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The impact of medical comorbidities on postoperative complications in dento-alveolar surgery: a study in a population followed up in a university dental school setting
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39530 | 1.65 MB | Adobe PDF |
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Abstract(s)
Devido ao número crescente de pacientes com comorbilidades, uma avaliação minuciosa é essencial para o sucesso do tratamento médico-dentário de um paciente medicamente comprometido. Durante as extrações dento-alveolares, podem surgir várias complicações pós-operatórias. Entre os fatores descritos na literatura que podem contribuir para a sua ocorrência, encontram-se as comorbilidades que os pacientes apresentam. Para compreender a repercussão destas diferentes comorbilidades nas possíveis complicações após extrações dentárias em ambiente académico, em continuidade ao estudo observacional retrospetivo intitulado "Caracterização do perfil de prescrição de antibióticos em cirurgia dentoalveolar - estudo numa população da UFP", previamente aprovado pela Comissão de Ética da Universidade Fernando Pessoa, serão analisados os dados recolhidos. O objetivo desta dissertação é delinear os problemas médicos dos pacientes que recorrem à extração dento-alveolar e realçar o impacto que algumas comorbilidades podem ter no desenvolvimento de complicações pós-operatórias. De acordo com os resultados do nosso estudo, foi possível demonstrar que as duas comorbilidades mais frequentes na nossa coorte foram as doenças cardiovasculares e a diabetes tipo 2. Protocolos clínicos devem ser bem definidos nas consultas de medicina e cirurgia oral para a abordagem desses pacientes. Adicionalmente, não foi encontrada associação entre as comorbilidades e complicações pós-operatórias, nem entre os hábitos tabágicos e complicações pós-operatórias.
Due to the increasing number of patients with chronic medical problems, a thorough evaluation is essential to the successful dental management of a medically compromised patient. During dentoalveolar extractions, several post-operative complications can arise. These unforeseen events may be due to the possible comorbidities that these patients suffer. To understand the repercussion of these different comorbidities on the possible complications following dental extractions within an academic setting, data collected in continuation of the retrospective observational study titled "Characterization of the Profile of Antibiotic Prescription in Dentoalveolar Surgery - A Study in a UFP Population," previously approved by the Ethics Committee of the Fernando Pessoa University, will be analysed. The aim of this dissertation is to outline the medical problems of patients attending for dentoalveolar extraction and to highlight the impact that some comorbidities might have on the development of post-operative complications. According to the results of our study, we were able to show that the two most frequent comorbidities in our cohort were cardiovascular problems and type 2 diabetes. Clinical protocols should be well-defined in oral medicine and surgery consultations for the management of these patients. Additionally, no association was found between smoking habits and postoperative complications, or between comorbidities and postoperative complications.
Due to the increasing number of patients with chronic medical problems, a thorough evaluation is essential to the successful dental management of a medically compromised patient. During dentoalveolar extractions, several post-operative complications can arise. These unforeseen events may be due to the possible comorbidities that these patients suffer. To understand the repercussion of these different comorbidities on the possible complications following dental extractions within an academic setting, data collected in continuation of the retrospective observational study titled "Characterization of the Profile of Antibiotic Prescription in Dentoalveolar Surgery - A Study in a UFP Population," previously approved by the Ethics Committee of the Fernando Pessoa University, will be analysed. The aim of this dissertation is to outline the medical problems of patients attending for dentoalveolar extraction and to highlight the impact that some comorbidities might have on the development of post-operative complications. According to the results of our study, we were able to show that the two most frequent comorbidities in our cohort were cardiovascular problems and type 2 diabetes. Clinical protocols should be well-defined in oral medicine and surgery consultations for the management of these patients. Additionally, no association was found between smoking habits and postoperative complications, or between comorbidities and postoperative complications.
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Keywords
Comorbilidades médicas Complicações pós-operatórias Cirurgia dento-alveolar Hábitos tabágicos Medical comorbidities Postoperative complications Dento-alveolar surgery Smoking habits