Guidelines for Patients with Bleeding Disorders Undergoing Dentalveolar Surgeries

Dental practitioners must be well informed about the pathology, complications and treatment options associated with bleeding disorders patients. Prolongation of bleeding time can seriously complicate the patient’s condition during and after surgery, especially if there is iron deficiency anemia or any other condition accompanied by a decrease in hematopoiesis. For this reason, the dentist surgeon must be aware about the presence of such diseases in advance, in order to prevent the development of bleeding and its undesirable consequences promptly. Blood loss becomes apparent when blood exits through a natural opening in the body, for instance the nose & mouth. In this article, common medical bleeding situations with the potential to compromise the successful outcome of dental surgical procedures have been presented. Bleeding disorders is a disease group, which can be classified as deficiencies of coagulation factors, platelet disorders, vascular disorders, fibrinolytic defects and so on. Fragile blood vessels can cause bleeding, petechiae, bruising, etc. In most cases, vascular disease does not cause serious blood loss, with the exception of hereditary hemorrhagic telangiectasia. In this paper, we discuss the most common hereditary diseases associated with a deficiency of plasma coagulation factors VIII and IX, the disease of platelet deficiency (Glansman disease), the prophylaxis of bleeding in this kind of patients, and the effect of drugs on coagulation processes as well.

The Efficacy of Sedation Depends on the Diet of Population

Physicians are often faced with the fact that the duration of anesthesia varies in different patients, which significantly complicates the process of surgical intervention and may confront the surgeon with an unforeseen situation. Recently, publications have appeared in the literature on the effects of various, including exotic products on anesthesia. There are also many conflicting statements about the effect of camel milk (CM) on the duration of anesthesia. Some data show that CM prolongs anesthesia, while other scientists argue the exact opposite: CM shortens the effect of the anesthetic. We decided to shed light on these studies by analyzing the effect of CM consumption on the effectiveness of local anesthesia in different patients. This article highlights the significant changes that occur in anesthesia due to the patients’ diet. To achieve the set goal, we sort the twenty patients underwent local anesthesia into groups depending on the habit of using CM. The first, control, group consisted of practically healthy patients who did not use CM throughout their lives, and the second group had the habit of regularly taking CM. In both groups, local anesthesia was first performed without pre-drink CM. For the second time, participants in the control and experimental groups were asked to drink CM before the anesthesia procedure. Both in the control and experimental groups, patients drank CM one hour before local anesthesia. A significant correlation was found between the use of CM and the duration of anesthesia in both groups. Consumption of CM had a different effect on the duration of local anesthesia in the experimental and control groups. When milk was consumed before the use of analgesics in these two different groups, it changed exactly the opposite: for those who usually drink milk, it was shortened, and for those who did not drink it daily, lengthened. Thus, we found that the differences in the statements of scientists about the CM impact on anesthesia are based on the fact of different effects of CM in its single and long-term use. We attribute this to the suppression under long-term use of CM the cytochrome system neutralizing both foreign compounds and nutrients entering the organ. However, further long-term studies with larger sample sizes are needed to elucidate the molecular mechanisms behind this phenomenon.

Comparative Evaluation of Implant Placement with Conventional and Digital Surgical Guide Techniques: Two Case Reports

Background: Implant placement using a conventional surgical guide and digital surgical guide techniques is well documented in the literature. The most frequently reported disadvantages of conventional surgical guide placement are lack of accuracy in implant placement when compared to three-dimensional assessment in digital technique. Other factors listed are longer time duration and the need for impression techniques. In this case report, the authors present a comparison between the two techniques and the time taken between both cases one done conventionally and another case by digital technique. Case Presentation: For the digital surgical guide, a 44-year-old, male reported with the chief complaint of missing teeth needing replacement was considered. For the conventional technique, a female patient aged fifty-seven who had gone through various dentists with an existing bridge was considered. This patient wanted a good outcome at a reasonable cost. In both cases, molars were missing and needed replacement. The steps for digital flow for a surgical guide and step-by-step conventional methods are both highlighted in this article. Conclusion: Hence the digital technique saved time and was accurate when compared to the conventional in our experience.