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FACULTY OF DENTISTRY
ORAL SURGERY
THIRD YEAR OF DENTISTRY
PROFESSOR: Dr Manuel Diaz Hernandez
Oral and Maxillofacial Surgeon
INTRODUCTION
Previous the dental extraction the dentist should do a good
evaluation of the patients to determine if they present local factors or
compromising medical condition that difficulty the dental extraction.
DIABETIC PATIENTS
To the diabetic patients we must indicate:
• Medical consultation before the surgical treatment
• Blood test (complete blood complementary and blood sugar)
• If they are not under medical treatment or are not stabilized the
diabetic, they can’t be put under a surgical procedure no
matter how simple it might be.
• Being under treatment and stabilized, the dental extraction or
any surgical procedure can be done with previous antibiotic
prophylaxis, hours before and after the dental extraction or
surgical intervention occurs.
THE PREGNANCY
In the pregnancy we need to be careful in the dental treatment and
with some types of drugs, the x-ray are contraindicated in the first
trimester but the dental extractions have not contraindications
Medical and gynecologic consultation should be done and is very
important to do a good preoperative evaluation
ELDERLY PATIENTS
These patients have more health problems and frequent suffer many
diseases and function degeneration.
The principal health problems are:
- Oldness of the tissues.
- Vitamin deficiency.
- Circulatory disorders.
- Facing infection.
- Anemia.
- Hypoproteinemia.
- Traumas.
CHILDHOOD
With these patients we should have special cares and do pediatric
consultation
When they are uncooperative the general anesthesia is indicated for
dental extraction or surgical procedure no matter how simple it might
be.
BIBLIOGRAPHY
Mazola C: Oral surgery. 2nd edition,2003
Peterson U: Contemporary oral and maxillofacial surgery. 4th
edition,2004
Laskin D M: Oral and maxillofacial surgery. Volume I and II. 3rd
edition,2003
Fonseca J: Oral and maxillofacial surgery. Volume LVII. 2nd
edition,2002