patients are persons with
various systemic diseases and disorders which represent a risk for the development of life –
threatening conditions during or after the dental treatment. However, treating such patients
according to the guidelines greatly reduces that risk, although it is always present. Patients with
various forms of cardiovascular diseases are especially sensitive to the physical or emotional
challenges that may be met during the dental treatment. Adequate preoperative preparation of
hematologic patients significantly reduces the risk of bleeding during and after surgical
procedures. Poorly controlled endocrine diseases represent a contraindication for the
implementation of the dental treatment due to the increased risk of developing life – threatening
conditions. Avoiding or reducing provoking factors to the lowest possible level is of great
importance for patients suffering from asthma. Dose adjustment of most drugs in a dental
practice is carried out in patients with advanced liver and kidney diseases. Oncology patients
require continuous monitoring and dental care which makes the doctor of dental medicine an
important member of the interdisciplinary team that participates in the treatment of oncology
patients.

• Keywords: stomatološka skrb za kronične bolesnike; smjernice za praksu
• Keywords (english): Dental Care for Chronically Ill; Practice Guidelines
• Language: croatian
• URN:NBN: urn:nbn:hr:127:714098
• 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: 2022-12-06 12:21:43