Samulak-Zielińska Renata, Dembowska Elżbieta, Lizakowski Piotr
Departament of Periodontology, Pomeranian Medical University in Szczecin, Poland.
Specialist Medical Practice in Szczecin, Poland.
Dent Med Probl. 2019 Jul-Sep;56(3):291-298. doi: 10.17219/dmp/109232.
Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life, but also negatively affects the course of ischemic heart disease. Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special consideration with regard to the timing and form of dental treatment as well as to the precautions required. Patients at risk of cardiac complications that are greater than the benefits of dental treatment should be identified and only the most urgent conditions should be treated. The aim of this study was to present the latest guidelines for dental treatment in patients who have suffered myocardial infarction. We reviewed the available literature explaining when dental treatment can be undertaken, whether antibiotic prophylaxis is required, whether the patient can be anesthetized locally, and how to provide the maximum safety during the visit. The principles of the surgical treatment of patients receiving drugs that affect hemostasis were also reviewed.
心脏病发作的患者常常需要牙科治疗。口腔炎症不仅会降低生活质量，还会对缺血性心脏病的病程产生负面影响。有心肌梗死病史的患者进行牙科治疗似乎很复杂，因为这些患者在牙科治疗的时机、形式以及所需的预防措施方面都需要特别考虑。应识别出心脏并发症风险大于牙科治疗益处的患者，仅治疗最紧急的情况。本研究的目的是介绍心肌梗死患者牙科治疗的最新指南。我们回顾了现有文献，解释何时可以进行牙科治疗、是否需要预防性使用抗生素、患者是否可以进行局部麻醉以及如何在就诊期间提供最大程度的安全保障。还回顾了接受影响止血药物治疗的患者的外科治疗原则。
