Cardiopatía isquémica. Consideraciones para la atención odontológica / Ischemic heart disease. Considerations for dental treatment

La cardiopatía isquémica es un padecimiento que se caracteriza por la falta de oxígeno del músculo cardiaco y es la principal causa de infarto de miocardio. Existen múltiples factores que predisponen al desarrollo de ésta como la obesidad, la hiperlipidemia, el sedenta- rismo, tabaquismo, diabetes e hipertensión. Dadas las características que configuran la fisiopatología de la cardiopatía isquémica, existen diversas consideraciones que deben ser tomadas en cuenta toda vez que el estomatólogo brinde atención a un paciente con este padecimiento. El objetivo del presente artículo es conocer todo lo relacionado con la fisiopatología de la cardiopatía isquémica, sus manifestaciones clínicas, su tratamiento médico y lo más importante, las consideraciones que deben tomarse en el consultorio dental cuando se atienda a un paciente que padezca esta condición (AU)

Ischemic heart disease is a condition characterized by a lack of oxygen in the heart muscle and is the main cause of myocardial infarction. There are multiple factors that predispose to the development of this, such as obesity, hiyperlipidemia, sedentary lifestyle, smoking, diabetes and hypertension. Given the characteristics that make up the pathophysiology of ischemic heart disease, there are various considerations that must be taken into account whenever the stomatologist provides care to a patient with this condition. The objective of this article is to know everything related to the pathophysiology of ischemic heart disease, its clinical manifestation, its medical treatment and most importantly, the considerations that must be taken in the dental office when caring for a patient with this condition (AU)

Concepts, Aims and Drawbacks in Interdisciplinary Dentistry: Results of an International Questionnaire.

Aims: This article describes the results of a survey among dentists and dental technician regarding interdisciplinary teamwork. Interdisciplinary dental collaborations seem to be based on different conceptions with the consequence of various strengths but also weaknesses within teams. Study Design: International questionnaire (Germane, English, Russian). Place and Duration of Study: 250 questionnaires were handed out in paper form and 100 access codes for the Web-based version were sent. The survey was conducted between February and May 2011. Methodology: Dentists as well as dental technicians were permitted to participate in the survey. Candidates were recruited at postgraduate educational events. Previous participants of similar educational events were sent an access code via e-mail. Results: 132 questionnaires were evaluated (response rate of 37.7%). Of the surveyed persons, 60 were women (47%) and 72 were men (53%). The mean age of the respondents was 40.3 years +/-11.51 years. Associations with other specialties (n=84, 63.6%), solutions for unresolved problems (n=83, 62.9%), and expansion of one's own specialty (n=65, 49.2%) were the most frequently cited reasons to favor the use of interdisciplinary task groups. Difficult or ambiguous communication (n=73, 55.3%), conflicts within the team (n=70, 53.0%), and scheduling difficulties (n=63, 47.7%) were the most frequently cited reasons for not pursuing interdisciplinary cooperation, followed by rising costs and the expense of resources (n=62, 47.0%), the need to modify one's own concept (n=58, 43.2%), and the absence of a balance between workload and financial remuneration (n=52, 38.6%). Conclusion: Interdisciplinarity should not be regarded as the opposite of technological specialization. On the contrary, advancing technological developments in IDD will probably enforce a certain degree of specialization. Therefore, in the future it will become necessary not to lose contact with other specialties, keep open communication lines by means of a common language and common concepts, and also maintain communication with other medical specialties.