Romanian Journal of Medical and Dental Education Volum 7 Issue 2. 2018 IMPLICATIONS OF THE MAIN FACTORS IN POSTEXTRACTIONAL COMPLICATIONS


Constantin Răzvan Giuvara, Cristian Ilie Drochioi, Cristina Iordache

ABSTRACT: The purpose of this study is to identify the main factors leading to two postextractional complications in current practice, postextractional alveolitis and postextractional haemorrhage.

Material and methodThe group of patients was represented by a number of 133 persons who presented at the Maxillofacial Surgery Clinic in view of specialized therapeutics, represented by the dental extraction, those dental units which can’t be preserved any more, according to the clinical and paraclinical selections.Results and Discussions We noticed a significant dependence of the incidence of post-operative alveolitis relative to the dento-periodontal condition specific to the extracted tooth.The installation of the post-treatment alveolite is correlated with the dento-periodontal pathology which proposed the extraction. The distribution of patients undergoing dental extractions on “the patient’s territory“ variable was: cardiovascular disorders 31%,    metabolic disorders  16%,   pulmonary diseases 9%, neurological disorders 7%,   “apparently” healthy patients 37% .Conclusions:  The inflammatory condition prior to dental extraction is a real predictor for post-surgical complications. Oral health is a prediction factor for postoperative disease. Particularly patients with multiple dento-periodontal problems show a high risk.

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