DİŞ HEKİMLİĞİ GÜNLÜK PRATİĞİNDE KARACİĞER YETMEZLİĞİ OLGULARINDA ANTİBİYOTİK TEDAVİSİNİN YÖNETİMİ

Dental ekip, hastaya zarar vermeden diş sağlığını yönetmek zorundadır. Diş hastalıkları bulaşıcı olmayan, önlenebilir kronik hastalıklardır ancak hastanın tespit edilmemiş sistemik hastalığının olması durumunda olumsuz durumlara yol açılabilir. Vaka odaklı çalışmaya paralel, çeşitli rahatsızlıklar yaşayan hastaların diş problemlerinin çözüm odaklı tedavisi esnasında; genel tıp bilgisine uygun klinik tanı koyulmalı ve hastanın tıbbi özgeçmişi incelenerek gerekli ilacın reçete edilmesi için dikkatli davranılmalıdır. Teşhis, tedavi ve bakım süreçlerinde aynı karede buluşan hekim ve hasta arasında, sağlık ve hukuki sorun oluşturabilecek yaklaşımlardan kaçınılmalıdır. Sistemik hastalıklardan karaciğer enflamasyonunun başlamasından transplantasyona kadar uzanan süreç içerisinde oluşabilecek diş tedavi yönetimini belirginleştirecek az sayıda kılavuz bulunmaktadır ve klinik araştırma sonuçları yetersizdir. Bu derlemede, karaciğer rahatsızlığı olan hastaların diş bakım uygulamalarında tavsiye niteliğinde öneriler ve ileride hazırlanacak kılavuzlara temel oluşturabilecek bilgiler gerekçeleriyle beraber yer almaktadır.

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