A Practical Approach to Special Care in Dentistry de P Diz Dios

A Practical Approach to Special Care in Dentistry

P Diz Dios

A Practical Approach to Special Care in Dentistry

Learn to treat dental patients with disabilities or who are medically compromised

A Practical Approach to Special Care in Dentistry delivers a comprehensive and robust overview of special care dentistry reflecting the most common compromised clinical conditions dentists will regularly encounter. It discusses more than 50 topics based on real-world clinical cases focusing on two main areas: patients with disabilities and medically compromised patients.

The book uses a problem-based learning approach and helps the reader to apply knowledge in a clinical case context. Each chapter contains a case report establishing the main risk factors relating to the provision of dental treatment. That is followed by a practical and realistic set of adaptations for the reader to follow to minimise the rate and severity of potential complications for their patient. The book also includes:

A thorough introduction to patients suffering from disabilities, including physical disabilities, like cerebral palsy and epilepsy, and cognitive impairments, like Down’s Syndrome
Comprehensive explorations of the treatment of medically compromised patients, like those with infectious diseases, endocrine diseases, hepatorenal disease, and cardiovascular disease
Practical discussions of other special patient situations, like those with allergies, antiresorptive and antiangiogenic drugs, terminal patients, underhoused patients, and pregnant or breastfeeding patients

Perfect for general dentists, undergraduate students of odontology, and graduate students of special care dentistry, A Practical Approach to Special Care in Dentistry is also a must-read resource for dental specialists in special care dentistry, hospital odontology, geriatric odontology, oral surgery, and dental hygienists.

Citește tot Restrânge

Notă biografică

Pedro Diz Dios is Professor, Consultant, and Head of the Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela & Galician Health Services (SERGAS), Santiago de Compostela, Spain. Navdeep Kumar is Divisional Clinical Director at the Royal National ENT & Eastman Dental Hospitals, Consultant in Special Care Dentistry at University College London Hospitals NHS Foundation Trust, and Honorary Senior Lecturer at University College London, UK.

Cuprins

About the Authors ix List of Contributors x Preface xiii 1 Physical Disability 1 1.1 Cerebral Palsy 1 1.2 Epilepsy 8 1.3 Muscular Dystrophy 17 2 Cognitive Impairment 24 2.1 Attention Deficit and Hyperactivity Disorder (ADHD) 24 2.2 Autism Spectrum Disorders 31 2.3 Down Syndrome 38 3 Sensory Impairment 47 3.1 Visual Deficit 47 3.2 Auditory Deficit 54 4 Infectious Diseases 61 4.1 Tuberculosis 61 4.2 Human Immunodeficiency Virus (HIV) Infection/AIDS 68 4.3 Viral Hepatitis 77 5 Endocrine Diseases 85 5.1 Diabetes Mellitus 85 5.2 Hypothyroidism 94 5.3 Hyperthyroidism 101 6 Hepatorenal Diseases 108 6.1 Hepatic Cirrhosis 108 6.2 Chronic Kidney Disease (Dialysis) 115 7 Bone Diseases 125 7.1 Osteoporosis 125 7.2 Paget Disease 132 7.3 Rheumatoid Arthritis 137 8 Cardiovascular Diseases 146 8.1 Arterial Hypertension 146 8.2 Angina Pectoris 156 8.3 History of Myocardial Infarction 164 8.4 Carrier of Coronary Pacemaker 172 8.5 Carrier of Valvular Prosthesis 181 8.6 Carrier of Coronary Stent 190 9 Respiratory Disease 196 9.1 Chronic Obstructive Pulmonary Disease (COPD) 196 9.2 Asthma 205 10 Bleeding Disorders 216 10.1 Haemophilia 216 10.2 Treatment with Heparin 229 10.3 Treatment with Warfarin (Acenocoumarol) 238 10.4 Treatment with Direct Oral Anticoagulants 247 10.5 Treatment with Antiplatelets 254 11 Blood Dyscrasias 263 11.1 Thalassaemia 263 11.2 Sickle Cell Anaemia 271 11.3 Neutropenia 279 11.4 Thrombocytopenia 286 11.5 Leukaemias 293 11.6 Lymphoma 304 11.7 Bone Marrow Transplantation 314 12 Immunosuppression 323 12.1 Systemic Corticosteroids 323 12.2 Antineoplastic Agents (Chemotherapy) 332 12.3 Immunosuppressants (Solid Organ Transplantation) 346 13 Head and Neck Cancer 358 13.1 Surgery 358 13.2 Radiation Therapy 366 13.3 Oral Cancer Survivor 374 14 Neurological Disorders and Strokes 382 14.1 Alzheimer Disease 382 14.2 Parkinson Disease 391 14.3 Multiple Sclerosis 400 14.4 Motor Neuron Disease 409 14.5 Stroke 418 15 Psychiatric Disorders 428 15.1 Anxiety and Phobia 428 15.2 Depression 439 15.3 Schizophrenia 448 15.4 Recreational Drug Use 457 15.5 Alcoholism 468 16 Other Special Considerations 477 16.1 Allergies 477 16.2 Antiresorptive and Antiangiogenic Drugs 486 16.3 Pregnancy and Breastfeeding 497 16.4 Bariatric Patients 504 16.5 Homelessness 513 16.6 End of Life 521 Appendix 529 Appendix A Case Mix Model 529 Appendix B Common Oral Manifestations of Systemic Diseases 530 Appendix C American Society of Anesthesiologists (ASA) Physical Status Classification System 533 Appendix D Glasgow Coma Scale (GCS) 534 Appendix E WHO Three-step Ladder for Pain Relief 535 Appendix F Medical Conditions Associated with Increased Bleeding Risk 536 Appendix G Classes of Drugs Associated with Increased Bleeding Risk 537 Appendix H Bleeding Risk Associated with Dental Procedures 538 Appendix I Topical Haemostatic Agents for Invasive Dental Procedures 539 Index 541