Browsing by Author "Andrade Coronel, Kelly Tamara"

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    Manejo del paciente hipertenso en el consultorio odontológico: una revisión narrativa de la literatura.
    (Universidad de Cuenca, 2022-10-14) Andrade Coronel, Kelly Tamara; Arenillas Montoya, Anabelle Melany; Piedra Bravo, Yadira Lucía
    Introduction: Arterial hypertension (AHT) is defined as persistently elevated systemic arterial blood pressure (≥140/90). Oral manifestations are very frequently related to the use of antihypertensive drugs. A large number of hypertensive individuals present to the dental office daily, and their condition and management should be clear to the dentist. Methods: The search was performed in databases such as: MEDLINE / PubMed, SCOPUS, Hinari, Cochrane and Google Scholar. Original articles, case series and systematic reviews were included without restriction of language or year of publication. Conclusions: Regular dental care and the knowledge of the professional is important when approaching a hypertensive patient, these patients may present oral manifestations associated with the use of antihypertensives, when performing dental treatments, local anesthesia with vasoconstrictors is not an absolute contraindication, as it can be used in safe doses for patients with this condition.
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    Púrpura oral no trombocitopénica traumática exacerbada por condición metabólica
    (2023) RODRIGUEZ COYAGO, MARIA LOURDES
    Introduction: the term purpura clinically translates into flat or raised lesions of violet, purple or red- brown color determined by extravasation of blood in a localized region of the skin or mucosa. Objective: To present a clinical case of purpura located in the oral mucosa, and probably exacerbated by the patient’s metabolic condition. Methods: The description of the clinical case was made under the CARE declaration. Additionally, a review of the literature of the last 10 years on the subject was carried out through manual search in oral medicine texts and digital search in the scientific bases MEDLINE/PubMed, Cochrane, Scielo, ScienceDirect and Google Scholar. Case report: 51 year old woman, partially edentulous and medi- cated with metformin due to a diagnosis of type II diabetes mellitus, who recorded non-palpable red- violet lesions, negative vitro-pressure, compatible with petechiae and vibex, distributed on the floor of the mouth, ventral face and lateral surfaces of the tongue associated with chronic trauma. Laboratory tests pointed to a scenario of poor metabolic control. Conclusions: Traumatic non-thrombocytopenic purpura is diagnosed, probably exacerbated by a metabolic condition. A histopathological study is required to confirm.