| 임상가를 위한 특집 2 - 전신질환을 가진 환자의 치과처치 및 약물처방시 주의할점 |
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남정훈 |
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한림대학교 의과대학 치과학, 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임플란트학과, 한림대의료원 강남성심병원 치과구강악안면외과 |
| Considerations in dental management and medication for the medically compromised patients |
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Jeong-Hun Nam |
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Department of Dentistry, Oral & Maxillofacial Surgery, Kangnam Sacred Heart Hospital, Hallym University Medical Center, Department of Oral & Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University |
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| Abstract |
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Current trend of aging society suggests that many patients are at risk for various preoperative preparations and postoperative complications during and following invasive dental procedures, due to an acquired medically compromised conditions from systemic disease and/or from medications. The medical history is critical for the identification of patients potentially at risk for medically compromised and old aged patients' factors from dental treatment. The proper dental management requires an understanding of certain principles of pathophysiology for these medical conditions and some standard laboratory tests. Polypharmacy in old age, besides representing a risk in and of itself, points to the potential risk the underlying diseases that necessitated the drugs can present in the dental office. These diseases and medications can also present a risk to oral health. A sequence for categorizing drugs in a medication list is presented here to aid in the identification of potential risks in the dental treatment and management of patients with complex medical histories and drug regimens. Specific patient populations, such as pediatric, may have specific drugs or additional criteria that need to be considered. Practitioners must use the health history and the medication list in concert, using one to make sense of the other and utilizing all the information available from reviewing each one carefully in order to manage their increasingly complex patients safely and effectively. |
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