DİŞ HEKİMLİĞİ AÇISINDAN RİSKLİ SİSTEMİK HASTALIKLAR VE BU HASTALIKLARA BAĞLI OLUŞABİLECEK ACİL DURUMLAR: BÖLÜM 1 - SİSTEMİK HASTALIKLAR

Medikal anamnez, hastanın mevcut ve geçmiş hastalık hikayesi, kullanmakta olduğu ve geçmişte kullandığı ilaçlar, alışkanlıkları, bilinen alerjik durumları ve o güne kadar aldığı tedaviler hakkında hekimi bilgilendiren hasta hikayesidir. Diş hekimi anamnez esnasında has- tadan edineceği bilgileri değerlendirebilmeli, hastanın şikayetlerini, mevcut durumunu bu bilgilerle ilişkilendi- rebilecek bilgi birikimine sahip olmalı ve karşılaşabile- ceği durumlara karşı hazırlıklı olmalıdır. Diş hekimi koltuğuna oturan her hastadan mutlaka kapsamlı bir medikal anamnez alınmalı, bu esnada edinilen bilgiler doğrultusunda tedavi protokolü o hastaya uygun ola- rak tasarlanarak uygulamaya geçirilmelidir. Bu derle- mede diş hekimlerinin klinikte sıklıkla karşılaşabileceği çeşitli sistemik hastalıklardan bahsedilecektir. Anahtar Kelimeler: diş hekimliği, kalp ve damar has- talıkları, solunum hastalıkları, hematolojik hastalıklar, endokrin sistem hastalıkları, karaciğer hastalıkları SYSTEMIC DISEASES CONSIDERED RISKY FROM THE POINT OF DENTISTRY AND EMERGENCY SITUATIONS THAT MAY ARISE RELATED TO THESE DISEASES: PART 1 - SYSTEMIC DISEASESABSTRACT Medical anamnesis is a patient’s medical history which informs the dentist of past and present illnesses, the drugs that have been or are still being used, any habits, allergies and treatments received to that day. A dentist should be able to evaluate the information received from the patient, should have the knowledge to associate between the patient’s complaints, current medical situation and the history and also, should always be ready for any circumstances that may arise due to the patient’s health status. A comprehensive medical anamnesis should be taken from each patient that sits in a dentist’s chair and in the light of the information gathered a treatment protocol fit for that certain patient should be designed and applied. In this review, a variety of systemic diseases which dentists may encounter frequently in the clinic are going to be mentioned. Keywords: dentistry, cardiovascular diseases, respiration disorders, hematologic diseases, endocrine system diseases, liver diseases

___

  • 1. Coulthard P, Horner K, Sloan P, Theaker ED. Master dentistry oral and maxillofacial surgery, radiology, pathology and oral medicine vol 1. 1st ed. Spain; Elsevier Science Limited: 2003. p. 15-32.
  • 2. Fragiskos FD. Oral surgery. Heidelberg; Springer: 2007. p. 1-20.
  • 3. U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. NIH Publication: 2004.
  • 4. Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, Bolger A, Cabell CH, Takahashi M, Baltimore RS, Newburger JW, Strom BL, Tani LY, Gerber M, Bonow RO, Pallasch T, Shulman ST, Rowley AH, Burns JC, Ferrieri P, Gardner T, Goff D, Durack DT. Prevention of infective endocarditis. Circulation 2007; 116: 1736-54.
  • 5. Costantinidesa F, Clozzab E, Ottavianic G, Gobboc M, Tirellid G, Biasotto M. Antibiotic prophylaxis of infective endocarditis in dentistry: clinical approach and controversies. Oral Health Prev Dent 2014; 12: 305-11.
  • 6. Rose LF, Meadley B, Minsk L, Cohen W. Oral care for patients with cardiovascular disease and stroke. J Am Dent Assoc 2002; 133: 37S-44S.
  • 7. Renton T, Woolcombe S, Taylor T, Hill CM. Oral surgery: part 1. Introduction and the management of the medically compromised patient. Br Dent J 2013; 215: 213-23.
  • 8. Koerner KR. Manual of minor oral surgery for the general dentist. Iowa; Blackwell Munksgaard: 2006. p. 3-18.
  • 9. Andersson L, Kahnberg KE, Pogrel MA. Oral and maxillofacial surgery. 1st ed. United Kingdom; Blackwell Publishing Ltd: 2010. p. 29-37.
  • 10. Miloro M, Ghali GE, Larsen P, Waite P. Peterson’s principles of oral and maxillofacial surgery. 2nd ed. Hamilton; BC Decker Inc: 2004. p. 17-45
  • 20. Peterson LJ, Ellis E, Hupp JR, Tucker MR. Contemporary oral and maxillofacial surgery. 4th ed. St. Louis; Mosby Inc: 2003. p. 10-21.
  • 21. Scalea JR, Cooper M. Surgical strategies for type II diabetes. Transplantation Reviews 2012; 26: 177-182.
  • 22. Wilson MH, Fitzpatrick JJ, McArdle NS, Stassen LFA. Diabetes mellitus and its relevance to the practice of dentistry. Journal of the Irish Dental Association 2010; 56: 128-33.
  • 23. Balaji SM. Textbook of oral and maxillofacial surgery. New Delhi; Elsevier: 2007. p. 48-61.
  • 24. Sulejmanagić H, Sulejmanagić N, Prohić S, Šečić S, Mišeljić S. Dental treatment of patients with kidney diseases – Review. Bosnian Journal of Basic Medical Sciences 2005; 5: 52-6.
  • 25. Bagheri SC, Bell RB, Khan HA. Current Theraphy in Oral and Maxillofacial Surgery. St. Louis; Saunders: 2012. p. 238-46.
  • 26. Miller CS, Little JW, Falace DA. Supplemental corticosteroids for dental patients with adrenal insufficiency Reconsideration of the problem. J Am Dent Assoc 2001; 132: 1570-9.
  • 27. Protzman S, Clark J, Leeuw W. Management of Medical Emergencies in the Dental Office. Crest Oral-B at dentalcare.com Continuing Education Course 2015.
  • 28. Cengiz SB. The pregnant patient: Considerations for dental management and drug use. Quintessence Int 2007; 38: 171.e133-42