{"id":3547,"date":"2021-11-24T09:31:58","date_gmt":"2021-11-24T09:31:58","guid":{"rendered":"https:\/\/crinident.ro\/?p=3547"},"modified":"2021-11-24T09:51:12","modified_gmt":"2021-11-24T09:51:12","slug":"hipertensiune-arteriala-la-dentist-stomatologie-craiova","status":"publish","type":"post","link":"https:\/\/crinident.ro\/en\/hipertensiune-arteriala-la-dentist-stomatologie-craiova\/","title":{"rendered":"Pacientul hipertensiv \u00een cabinetul de medicin\u0103 dentar\u0103"},"content":{"rendered":"<p>Tensiunea arterial\u0103 este unul dintre cele mai bune instrumente de verificare a st\u0103rii de s\u0103n\u0103tate.<!--more--> Este un num\u0103r pe care il \u021binem minte \u0219i pe care \u00eel putem monitoriza constant. Tensiunea arterial\u0103 optimal\u0103 este egal\u0103 sau mai mic\u0103 de 120\/80 milimetri coloan\u0103 de mercur (mm Hg), conform ghidului Societ\u0103\u021bii Europene de Hipertensiune.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-3549 size-full lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/0-2.jpg\" alt=\"tensiune arteriala in stomatologie - clinica dentara CriniDent\" width=\"900\" height=\"659\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/0-2.jpg 900w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/0-2-300x220.jpg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/0-2-768x562.jpg 768w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/0-2-16x12.jpg 16w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/659;\" \/><\/p>\n<h3>Peste ce valori putem vorbi despre hipertensiune arterial\u0103?<\/h3>\n<p>\u00cen cazul \u00een care valorile tensiunii arteriale sunt crescute, egale sau mai mari de 140\/90 mm Hg, vorbim de hipertensiune arterial\u0103, o afec\u021biune care, ne\u021binut\u0103 sub control, cre\u0219te riscul de infarct de miocard, accident vascular cerebral, insuficien\u021b\u0103 cardiac\u0103 \u0219i boal\u0103 renal\u0103.<\/p>\n<h3>Hipertensiunea arterial\u0103 \u00een stomatologie<\/h3>\n<p>Hipertensiunea reprezint\u0103 afec\u021biunea cardiovascular\u0103 cea mai r\u0103sp\u00e2ndit\u0103. Dintre toate categoriile de pacien\u021bi care se adreseaz\u0103 cabinetelor stomatologice \u00een vederea efectu\u0103rii tratamentelor de specialitate, de departe cel mai provocator este pacientul hipertensiv, din cauza riscurilor induse de afec\u021biunea cardiovascular\u0103. Managementul pacientului hipertensiv impune o colaborare \u00eentre medicul stomatolog \u0219i medicii speciali\u0219ti implica\u021bi \u00een tratamentul afec\u021biunii de baz\u0103. Tratamentul stomatologic trebuie efectuat cu maxim\u0103 aten\u021bie, conferind pacientului minimum de stres \u0219i de durere, cu respectarea unor protocoale stricte.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-3552 size-full lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/3.jpg\" alt=\"tensiune arteriala in stomatologie - clinica dentara CriniDent\" width=\"900\" height=\"456\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/3.jpg 900w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/3-300x152.jpg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/3-768x389.jpg 768w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/3-18x9.jpg 18w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/456;\" \/><\/p>\n<h3>Cum detecteaz\u0103 medicul dentist problemele leghate de hipertensiune?<\/h3>\n<p>Anamneza pacientului cardiovascular reprezint\u0103 primul pas obligatoriu \u00eenaintea efectu\u0103rii oric\u0103rei manopere stomatologice.<\/p>\n<p>Cunoa\u0219terea am\u0103nun\u021bit\u0103 a istoricului medical al pacientului confer\u0103 un grad sporit de siguran\u021b\u0103 at\u00e2t medicului, c\u00e2t \u0219i pacientului. Este necesar\u0103 o bun\u0103 colaborare interdisciplinar\u0103 a medicului stomatolog cu medicul de familie \u0219i medicii speciali\u0219ti implica\u021bi \u00een tratamentul pacientului, prin accesarea scrisorilor medicale ce con\u021bin informa\u021biile exacte necesare unei bune practici medicale.<\/p>\n<p>Rolul medicilor de familie este, \u00een acest caz particular al pacientului hipertensiv, de a \u00eendruma pacientul spre cabinetul stomatologic pentru asanarea tuturor focarelor de infec\u021bie dento-parodontal\u0103 \u0219i de eliminare a durerilor cu repercusiuni asupra aparatului cardiovascular.<\/p>\n<h3><strong>Conduita terapeutic\u0103 \u00een cazul pacien\u021bilor cu hipertensiune arterial\u0103, impune:<\/strong><\/h3>\n<ul>\n<li>Men\u021binerea medica\u021biei de fond.<\/li>\n<li>Stabilirea program\u0103rilor \u00een timpul dimine\u021bii.<\/li>\n<li>Administrarea unei premedica\u021bii sedative la indica\u021bia medicului cardiolog.<\/li>\n<li>Monitorizarea tensiunii arteriale la \u00eenceputul tratamentului.<\/li>\n<li>\u0218edin\u021be de tratament scurte.<\/li>\n<li>Administrarea anesteziei se va face cu acordul medicului cardiolog. Anestezia este un moment delicat al interven\u021biei stomatologice la pacientul cu afec\u021biuni cardiovasculare din cauza temerii acestuia de a nu decompensa afec\u021biunea de baz\u0103. Adesea pacien\u021bii \u00eentreab\u0103 dac\u0103 nu cumva anestezia le este contraindicat\u0103. R\u0103spunsul este categoric nu, anestezia local\u0103 este absolut sigur\u0103 datorit\u0103 seringilor speciale cu aspira\u021bie ce nu permit p\u0103trunderea solu\u021biei anestezice \u00een circula\u021bia general\u0103. Anestezia local\u0103 reprezint\u0103 metoda cea mai sigur\u0103 de a ob\u021bine relaxarea pacientului \u0219i de evitare a st\u0103rii sale de anxietate \u0219i temere legat\u0103 de apari\u021bia durerii intraoperatorii. De asemenea, medicul poate lucra \u00een lini\u0219te \u0219i siguran\u021b\u0103 c\u0103 poate efectua corect manopera.<\/li>\n<li>Este permis\u0103 folosirea anestezicului ce con\u021bine adrenalin\u0103 \u00eentr-un raport de 1:100000. Nu se folose\u0219te noradrenalina ca vasoconstrictor deoarece stimuleaz\u0103\u00a0a-receptorii, cresc\u00e2nd valorile tensionale. Nu se folosesc solu\u021bii anestezice cu catecolamine la pacien\u021bii ce primesc tratamente cu\u00a0a-metildopa (Dopegyt, Aldomet).<\/li>\n<li>Odat\u0103 instalat\u0103 anestezia, se poate trece la efectuarea tratamentului operator propriu-zis (extrac\u021bii dentare, tratamente endodontice, tratamente parodontale), ce implic\u0103 manevre bl\u00e2nde, l\u0103s\u00e2nd \u00een urm\u0103, \u00een cazul extrac\u021biilor, pl\u0103gi parcimonioase, cu margini bine delimitate, ce se pot aviva \u0219i sutura. Se recomand\u0103 sutura post-extrac\u021bional\u0103 pentru evitarea s\u00e2nger\u0103rilor \u0219i pentru o mai bun\u0103 vindecare a pl\u0103gii.<\/li>\n<li>Antibioterapia este indicat\u0103, \u00een multe situa\u021bii, la pacientul cardiovascular pentru evitarea complica\u021biilor post-extrac\u021bionale, post-chirurgie dento-alveolar\u0103 sau parodontal\u0103.<\/li>\n<li>Se recomand\u0103 prezentarea pacientului la control \u00een urma efectu\u0103rii unor manopere chirurgicale la 24-48 de ore.<\/li>\n<\/ul>\n<p>Nu \u00een ultimul r\u00e2nd, instruirea pacien\u021bilor pentru men\u021binerea unei bune st\u0103ri a s\u0103n\u0103t\u0103\u021bii oro dentare, cu respectarea igienei zilnice \u0219i evitarea apari\u021biei complica\u021biilor cariilor netratate.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-medium wp-image-2991 lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/07\/razvan-1-257x300.jpg\" alt=\"dr Razvan Ghita - stomatolog \/ dentist @ clinica CriniDent Craiova\" width=\"257\" height=\"300\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/07\/razvan-1-257x300.jpg 257w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/07\/razvan-1.jpg 600w\" data-sizes=\"(max-width: 257px) 100vw, 257px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 257px; --smush-placeholder-aspect-ratio: 257\/300;\" \/><\/p>\n<p>Dr. R\u0103zvan Ghi\u021b\u0103<br \/>\ndentist, specialist in dento-alveolar surgery<br \/>\n<a href=\"https:\/\/crinident.ro\/en\/\">www.crinident.ro<\/a><\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-3550 size-full lazyload\" data-src=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/1-2.jpg\" alt=\"tensiune arteriala in stomatologie - clinica dentara CriniDent\" width=\"900\" height=\"504\" data-srcset=\"https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/1-2.jpg 900w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/1-2-300x168.jpg 300w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/1-2-768x430.jpg 768w, https:\/\/crinident.ro\/wp-content\/uploads\/2021\/11\/1-2-18x10.jpg 18w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/504;\" \/><\/p>\n<p>\u2013<\/p>\n<h3><a href=\"https:\/\/crinident.ro\/en\/chirurgie-dento-alveolara\/\">#odondectomie Craiova<\/a>\u00a0#sigilare dentara Craiova #sigilare dentara copii #protetica dentara Craiova #proteze scheletate Craiova #proteze dentare Craiova\u00a0<a href=\"https:\/\/crinident.ro\/en\/chirurgie-dento-alveolara\/\">#sinus lifting Craiova<\/a>\u00a0<a href=\"https:\/\/crinident.ro\/en\/chirurgie-dento-alveolara\/\">#chirurgie oral\u0103 Craiova<\/a>\u00a0#terapie laser Craiova #laser stomatologic Craiova #tratament laser parodontoza #igiena dentara #igiena aparatului dentar #recomand\u0103ri 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\u00a0<a href=\"https:\/\/crinident.ro\/en\/ortodontie-aparate-dentare-craiova\/\">#aparate dentare<\/a>\u00a0<a href=\"https:\/\/crinident.ro\/en\/ortodontie-aparate-dentare-craiova\/\">#aparate ortodontice<\/a>\u00a0<a href=\"https:\/\/crinident.ro\/en\/ortodontie-aparate-dentare-craiova\/\">#ortodon\u021bie<\/a>\u00a0#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\u00a0<a href=\"https:\/\/crinident.ro\/en\/chirurgie-dento-alveolara\/\">#chirurgie dento-alveolar\u0103<\/a><\/h3>\n<p>WEBSITE-URI PARTENERE<\/p>\n<p><a href=\"https:\/\/cristiannicolae.ro\/en\/\">Cristian Nicolae Inspiration<\/a><br \/>\n<a href=\"https:\/\/citydent.ro\/\">CityDent<\/a><br \/>\n<a href=\"http:\/\/www.vladenta.ro\/\">Vladenta<\/a><br \/>\n<a href=\"https:\/\/www.bancatransilvania.ro\/\">Banca Transilvania<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/\">Dental Marketing<\/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 clinici chirurgie estetic\u0103<\/a><br \/>\n<a href=\"#cursuri marketing &amp; promovare pentru dentisti\">cursuri marketing &amp; promovare pentru dentisti<\/a><br \/>\n<a href=\"https:\/\/dentalmarketing.ro\/dental-education\/\">dental education<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Tensiunea arterial\u0103 este unul dintre cele mai bune instrumente de verificare a st\u0103rii de s\u0103n\u0103tate.<\/p>","protected":false},"author":2,"featured_media":3551,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[57],"tags":[229,226,228,230,231,227],"class_list":["post-3547","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stomatologie-craiova","tag-afectiuni-cardiovasculare-la-stomatolog","tag-hipertensiune-arteriala-la-dentist","tag-hipertensiune-stomatologie","tag-pacient-hipertensiv-stomatologie-craiova","tag-risc-cardiovascular-stomatologie","tag-tensiune-mare-dentist","clearfix","article"],"acf":[],"_links":{"self":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/3547","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=3547"}],"version-history":[{"count":4,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/3547\/revisions"}],"predecessor-version":[{"id":3555,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/posts\/3547\/revisions\/3555"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/media\/3551"}],"wp:attachment":[{"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/media?parent=3547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/categories?post=3547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crinident.ro\/en\/wp-json\/wp\/v2\/tags?post=3547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}