Reading time is 4 mins
.
.
ANTALYA DENTIST’S VIEW OF PATIENTS WITH COMPLICATED DIABETES
If there are other side diseases besides diabetes mellitus, blood pressure should be measured at the first appointment. Blood pressure should be neither too low nor too high.
Turkey Medicals – we will share with you detailed information about the dental treatment of patients in Turkey with complicated diabetes mellitus.
The approach to a diabetic patient with cardiovascular disease and the approach to a diabetic patient with a high blood pressure value require a little more care than other groups of patients.
Stable blood pressure values in patients with diabetes are lower than normal, and the target value is <140/90 mmHg.
High blood pressure is associated with increased cardiovascular mortality.
The dentist clinic in Antalya should measure the blood pressure, know its consequences and take into account the complication of blood pressure-lowering drugs and oral signs.
.
MEASUREMENT OF BLOOD PRESSURE ON EXAMINATION
Blood pressure measurement should be performed at each session in patients with high blood pressure.
Patients should rest for five minutes, be seated on a chair, make sure that the arm is at the level of the heart. At the first appointment, blood pressure should be measured and recorded.
Blood pressure <120/80 mmHg is two years, 120-139/80-89 mmHg if a year; in patients with high blood pressure, >135/85 mmHg and heart disease, patients with diabetes or kidney disease should be measured at each session.
.
THE APPROACH TO THE HYPERTENSIVE PATIENT
Things to know on a first date:
1- What is the degree of blood pressure elevation?
2- What are the blood pressure measurements with blood pressure medications?
3- Are there any problems/side effects related to blood pressure lowering drugs?
4- Has there been a drug exchange?
Adequate blood pressure should be maintained. Appointments should not be kept long and should be early.
Especially in those who have a lot of fear, 5-10 mg of diazepam can be given either the night before or an hour or two before treatment, or alternatively sedation with nitric oxide can be provided.
Sudden changes in position should be avoided during treatment, otherwise blood pressure drops may occur when moving from a horizontal position to a vertical position.
All dental treatments in Turkey can be applied in those who have optimal and prehypertensive blood pressure levels. If high blood pressure is under control, the patient can receive local anesthesia with a maximum of two cartridges of epinephrine. Wait a minimum of 10 minutes. If further anesthesia is required, local anesthesia without epinephrine should be preferred.
The necessary general evaluation should be performed in patients with blood pressure between 140-180 and 90-110 mmHg. Sedation may be preferred or elective intervention may be postponed until blood pressure is under control.
If the blood pressure is >180/110 mmHg, the elective intervention should be postponed until it is controlled.
In case of emergency with high blood pressure (KB > 210/120 mmHg) 40 mg. oral furosemide should be given, the emergency department should be called and referred to the nearest Turkey private hospital.
Since the use of nonselective beta-blockers such as propronalol and nadolol can potentiate the effect of epinephrine, the dose should be reduced.
.
THE APPROACH TO THE ISCHEMIC PATIENT
Dental treatments are a problem, especially for heart patients who do not have adequate medical control. As a result of a short-term heart attack and an irregularity of the heart rhythm, sudden death may develop.
Things to know on a first date:
1- When was she first diagnosed, was she hospitalized for this?
2- What are the medications he uses?
3- Are there complaints of shortness of breath, palpitations, easy fatigue?
4- Is he taking anticoagulants or antiplatelet drugs?
The safest intervention in a patient with a short-term heart attack is after six months.
However, a period of four to six weeks may also be sufficient. During this period, procedures such as painful tooth extraction, abscess drainage, pulp removal should be limited, and treatments should be performed in Antalya hospital setting.
Sessions should be less than half an hour.
Early morning (infakt is the most common) and afternoon (fatigue, stress is too much) appointments should not be preferred.
If the patient uses nitrates, he should bring them with him to every appointment.
Patients with tension and too much fear should be treated with 5-10 mg of diazapam one to two hours before treatment at night.
.
THE APPROACH TO THE DIABETIC PATIENT WITH HEART FAILURE
It is a lack of pumping power of the heart. In diabetes, the risk of chronic heart failure increases two to five times.
Things to know on a first date:
1- What is the cause of heart failure?
2- Does chest pain, shortness of breath develop with exertion?
3- Is he able to climb stairs without chest pain or shortness of breath?
An dentist clinic appointment should be made early in the morning
Too much fear and stress should be avoided during treatment, and the duration should be less than half an hour.
Dentistry practice is limited to stable patients. If an congestive heart failure is under control, no special prevention is required.
.
THE APPROACH TO THE DIABETIC PATIENT WITH CEREBRAL ARTERY DISEASE
Stroke stroke in developed countries is the third most common cause of death after heart and cancer. Things to know on a first date:
1- When did you have a stroke, what is its type?
2- Did it cause loss of movement?
3- Have there been any movements that have improved over time?
Emergency dental treatment is allowed six months after the stroke
The dental patient who has had a stroke should be given an appointment early in the morning
Anesthetic solution should be applied in a small amount
Metranidazole and tetracycline should not be used because they affect coagulation.
.
.
.
.
Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.