{"id":2648,"date":"2021-06-02T06:34:46","date_gmt":"2021-06-02T06:34:46","guid":{"rendered":"https:\/\/crinident.ro\/?p=2648"},"modified":"2021-08-11T10:21:33","modified_gmt":"2021-08-11T10:21:33","slug":"tratamentul-dentar-la-pacientii-cu-afectiuni-oncologice","status":"publish","type":"post","link":"https:\/\/crinident.ro\/en\/tratamentul-dentar-la-pacientii-cu-afectiuni-oncologice\/","title":{"rendered":"Tratamentul dentar la pacien\u021bii cu afec\u021biuni oncologice"},"content":{"rendered":"<p>\u00cen prezent, diagnosticul de cancer este din ce \u00een ce mai des \u00eent\u00e2lnit. Conform Federa\u021biei Asocia\u021biilor Bolnavilor de Cancer din Romania, exist\u0103 98.000 de pacien\u021bi confirma\u021bi cu afec\u021biuni oncologice.<\/p>\n<p><!--more--><\/p>\n<p>Deoarece un astfel de pacient nu poate fi lipsit de tratament stomatologic, vom puncta c\u00e2teva idei esen\u021biale.\u00a0Pacien\u021bii care se afl\u0103 \u00een cursul unui tratament de chimioterapie, radioterapie sau hormonoterapie, trebuie \u00een primul r\u00e2nd s\u0103 anun\u021be \u0219i s\u0103 informeze medicul dentist vizavi de tipul tratamentului de specialitate pe care \u00eel urmeaz\u0103. \u00cen acela\u0219i timp, medicul stomatolog trebuie s\u0103 cunoasc\u0103 majoritatea efectelor adverse ale chimioterapiei sau radioterapiei, asupra sistemului oro-dentar.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-2650 lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/06\/1-300x200.jpeg\" alt=\"tratamente dentare Craiova\" width=\"900\" height=\"600\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/06\/1-300x200.jpeg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/06\/1-272x182.jpeg 272w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/06\/1.jpeg 700w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/600;\" \/><\/p>\n<p>\u00cen toate cazurile, orice lips\u0103 de informa\u021bie trebuie completat\u0103 de medicul oncolog, care trebuie contactat \u0219i ob\u021binut acordul scris al acestuia. Orice tratament de chimioterapie sau radioterapie, pr\u0103bu\u0219e\u0219te hematologic \u00eentregul organism:<\/p>\n<ul>\n<li>Chimioterapia ac\u021bioneaz\u0103 pe leucocite \u0219i hemoglobin\u0103. Uneori, num\u0103rul leucocitelor poate sc\u0103dea sub 5.000 \/ mm cub, cu alte cuvinte, ap\u0103rarea imunitar\u0103 celular\u0103 este distrus\u0103. Trebuie evitate extrac\u021biile \u0219i infec\u021biile de cauza oro-dentar\u0103. De asemenea, hemoglobina scade considerabil, uneori sub 8-9 g \/ 100 ml, ceea ce contraindic\u0103 orice manevr\u0103 s\u00e2nger\u00e2nd\u0103.<\/li>\n<\/ul>\n<ul>\n<li>Radioterapia ac\u021bioneaz\u0103 \u00een special pe trombocite \u0219i hemoglobin\u0103. Trombocitele scad sub 150.000 \/ mm cub, ceea ce contraindic\u0103 manevrele s\u00e2nger\u00e2nde, deoarece hemostaza primar\u0103 este afectat\u0103. Hemoglobina sub 8-9 g \/ 100 ml \u0219tim deja c\u0103, contraindic\u0103 manevrele s\u00e2nger\u00e2nde.<\/li>\n<\/ul>\n<p>Atunci c\u00e2nd aceste manevre sunt inevitabile, trebuie realizata o hemoleucogram\u0103 la care trebuie sa avem urm\u0103toarele valori:<\/p>\n<ul>\n<li>Leucocite \u00eentre 5.000 \u2013 8.000 \/ mm cub<\/li>\n<li>Hemoglobin\u0103 \u00eentre 10-11 g \/ 100 ml<\/li>\n<li>Trombocite peste 150.000 \/ mm cub.<\/li>\n<\/ul>\n<p>\u00cen cazul tratamentelor de radioterapie, se contraindic\u0103 extrac\u021biile, \u00eentre un an \u0219i un an \u0219i jum\u0103tate, de la oprirea tratamentului.\u00a0Judecata clinic\u0103 a medicului trebuie s\u0103 orienteze conduita terapeutic\u0103 pentru fiecare caz \u00een parte.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-medium wp-image-1912 lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/crisitana-nicolae-ve-300x300.jpg\" alt=\"dr Cristiana Nicolae @ clinica stomatologica CriniDent Craiova\" width=\"300\" height=\"300\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/crisitana-nicolae-ve-300x300.jpg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/crisitana-nicolae-ve-150x150.jpg 150w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/crisitana-nicolae-ve-768x768.jpg 768w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/05\/crisitana-nicolae-ve.jpg 800w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/p>\n<p>Dr. Cristiana Nicolae<\/p>\n<p>medic dentist, competen\u021b\u0103 \u00een implantologie oral\u0103 \u0219i estetic\u0103 dentar\u0103<br \/>\n<a href=\"https:\/\/crinident.ro\/en\/\">www.crinident.ro<\/a><\/p>\n<p>&#8211;<\/p>\n<p>#sigilare dentara Craiova #sigilare dentara copii #protetica dentara Craiova #proteze scheletate Craiova #proteze dentare Craiova #sinus lifting Craiova #chirurgie oral\u0103 Craiova #terapie laser Craiova #laser stomatologic Craiova #tratament laser parodontoza #igiena dentara #igiena aparatului dentar #recomandari aparate dentare #miniimplanturi ortodontice #orto-implanturi #tratamente de canal Craiova #tratamente endodontice CriniDent Craiova #frica de stomatolog #sterilizare instrumente sotmaologice #parodontoz\u0103 #parodontit\u0103 #cauze boala parodontal\u0103 #simptome parodontit\u0103 #proteze dentare #parodontologie #gingivit\u0103 #tratament parodontoz\u0103 #proteze dentare #protetic\u0103 dentar\u0103 #detartraj cu ultrasunete #profilaxie dentar\u0103 #aparate dentare #aparate ortodontice #ortodon\u021bie #albire dentar\u0103 #fa\u021bete dentare #estetic\u0103 dentar\u0103 #implanturi dentare #implantologie #obtura\u021bii\u00a0 #inlay\/onlay\/overlay #stomatologie Craiova #cabinet stomatologic CriniDent Craiova #clinic\u0103 stomatologic\u0103 CriniDent<\/p>\n<p>&#8211;<\/p>\n<p>LINK-URI UTILE, WEBSITE-URI PARTENERE:<\/p>\n<p><a href=\"https:\/\/dentalmarketing.ro\/\">#dentalmarketing<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/strategie-marketing-dental\/\">#strategie marketing medicina dentara<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/promovare-social-media-marketing-stomatologie\/\">#promovare Facebook pentru stomatologie<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/website-cabinete-stomatologie\/\">#dental web design wesbite stomatologie<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/optimizare-seo-google-seo-stomatologie\/\">#optimizare SEO website stomatologie<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/branding-identitate-medicina-dentara\/\">#branding stomatologie<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/dental3dtour-tururi-virtuale-360\/\">#tururi virtuae 360 Dental3DTour<\/a><br \/>\n<a href=\"https:\/\/dermamarketing.ro\/\">#dermamarketing<\/a><br \/>\n<a href=\"https:\/\/dermamarketing.ro\/strategie-marketing-medical-marketing-dermatologie\/\">#promovare chirurgie estetica<\/a><br \/>\n<a href=\"https:\/\/dermamarketing.ro\/promovare-social-media-marketing-dermatologie\/\">#promovare clinica dermatologie<\/a><br \/>\n<a href=\"https:\/\/verdemag.ro\/\">#verdemag<\/a><br \/>\n<a href=\"https:\/\/verdemag.ro\/\">#magazin produse naturiste<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u00cen prezent, diagnosticul de cancer este din ce \u00een ce mai des \u00eent\u00e2lnit. Conform Federa\u021biei Asocia\u021biilor Bolnavilor de Cancer din Romania, exist\u0103 98.000 de pacien\u021bi confirma\u021bi cu afec\u021biuni oncologice.<\/p>","protected":false},"author":2,"featured_media":2650,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[55,57],"tags":[108,103,154,155],"class_list":["post-2648","post","type-post","status-publish","format-standard","has-post-thumbnail","category-clinica-dentara-crinident","category-stomatologie-craiova","tag-clinica-stomatologica-craiova","tag-dr-cristiana-nicolae","tag-stomatologie-afectiuni-oncologice","tag-tratamente-dentare-pacienti-cancer","clearfix","article"],"acf":[],"_links":{"self":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/comments?post=2648"}],"version-history":[{"count":3,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2648\/revisions"}],"predecessor-version":[{"id":3194,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/2648\/revisions\/3194"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/media\/2650"}],"wp:attachment":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/media?parent=2648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/categories?post=2648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/tags?post=2648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}