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Pre-medical dental evaluation and treatment of oral infection - a survey study among hospital-affiliated dentists in Sweden.
Olsson, Jenny; Mattsson, Ulf; Bültzingslöwen, Inger von; Pettersson, Bo; Warfvinge, Gunnar; Ljunggren, Anna.
Afiliación
  • Olsson J; Section of Oral Biology and Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Mattsson U; Section of Oral Biology and Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Bültzingslöwen IV; Department of Oral Microbiology and Immunology, Institute of Odontology, University of Gothenburg, Gothenburg, Sweden.
  • Pettersson B; Department of Orofacial Medicine, Vrinnevi Hospital in Norrköping, Östergötland, Sweden.
  • Warfvinge G; Section of Oral Biology and Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden.
  • Ljunggren A; Section of Oral Biology and Oral Pathology, Faculty of Odontology, Malmö University, Malmö, Sweden.
Acta Odontol Scand ; 80(1): 29-37, 2022 Jan.
Article en En | MEDLINE | ID: mdl-34107238
OBJECTIVE: To examine how hospital-affiliated dentists assess risk and evaluate oral foci of infection in patients facing certain medical treatments, and whether the nature of upcoming medical treatment affects the choice of dental intervention. MATERIALS AND METHODS: A survey comprising six clinical cases (50 teeth) was sent to hospital-affiliated dentists in Sweden. A treatment option for the affected tooth/teeth in each case was selected whether the patient was facing heart valve surgery, chemotherapy, radiation therapy, intravenous bisphosphonate treatment, solid organ transplantation or was diagnosed with endocarditis. RESULTS: Consensus in choice of dental treatment was high in 62%, moderate in 32% and low in 6% of the assessments. High variability of choice of treatment was seen for eight teeth whereas the remaining 42 teeth often received the same therapy regardless of medical issue. Chemotherapy and radiotherapy were thought to entail the highest risk for oral infectious sequelae with a risk ranging from 1% to 100%. CONCLUSION: Pre-medical dental evaluations and recommended treatments are often uniform with the exception of the management of asymptomatic root canal treated teeth with persisting apical radiolucency and heavily decayed molars. In many instances, dental diagnosis has a greater impact on choice of treatment than the underlying medical issue and associated implications thereof.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento del Conducto Radicular / Odontólogos Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Acta Odontol Scand Año: 2022 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento del Conducto Radicular / Odontólogos Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Acta Odontol Scand Año: 2022 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido