Pediatric dentistry and the child with asthma

Mungo, Richard P.; Kopel, H M; Church, Joseph A.

doi:10.1111/j.1754-4505.1986.tb01589.x

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…On the other hand, Mungo et al 16) found that cotton rolls could trigger a hyperreactive airway response in a sensitive subject. Rubber dam should be used judiciously to avoid possible respiratory compromise or aggravation 17) .…”

Section: Discussionmentioning

confidence: 98%

Does placement of rubber dam effect the arterial oxygen saturation in children? A clinical study

Odabaş

Deveci̇

Ölmez

2011

Pediatric Dental Journal

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The aim of this study was to evaluate the effect rubber dam placement on the arterial oxygen saturation level in children. Thirty children were randomly allocated to one of two groups: Group A-15 patients in this group had rubber dam isolation of the maxilla, and Group B-15 patients had rubber dam isolation of the mandible. The children were healthy and cooperative. The arterial oxygen saturation was taken before each injection, before starting the intervention, i.e. 5 min after the injection, and at 5-min intervals. All SpO 2 values were recorded every 30 seconds over a 30 minute period. There were no statistically significant differences in arterial oxygen saturation in all reading sessions for both groups (P>0.05). The use of rubber dam did not decrease the arterial oxygen saturation level in children. smooth muscle may survive for several days without oxygen 6). This has important implications in the management of oxygen transport and monitoring of tissue hypoxia in medically-compromised patients. Therefore, hypoxia should be a concern in dental procedures, especially in medically-compromised patients and children. Goodday and Crocker 7) evaluated the effect of rubber dam placement on arterial blood oxygen saturation in dental patients. They found no significant change in arterial blood oxygen saturation (SpO 2) before and after rubber dam isolation. There are few studies evaluating the effect of rubber placement dam on arterial oxygen saturation in children and its effect on children has not been studied extensively 8,9). The purpose of this study was to evaluate the effect rubber dam placement on the arterial oxygen saturation level in children. Materials and Methods Participants, including 17 boys and 13 girls ranging between 4 and 12 years of age (mean age 7.6 years) were selected from the patient population at the

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Section: Discussionmentioning

confidence: 98%

Does placement of rubber dam effect the arterial oxygen saturation in children? A clinical study

Odabaş

Deveci̇

Ölmez

2011

Pediatric Dental Journal

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“…(15,16) Rapid hemostasis in a wound occur when thrombin is applied, as it converts fibrinogen to fibrin. When used along with antifibrinolytic agents, topical fibrin glue can reduce the amount of factor replacement (17) It is not so we have to always stop ASA therapy , as local hemostatic measures are sufficient to control bleeding but if it has to be withdrawn , it should be done at least 10 days before surgery. INR(2.0-3.0)is very important to be measured before any surgical procedure specially in patients taking warfarin, if INR is less than 3.0, most oral surgical procedures can be performed without altering the warfarin dose.…”

Section: Oral Surgerymentioning

confidence: 99%

Dental Management in Medically Compromised Patients : An Overview

Manihani

Singla

Vyas³

et al. 2020

IJCRR

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There is an increasing population of apparently well, but in fact medically compromised people in the community. Most will require dental treatment at some stage and will usually seek it away from a hospital environment. In a recent survey of a general dental practice in Australia it was found that up to 55 per cent of some age groups had concurrent medical problems. Thus there is a real risk that adverse interactions between medical conditions and dental treatment may occur on some occasions, even fatal ones. It is not possible for any individual to know the details of all medical conditions, their treatment and the possible interactions with dental treatment. However, by the application of some sound general principles the risks of any potential interactions can be evaluated. The essential steps for a clinician are: knowledge of the medical history of all patients, potential drug interactions and management of medical emergencies. These principles will be discussed and illustrated by examples of medically compromised patients who may experience common or potentially serious sequelae as a result of dental treatment.

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