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dental mx of ward pts - Coggle Diagram
dental mx of ward pts
what are common conditions that need dental mx for ward pts?
hemorrhage/bleeding
sites
surface eg. oral mucosa, maxillofacial skin
deep tissue
common causes
gum disease (periodontitis)
trauma
tumour
coagulation disorders
long-term use of
anti-coagulants or anti-platelets
esp in
CVD
APs eg. aspirin, clopidogrel (
Plavix
), ticagrelor, prasugrel
ACs eg. warfarin & DOACS (eg. rivaroxaban, dabigatran)
hematologic diseases
hemophilia (lack of coagulation factors)
this can also occur in
end-stage liver disease
! recall liver produces most of these factors
leukemia (lack of WBCs)
thrombocytopenia (lack of platelets)
how to care for such pts
collaborate w other healthcare providers
assess vital signs (HR, BP, RR, spO2)
prevent hypovolumic shock by replenishing blood vol via IV fluids or blood transfusions
OMS intervention:
Hemostasis
Mechanical
direct pressure, gauze pack, bone wax
Thermal
U/S scalpel, monopolar/bipolar electrocoagulation
Surgical
suture, ligation of vessels
Chemical using hemostatic agents
Tranexamic acid, TXA
mx of loose tooth
purpose
prevent airway obstruction, infx or pain
esp worried abt infx in
susceptible ward pts
eg. diabetes, kidney disease, pregnant (changes in endogenous hormones), dehydration (can be from major surgery), osteoporosis (esp pt on BPs), cancer, immune disease
mx
exo
fixation & splints
emergencies
infx/abscess in high risk sites eg. those that may cause Ludwig's angina
incision & drainage of abscess
ABs
facial trauma
key: ensure airway patency
immobilise fractured ends temporarily
tmj dislocation
mx: reduction
see slide 33 for the diff ways
component of multidisciplinary team for complex medical comorbidities
who are ward pts?
pts w serious medical conditions
surgical procedures
chronic conditions
overview of dental care for inpts
types
specialised dental care
feeding instruction in infant w clet lip and/or palate
i/o stents for pt undergg RT for H&N cancer, to spare normal tissues
basic dental care for OH eg. burhsing, flossing, mouthwash
why impt?
prevent development of dental problems & promote overall health and well-being
oms is crucial in dental mx of ward pt, particularly those w complex dental conditions or medical comorbidities
it is impt to
weigh severity of OMF disease against comorbidities
work collaboratively w other healthcare providers