scholarly journals Dental Extractions in Patients on Antiplatelet Therapy: A Clinical Study

2017 ◽  
Vol 03 (01) ◽  
pp. 034-039
Author(s):  
K Sushma ◽  
Jayaprasad Shetty ◽  
Vijayendra Pandey ◽  
Somnath Mukherjee ◽  
Santosh Kumar
Keyword(s):  
Clinical Study ◽  
Cardiovascular Diseases ◽  
Medical History ◽  
Antiplatelet Therapy ◽  
Surgical Procedures ◽  
Tooth Extraction ◽  
Patient Management ◽  
Oral Surgical Procedures ◽  
Mortality And Morbidity ◽  
Dental Practitioners

AbstractCardiovascular diseases cause highest mortality and morbidity worldwide. The introduction of preventive and maintenance antiplatelet therapy has, to a certain extent, contributed to this decline. With millions of health-conscious people using anti-platelet drugs, dental practitioners are frequently confronted with clinical situations wherein a decision has to be made about patient management, in view of the medical history. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions and to discuss the various measures implemented for controlling the bleeding postoperatively. This study analyzes the association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions, and to discuss the various measures implemented for controlling the bleeding postoperatively. The objectives of the study are to analyze association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy.

Referral Patterns of General Dental Practitioners for Oral Surgical Procedures

2007 ◽  
Vol 65 (4) ◽  
pp. 686-690 ◽  
Author(s):  
David A. Cottrell ◽  
Uday N. Reebye ◽  
Scott M. Blyer ◽  
Michael J. Hunter ◽  
Neil Mehta
Keyword(s):  
Surgical Procedures ◽  
Oral Surgical Procedures ◽  
Referral Patterns ◽  
Dental Practitioners

scholarly journals LARYNGEAL MASK AIRWAY FOR MINOR ORAL SURGICAL PROCEDURES: A CLINICAL STUDY.

2016 ◽  
Vol 4 (5) ◽  
pp. 1594-1597
Author(s):  
Dr.Nitin Bhagat ◽  
◽  
Dr.Rajeev Pandey ◽  
Dr.Harsh Jain ◽  
Dr.Hardik Shetty ◽  
...  
Keyword(s):  
Clinical Study ◽  
Laryngeal Mask Airway ◽  
Surgical Procedures ◽  
Laryngeal Mask ◽  
Oral Surgical Procedures

Lidocaine versus Mepivacaine in Sedated Pediatric Dental Patients: Randomized, Prospective Clinical Study

2014 ◽  
Vol 39 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Aylin Sipahi Çalış ◽  
Esra Cagiran ◽  
Candan Efeoglu ◽  
Aslı Topaloglu Ak ◽  
Huseyın Koca
Keyword(s):  
Clinical Study ◽  
Tooth Extraction ◽  
Pediatric Patients ◽  
Dental Anxiety ◽  
Pain Scale ◽  
Primary Tooth ◽  
Prospective Clinical Study ◽  
Oral Surgical Procedures ◽  
Lidocaine Group ◽  
Group 2

Dental anxiety is usually seen in the pediatric patients. specially in the case of minor oral surgical procedures and exodontia, cooperation of the patients and their families with the dentist will lead to superior treatment outcomes. Pain control is important in dentistry. The aim of this randomized prospective clinical study is to compare the local anaesthetic and haemodynamic effects of 2% lidocaine (Group 1) and 3% mepivacaine (Group 2) in sedated pediatric patients undergoing primary tooth extraction. Study design: 60 pediatric patients undergoing sedation for elective primary tooth extraction was prospectively included in the study in a randomized fashion. Inclusion and exlusion criteria were assigned. Patients were given premedication via oral route. Local anesthesia was achieved before extraction(s). Results: There were no significant differences between the groups in patient demographics, number of teeth extracted, duration of the operation and time from the end of the procedure to discharge (p≯0.05). FLACC pain scale scores were not statistically significant between the groups, except at 20 minutes post-operatively when the score is significantly lower in Group 2 (p=0.029). Conclusion: Prevention of pain during dental procedures can nurture the relationship of the patient and dentist. Tooth extraction under sedation in pediatric patients could be safe with both local anesthetics.

scholarly journals Comparison of Pain Perception for Nasopalatine Nerve Block using Conventional and Computerized Local Anesthesia Delivery Systems in Adults: A Randomized Split-mouth Clinical Study

2016 ◽  
Vol 6 (3) ◽  
pp. 177-180
Author(s):  
Bhagyashree R Kohale ◽  
Amit A Agrawal ◽  
Dinesh Erlewad
Keyword(s):  
Clinical Study ◽  
Local Anesthesia ◽  
Nerve Block ◽  
Surgical Procedures ◽  
Pain Perception ◽  
Rating Scale ◽  
Delivery Systems ◽  
Injection Technique ◽  
Oral Surgical Procedures ◽  
Significant Difference

ABSTRACT Introduction Profound local anesthesia (LA) is necessary in order to reduce patient discomfort during oral surgical procedures. However, injection technique itself may be a potentially painful procedure. A comfortable and consistent LA can increase the level of trust between the patient and the operator, since even a thought of intraoral injection causes a considerable amount of anxiety in many patients. To reduce this anxiety, a computer-controlled local anesthesia delivery (CCLAD) system is commercially available as a possible means of minimizing the sensation of pain (especially for palatal injections). Aim The aim of the present study was to compare the pain perception, when injections were administered using the CCLAD system or a conventional technique in patients requiring oral surgical procedures in the maxillary anterior region. Materials and Methods This randomized split-mouth study included 15 patients (7 females and 8 males). Conventional syringe or computerized single tooth anesthesia (STA) system with a 30-gauge needle was used to give nasopalatine nerve block by the same operator, over a minimum gap of 7 days. Immediately after injection, patient's pain perception was assessed using numeric rating scale (NRS). Overall difference in pain perception and effect of change in sequence of type of anesthesia were determined using unpaired t-test. Results Results of the study showed statistically significant difference between the pain scores of STA system and conventional injection technique; however, the change in sequence of anesthesia technique did not show any effect on the effectiveness of STA system. Conclusion The STA system significantly reduces the pain perception after administration of nasopalatine nerve block in adults. Clinical significance Use of STA system for administration of nasopalatine nerve block in adults provides better patient acceptance and pain control over conventional cartridge syringe. How to cite this article Kohale BR, Agrawal AA, Erlewad D. Comparison of Pain Perception for Nasopalatine Nerve Block using Conventional and Computerized Local Anesthesia Delivery Systems in Adults: A Randomized Split-mouth Clinical Study. J Contemp Dent 2016;6(3):177-180.

Digital risk analysis of cardiovascular diseases: new opportunities for the patients

2008 ◽  
Vol 149 (15) ◽  
pp. 677-684 ◽  
Author(s):  
Csaba Arnold ◽  
Zoltán Englert ◽  
Csaba Szabadhegyi ◽  
Csaba Farsang
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Risk Analysis ◽  
Effective Treatment ◽  
Medical History ◽  
Vascular Diseases ◽  
Coronary Risk ◽  
Risk Status ◽  
Long Period ◽  
Graphic Presentation

Authors constructed a software helping the prevention programme of coronary and vascular diseases as the classical risk factors are used for graphic presentation of coronary risk as compared to “normal” risk. By repeated estimation alterations in coronary risk status can be compared to previous ones and thereby help evaluating the changes. This programme is highlighted by the presentation of changes in coronary risk of a patient during a 4-year-long period of her medical history. It is also shown how graphic presentation of risk can support the more effective treatment and patient care.

scholarly journals Molecular Research in Cardiovascular Disease

2021 ◽  
Vol 22 (13) ◽  
pp. 7199
Author(s):  
Maria Dorobantu ◽  
Maya Simionescu ◽  
Nicoleta-Monica Popa-Fotea
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Diseases ◽  
21St Century ◽  
Mortality And Morbidity ◽  
Full Attention

Cardiovascular diseases have attracted our full attention not only because they are the main cause of mortality and morbidity in many countries but also because the therapy for and cure of these maladies are among the major challenges of the medicine in the 21st century [...]

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

scholarly journals Effects of Dust Storms and Climatological Factors on Mortality and Morbidity of Cardiovascular Diseases Admitted to ED

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Behcet Al ◽  
Mustafa Bogan ◽  
Suat Zengin ◽  
Mustafa Sabak ◽  
Seval Kul ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Chest Pain ◽  
Cardiovascular Diseases ◽  
Dust Storm ◽  
Dust Storms ◽  
Maximum Temperature ◽  
Inpatient Hospitalization ◽  
Mortality And Morbidity ◽  
Coronary Syndrome

Objective. This study was designed to investigate the effects of Desert Dust Storms and Climatological Factors on Mortality and Morbidity of Cardiovascular Diseases admitted to emergency department in Gaziantep. Method. Hospital records, obtained between September 01, 2009 and January 31, 2014, from four state hospitals in Gaziantep, Turkey, were compared to meteorological and climatological data. Statistical analysis was performed by Statistical Package for the Social Science (SPSS) for windows version 24.0. Results. 168,467 patients were included in this study. 83% of the patients had chest pain and 17% of patients had cardiac failure (CF). An increase in inpatient hospitalization due to CF was observed and corresponded to the duration of dust storms measured by number of days. However, there was no significant increase in emergency department (ED) presentations. There was no significant association of cardiac related mortality and coinciding presence of a dust storm or higher recorded temperature. The association of increases in temperature levels and the presence of dust storms with “acute coronary syndrome- (ACS-) related emergency service presentations, inpatient hospitalization, and mortality” were statistically significant. The relationship between the increase in PM10 levels due to causes unrelated to dust storms and the outpatient application, admission, and mortality due to heart failure was not significant. The increase in particle matter 10 (PM) levels due to causes outside the dust storm caused a significant increase in outpatient application, hospitalization, and mortality originated from ACS. Conclusion. Increased number of dust storms resulted in a higher prevalence of mortality due to ACS while mortality due to heart failure remained unchanged. Admission, hospitalization, and mortality due to chest pain both dependent and independent of ACS were increased by the presence of dust storms, PM10 elevation, and maximum temperature.

SIGNIFICANCE OF PLATELETS IN INFLAMMATORY AND THROMBOTIC REACTIONS IN THE ELDERLY

2021 ◽  
pp. 76-83
Author(s):  
А. М. Осадчук ◽  
И. Л. Давыдкин ◽  
И. А. Золотовская
Keyword(s):  
Cardiovascular Diseases ◽  
Cardiovascular System ◽  
Antiplatelet Therapy ◽  
Plasma Levels ◽  
The Elderly ◽  
Wide Audience ◽  
Hemostatic System ◽  
Clinical Consequences ◽  
Coronavirus Infection ◽  
System Today

Развитие тромботических реакций, приводящих к нежелательным клиническим последствиям у лиц пожилого возраста, известно при многих заболеваниях, включая патологию сердечно-сосудистой системы. Сегодня идет накопление данных о степени выраженности изменений системы гемостаза у пациентов с новой коронавирусной инфекцией (COVID-19) и изучение тромбоцитарного и плазменного звена. Для понимания некоторых механизмов, связанных с патологией тромбоцитов, нами представлен обзор, в котором обобщены сведения о патофизиологических реакциях тромбоцитов в условиях их старения и возможных механизмах их патологической агрегации. Возможно, представленные фундаментальные и клинические данные будут интересны широкой аудитории специалистов для обсуждения ранней антитромбоцитарной терапии и ее обоснования не только у пациентов с сердечно-сосудистыми заболеваниями, но и с COVID-19. The development of thrombotic reactions that lead to undesirable clinical consequences in the elderly is known in many diseases, including pathology of the cardiovascular system. Today, data on the severity of changes in the hemostatic system in patients with a new coronavirus infection (COVID-19) and the study of platelet and plasma levels are being accumulated. In order to understand some of the mechanisms associated with platelet pathology, we present a review that summarizes information about the pathophysiological reactions of platelets in the conditions of their aging and possible mechanisms of their pathological aggregation. Perhaps the presented fundamental and clinical data will be of interest to a wide audience of specialists to discuss early antiplatelet therapy and its justification not only in patients with cardiovascular diseases, but also with COVID-19.

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