Management and protocols for oral surgical interventions in older patients

Evrosimovska, Biljana and Jurukovska Sotarovska, Vesna and Petkov, Marjan and Nikolovski, Bruno (2024) Management and protocols for oral surgical interventions in older patients. In: 34th Annual Congress of European College of Gerodontology (ECG), 6-7 June, 2024, School of Dental Medicine, University of Belgrade.

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Abstract

Background/Aim: The main oral diseases and conditions impacting on older people are dental caries (or tooth decay), periodontal disease (a group of inflammatory diseases of the gum, connective tissue and dental bone), tooth loss, xerostomia (dry mouth) and oral precancer/cancer lesions. Compromised oral health is associated with respiratory and cardiovascular diseases, diabetes and stroke. This study describes the oral surgical management of older people, including the preoperative assessment and considerations required for those with specific conditions and illnesses. An overview of procedural considerations and diagnoses such as osteoradionecrosis and medicine-related osteonecrosis were explained, as are measures that can be considered to reduce the likelihood of adverse outcomes. The management of older patients with an increased risk of post procedural bleeding were elaborate. A summary of indications for oral surgery procedures on edentulous ridges was provided.
Methods: A non-invasive approach for oral surgical interventions was used, because in these patients who are with compromised health, we have to be especially careful – with minimal bone removal and constant cooling, which avoids heating the bone tissue and avoids the additional risk of bone necrosis.
Conclusion: Our choice for the application of PRF in older patients for management of oral surgical interventions was based on the benefits that PRF itself possesses: anti-inflammatory, anti-edematous and regenerative effects. Namely, PRF is an addition to the natural wound healing process and has the following effects: the fibrin network is involved in cell migration, mainly of endothelial cells necessary for neoangiogenesis and vascularization; the healing process is further aided by the continuous release of various growth factors (PDGF, TGF-β, IGF-1 and the presence of leukocytes and various cytokines enables self-regulation of infectious and inflammatory processes.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	18 Oct 2024 08:14
Last Modified:	18 Oct 2024 08:14
URI:	https://eprints.ugd.edu.mk/id/eprint/34856

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