Bertrand Khayat - Mikrochirurgische Endodontologie

Ferner ist die Intervention bei Patienten mit schwerer marginaler Parodontitis kontraindiziert. Hier ist der Eingriff zu verschieben, bis es mithilfe einer geeigneten Parodontaltherapie möglich ist, die Operation unter besseren Bedingungen durchzuführen.

Zusammenfassung

Für die apikale Chirurgie gibt es einige absolute medizinische Kontraindikationen, die selten sind und vor allem Patienten mit erhöhtem Endokarditisrisiko betreffen.

Relative medizinische Kontraindikationen ergeben sich bei Patienten mit erhöhtem

●Infektionsrisiko (HIV, Diabetes usw.)

●Blutungsrisiko (Vitamin-K-Antagonisten, Thrombozytenaggregationshemmer, direkte orale Antikoagulanzien)

●Kieferosteonekroserisiko (Bisphosphonate, Antiangiogenese)

●kardiovaskulärem Risiko (Hypertonie).

Mögliche lokale Kontraindikationen stehen im Zusammenhang mit

●der Anatomie (Knochendicke, Kieferhöhle, Foramen mentale, palatinale Wurzeln, oraler Zugang)

●dem Zustand des Parodonts (Lockerung, Kronen-Wurzel-Verhältnis, Entzündung).

Literatur

1.Heise ER. Diseases associated with immunosuppression. Environ Health Perspect 1982;43:9–19.

2.Guggenheimer J, Eghtesad B, Stock DJ. Dental management of the (solid) organ transplant patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:383–389.

3.Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Fleisher LA, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2017.

4.Campo J, et al. Oral complication risks after invasive and non-invasive dental procedures in HIV-positive patients. Oral Dis 2007;13:110–116.

5.Moswin AH, Epstein JB. Essential medical issues related to HIV in dentistry. J Can Dent Assoc 2007;73(10):945–948.

6.Golden SH, Peart-Vigilance C, Kao WH, Brancati FL. Perioperative glycemic control and the risk of infectious complications in a cohort of adults with diabetes. Diabetes Car 1999;22:1408–1414.

7.Guvener M, Pasaoglu I, Demircin M, Oc M. Perioperative hyperglycemia is a strong correlate of postoperative infection in type II diabetic patients after coronary artery bypass grafting. Endocr 2002;49(5):531–537.

8.Goëb V, et al. Recommendations for using TNFα antagonists and French Clinical Practice Guidelines endorsed by the French National Authority for Health. Joint Bone Spine 2013;80(6):574–580.

9.Scottish Dental Clinical Effectiveness Programme (SDCEP) 2015. Management of dental patients taking anticoagulants or antiplatelet drugs. Dental Clinical Guidance. Available from: http://www.sdcep.org.uk/wp-content/uploads/2015/09/SDCEP-Anticoagulants-Guidance.pdf

10.Lillis T, Ziakas A, Koskinas K, Tsirlis A, Giannoglou G. Safety of dental extractions during uninterrupted single or dual antiplatelet treatment. Am J Cardiol 2011;108(7):964–967.

11.Peterson P, Hayest E, Arkin CF, Bovill EG, Fairweather RB, Rock WA Jr, Triplett DA, Brandt J. The preoperative bleeding time test lacks clinical benefit. Arch Surg 1998;133(2):134–139.

12.Aframian DJ, Lalla RV, Peterson DE. Management of dental patients taking common hemostasis altering medication. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:S45.e1–11.

13.Favaloro EJ, Lippi G. The new oral anticoagulants and the future of haemostasis laboratory testing. Biochem Med (Zagreb) 2012;22:329–341.

14.Saad F, Brown JE, Van Poznak C, et al. Incidence, risk factors, and outcomes of osteonecrosis of the jaw: integrated analysis from three blinded active-controlled phase III trials in cancer patients with bone metastases. Ann Oncol 2012;23:1341.

15.American Association of Oral and Maxillofacial Surgeons. Medication-Related Osteonecrosis of the Jaw-2014 Update. 2014.

16.Lo JC, O’Ryan FS, Gordon NP, et al. Prevalence of osteonecrosis of the jaw in patients with oral bisphosphonate exposure. J Oral Maxillofac Surg 2010;68(2):243.

17.Damm DD, Jones DM. Bisphosphonate-related osteonecrosis of the jaws: a potential alternative to drug holidays. Gen Dent 2013;61:33.

18.WHO. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization, 2009.

19.Jin GC, Kim KD, Roh BD, Lee CY, Lee SJ. Buccal Bone Plate Thickness of the Asian People. J Endod 2005;31(6):430–434.

20.Agbaje JO, Van de Casteele E, Hiel M, Verbaanderd C, Lambrichts I, Politis C. Neuropathy of trigeminal nerve branches after oral and maxillofacial treatment. J Maxillofac Oral Surg 2016;15:321–327.

Текст предоставлен ООО «ЛитРес».

Прочитайте эту книгу целиком, купив полную легальную версию на ЛитРес.

Безопасно оплатить книгу можно банковской картой Visa, MasterCard, Maestro, со счета мобильного телефона, с платежного терминала, в салоне МТС или Связной, через PayPal, WebMoney, Яндекс.Деньги, QIWI Кошелек, бонусными картами или другим удобным Вам способом.