Comprehensive dental management of patients with a history of cerebral stroke. Report of a case

Authors

DOI:

https://doi.org/10.22267/rus.182003.134

Keywords:

Heart diseases, Stroke, Mouth rehabilitation, Dental implants

Abstract

Introduction: Stroke are a set of pathologies which affect the blood vessels that supply the blood to the brain causing an alteration of the function of a certain region. The group of pathologies are popularly known as embolisms or strokes and are suddenly manifested. These disorders have in common their abrupt presentation and usually affect older people; although, they can also be presented in youth. Objective: To introduce to health professionals the implications and consequences that should be taken in the habitual dental practice and at the time of using treatments such as fixed prosthetic rehabilitation or the placement of dental implants in patients with heart disease, in order to avoid accidents and prevent postoperative hemorrhages. Results: Satisfactory esthetic and functional results were obtained in the surgical and oral rehabilitation treatments carried out to the patient. Conclusions: Due to the risk of stroke, the patients are usually subjected to antiplatelet therapy, whose side effect is the tendency to bleed. Therefore, it is important to carry out a multidisciplinary management with the specialist doctor when using surgical treatments in this type of patients in order to avoid complications and obtain adequate results.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Maria Alejandra Puerta-Domínguez, Joven Investigadora, Universidad de Cartagena. Cartagena, Colombia.

Maria Alejandra Puerta Dominguez

odontologa universidad de cartagena investigadora del grupo de investigacion GITOUC ( grupo interdisciplinario de investigaciones y tratamientos odontologicos) de la facultad de odontologia de la universidad de cartagena

References

Aleman JA, Urioste LMR, Hernández ML, García PA, López GT, Claros NM. Control de los factores de riesgo cardiovascular en pacientes con ictus atendidos en Atención Primaria en España. Estudio ICTUSCARE. Medicina clínica, 2011;136(8), 329-335.

Rubio-Alonso LJ, Martínez-Rodríguez N, Cáceres-Madroño E, Fernández-Cáliz F, Martínez-González JM. Protocolos de actuación con la exodoncia en pacientes geriátricos antiagregados y anticoagulados, Avances en Odontoestomatología. 2015;31(3):203-214.

Arias-Rivas S, Vivancos-Mora J, Castillo J. Epidemiología de los subtipos de ictus en pacientes hospitalizados atendidos por neurólogos: resultados del registro EPICES (I). Rev Neurol, 2012;54(7):385-393.

Cedeño JA, Rivas N, Tuliano RA. Manejo odontológico en pacientes con terapia antiagregante plaquetaria. Revista Odontológica Mexicana. 2013;17(4):256-260.

Wright L, Hill KM, Bernhardt J, Lindley R, Ada L, Bajorek BV, Nelson MR. Stroke management: updated recommendations for treatment along the care continuum. Internal Medicine Journal. 2012;42(5):562-569.

Fernández-Tresguerres FG, Sirvent AA, Denche JTG, Fernández I. Nuevos anticoagulantes orales: repercusión odontológica. Científica dental: Revista científica de formación continuada, 2016:13(2), 59-68.

Johnston SA. New generation of antiplatelet and anticoagulant medication and the implications for the dental surgeon. Dental Update. 2015;42(9):840-854.

Murphy J, Twohig E, McWilliams SR. Dentists' approach to patients on anti-platelet agents and warfarin: a survey of practice. Journal of the Irish Dental Association. 2010;56(1):28-31

Martínez SR, Serna JT, Silvestre FJ. Manejo odontológico en el paciente cirrótico. Gastroenterología y Hepatología, 2016:39(3), 224-232.

Ripollés-de-Ramón J, Muñoz-Corcuera M, Bravo-Llatas C, Bascones-Martínez A. Aplicación de un gel de ácido tranexámico en pacientes tratados con anticoagulantes orales. Medicina Clínica. 2014;143(11):484-488

Otiniano ALV, Gómez PAM. Manejo odontológico de pacientes con tratamiento anticoagulante. In Crescendo Ciencias de la salud. 2016;2(2):307-313.

Brennan MT, Wynn RL, Miller CS. Aspirin and bleeding in dentistry: an update and recommendations. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2007;104(3):316-323.

Carrizo A, Carrasco D. Oral surgery in patients under antithrombotic therapy. Narrative review. Journal of Oral Research. 2015;4(1):58-64.

Kwok C, McIntyre A, Janzen S, Mays R, Teasell R. Oral care post stroke: a scoping review. Journal of oral Rehabilitation. 2015;42(1):65-74.

Motovska Z. Management of antiplatelet therapy in patients at risk for coronary stent thrombosis undergoing non-cardiac surgery. Drugs. 2011;71(14):1797-1806.

Published

2018-08-31

How to Cite

1.
Puerta-Domínguez MA, Manzur-Villalobos I, Llera-Ladera AI, Rodríguez-Casanovas HJ, Díaz-Caballero A. Comprehensive dental management of patients with a history of cerebral stroke. Report of a case. Univ. Salud [Internet]. 2018Aug.31 [cited 2024Nov.24];20(3):312-7. Available from: https://revistas.udenar.edu.co/index.php/usalud/article/view/3298

Issue

Section

Case report, or case study

Most read articles by the same author(s)