Systemic Alterations in patients submitted to exodontics at the Bauru School of Dentistry (USP)

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.12781

Keywords:

Dentists; Dental Offices; Emergencies; Diabetes Mellitus; Hypertension.

Abstract

Objective: To verify the rate of systemic changes observed in individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the Undergraduate Dentistry course at the Faculty of Dentistry of Bauru (FOB-USP). Methodology: a retrospective study of the medical records of individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the third and fourth years of the Dentistry course at FOB-USP, from January 1, 2015, to June 30, 2017. Data collection was performed based on information from the anamnesis obtained during the initial care of the patients and recorded in the medical records. The selected data were name, age, address, diagnosed systemic disease, current and/or past medical treatments, proposed surgical treatment, and, if there was, patient return after medical treatment for surgery. The medical records of individuals under the age of 18, patients who did not have any systemic changes, or those with systemic changes observed outside the initial care period were excluded. RESULTS: The sample consisted of 266 medical records and 119 of these were from individuals who had systemic changes (44.7%), with systemic arterial hypertension being the most common (33.1%), followed by diabetes mellitus (17.8%). Conclusion: the high prevalence of individuals with systemic alterations and who require dental surgical intervention was proven, which implies the need for a correct anamnesis and preoperative evaluation so that these cases are managed to avoid trans and/or post-operative, systemic, and/or local.

References

Abraham-Inpijn, L., Russell, G., Abraham, D. A., Bäckman, N., Baum, E., Bullón-Fernández, P., & Rigo, O. (2008). A patient-administered Medical Risk Related History questionnaire (EMRRH) for use in 10 European countries (multicenter trial). Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 105(5), 597–605. https://doi.org/10.1016/j.tripleo.2007.09.032

Andrade, ED, Ranali, J. (2011) Emergências Médicas em Odontologia (3a ed). Artes Médicas.

Bajkin, B. V., Urosevic, I. M., Stankov, K. M., Petrovic, B. B., & Bajkin, I. A. (2015). Dental extractions and risk of bleeding in patients taking single and dual antiplatelet treatment. British Journal of Oral and Maxillofacial Surgery, 53(1), 39–43. https://doi.org/10.1016/j.bjoms.2014.09.009

Cheung, B. M. Y., & Li, C. (2012). Diabetes and Hypertension: Is There a Common Metabolic Pathway? Current Atherosclerosis Reports, 14(2), 160–166. https://doi.org/10.1007/s11883-012-0227-2

Diabetes Prevention Program Research Group. (2007). The prevalence of retinopathy in impaired glucose tolerance and recent-onset diabetes in the Diabetes Prevention. Program Diabet Med, 24 (2), 137-144. https://doi.org/10.1111/j.1464-5491.2007.02043.x

Doyle, D. J., Goyal, A., Bansal, P., & Garmon, E. H. (2020) American Society of Anesthesiologists Classification. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Fernández-Feijoo J, Núñez-Orjales JL, Limeres-Posse J, Pérez-Serrano E, & Tomás Carmona I. (2010). Screening for hypertension in a primary care dental clinic. Med Oral Patol Oral Cir Bucal.15 (4), 67-72. https://doi.org/10.4317/medoral.15.e467

Ferrannini, E., & Cushman, W. C. (2012). Diabetes and hypertension: the bad companions. The Lancet, 380(9841), 601–610. https://doi.org/10.1016/s0140-6736(12)60987-8

Gebreselassie, K. Z., & Padyab, M. (2015). Epidemiology of Hypertension Stages in Two Countries in Sub-Sahara Africa: Factors Associated with Hypertension Stages. International Journal of Hypertension, 2015(959256) 1–12. https://doi.org/10.1155/2015/959256

Hogan, J., & Radhakrishnan, J. (2012). The Assessment and Importance of Hypertension in the Dental Setting. Dental Clinics of North America, 56(4), 731–745. https://doi.org/10.1016/j.cden.2012.07.003

Jadhav, A. N., & Tarte, P. R. (2019). Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 45(4), 207. https://doi.org/10.5125/jkaoms.2019.45.4.207

Jick, H., Kaye, J. A., Russmann, S., & Jick, S. S. (2006). Nonsteroidal Antiinflammatory Drugs and Acute Myocardial Infarction in Patients with No Major Risk Factors. Pharmacotherapy, 26(10), 1379–1387. https://doi.org/10.1592/phco.26.10.1379

Kannan, N., Swapna Sridevi, B., Rakesh, K. M., & Sarath, P. V. (2017). Medically Compromised Dental Patient: Dentists Nightmare. Biomed J Sci & Tech Res. 1(2), 281-282. http://dx.doi.org/10.26717/BJSTR.2017.01.000174

Lalla, E., & Lamster, I. B. (2012). Assessment and Management of Patients with Diabetes Mellitus in the Dental Office. Dental Clinics of North America, 56(4), 819–829. https://doi.org/10.1016/j.cden.2012.07.008

Lim, S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H. & Andrews, K. G. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8

Martín-Timón, I. (2014). Type 2 diabetes and cardiovascular disease: Have all risk factors the same strength? World Journal of Diabetes, 5(4), 444. https://dx.doi.org/10.4239%2Fwjd.v5.i4.444

Maryam A, Atessa P, Mozafari Pegah M, Zahra S, Hanieh G, Davood A, & Yeganeh K. (2015) Medical Risk Assessment in Patients Referred to Dental Clinics, Mashhad, Iran (2011-2012). Open Dent J. 23(9), 420-425. https://dx.doi.org/10.2174%2F1874210601509010420

Mesgarzadeh A, Mahmood-Hashemi H, Sharifi R, Hasheminasab M, & Karimi A. (2014). A retrospective study of medically compromised patients referred to the Department of Oral and Maxillofacial Surgery, School of Dentistry of Tehran University of Medical Sciences, Iran. J Craniomax Res; 1(1): 11-6. https://jcr.tums.ac.ir/index.php/jcr/article/view/81

Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., & He, J. (2016). Global Disparities of Hypertension Prevalence and Control Clinical Perspective. Circulation, 134(6), 441–450. https://doi.org/10.1186/1471-2458-11-194

Mohamed, K., Yates, J., & Roberts, A. (2014). Diabetes mellitus: considerations for the dental practitioner. Dental Update, 41(2), 144–154. https://doi.org/10.12968/denu.2014.41.2.144

Rao, SS., Reddy, R., Nath, P., Bindra, S., & Jadaun, G. (2018) Is screening in dental office an effective method of detecting undiagnosed hypertension? Indian Journal Dent Res, 29(4), 534-539. https://10.4103/ijdr.IJDR_298_17

Singh, S., Shankar, R., & Singh, G. P. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension, 1–10. https://doi.org/10.1155/2017/5491838

Smereka, J., Aluchna, M., Aluchna, A., & Szarpak, Ł. (2019). Preparedness and attitudes towards medical emergencies in the dental office among Polish dentists. International Dental Journal. 69(4), 321-328. https://doi.org/10.1111/idj.12473

Downloads

Published

04/03/2021

How to Cite

CASTRO-MERÁN, A. P.; BRAGA, G. . M.; FIAMONCINI, E. S.; DUARTE, B. G.; FERREIRA JÚNIOR, O. .; GONÇALES, E. S. . Systemic Alterations in patients submitted to exodontics at the Bauru School of Dentistry (USP). Research, Society and Development, [S. l.], v. 10, n. 3, p. e4810312781, 2021. DOI: 10.33448/rsd-v10i3.12781. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12781. Acesso em: 16 apr. 2021.

Issue

Section

Health Sciences