Tooth extraction is a small surgery for oral clinics.Many people have tasted the taste of tooth extraction.Although the tooth extraction surgery is small, if you do not pay attention, it will cause great trouble, and even be in danger of life.Therefore, it is important to understand tooth extraction taboos.Let me introduce some taboo taboos:
Patients with heart disease, especially heart disease patients with organic lesions, and those with angina pectoris and arrhythmias in the past 6 months, should not be extracted.Pain, fear, nervousness, etc. can induce myocardial infarction and extremely dangerous.If you have to get teeth, you need to fully check it with a specialist and recommend to get your tooth under ECG monitoring.
For patients with hypertension, hypertension should be treated first, and the blood pressure should be reduced to 160/100mmHg before dental removal.It is generally recommended that blood pressure is safer to extraction below 140/90mmHg.
Due to the general decrease in resistance to germs for diabetic patients, various infections can be easily caused after tooth extraction, which worsen the condition.When extraction, the empty blood glucose should be controlled below 8.0mmol /L (160mng /dl), and antibiotics are recommended 3 days after dental extraction.
Patients with hemorrhagic hematological diseases should not be extracted, such as leukemia, primary platelet reduction purpura, hemophilia, regenerative disability anemia, etc.The lack of coagulation factor and coagulation dysfunction can cause bleeding or even severe bleeding and life -threatening.
During the April, May, and June of pregnancy, tooth extraction or surgery is safer.Pregnant women who are 3 months before pregnancy may cause abortion, and pregnant women can cause premature birth at 8 months of pregnancy.During pregnancy, it is necessary to try not to extraction as much as possible.
Liver cirrhosis and hepatitis
Most of these patients have bleeding tendency, and bleeding may cause bleeding after extraction.
Patients with acute nephritis, chronic renal insufficiency, and severe nephrotic renal failure should not be extracted.
In the stable condition, the pulse is 100 times/minute, and the basic metabolic rate can be extracted below+20%.
Acute infectious disease
Patients with acute hepatitis, tuberculosis activity, measles, epidemic hemorrhagic fever and other patients are prone to postoperative infection and inflammation diffusion, so they should avoid tooth extraction before the disease.
If the teeth are located in a malignant tumor or have been affected by the tumor, simply tooth extraction may stimulate the spread of the tumor and should be regarded as taboo.It should generally be removed with the tumor.Before radiation therapy, the affected teeth located at the irradiation site should be removed or completed at least 7-10 days before radiation therapy.Tooth extraction should be prohibited during radiotherapy and 5 years after radiotherapy to avoid forming radioactive osteomyelitis.
These patients are not suitable for cooperation. For example, patients with Parkinson often have non -random activities; patients with brain paralysis have spasm.
The above diseases, such as hypertension, diabetes, acute inflammation, etc., after the correct symptomatic treatment, the symptoms are controlled, and the teeth can still be removed.Patients should explain their illness at the doctor before extraction, and wait for the doctor to decide whether to extract teeth.
In addition, women’s menstrual periods can cause excessive menstrual blood, causing non -physiological blood loss.It is generally recommended to avoid tooth extraction 3 days before and after menstruation.Empty, excessive fatigue, and high spiritual tension during teeth are easy to cause syncope.
This article is selected from "Medicine and Health Care", No. 6, 2012, 2012
(Tao Ren Banxia Forgotten)