Publication: Eventos adversos relacionados con el nervio dentario inferior en implantología oral
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2017-10-05
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Universidad Complutense de Madrid
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Abstract
The efforts to increase patient safety have become one of the main focus of attention in all health care professions, even though in dental field, initiatives have been belated and less ambitious. Patient safety has as main objective the avoidance, as far as possible, of avoidable adverse events, and to tie down the negative consequences of the unavoidable ones. Therefore it is essential to know the adverse events that happen in each care activity so as to deeply study them and propose appropriate preventive measures. In dental practice in general and specifically in dental implantology concerns about patient safety have been inherent to its implementation and development, but the lack of specific organized programs to study and promote patient safety is striking. Neither structured nor well-studied data about adverse events in implantology are available, existing publications describe isolated clinical cases or short case series in which clinical recommendations are described, classified and made. There are multiple reasons why we consider that dentistry, and specifically dental implantology, must focus on and work more deeply into active methodologies in all aspects related to patient safety. Among them, there are also surgical techniques in implantology, each time more innovative and aggressive. These techniques involve complex anatomic areas such as maxillary sinus lift, zygomatic implants, inferior alveolar nerve repositioning (transposition and lateralization), the use of bone grafts (both intraoral and extraoral), and the use of biomaterials or tissue transplants, etc. ; the handling of drugs potentially dangerous by themselves or as a result of their interactions. Also the use of technical instruments such as lasers, surgical saws (oscillated or reciprocated), ultrasonic surgery as well as proposals of dental implant companies with new designs, new surface types and the use of new materials not always well studied may be harmful and might cause problems. The contact with instruments with blood or other corporal fluids may constitute potential vector transmission of several diseases. The increase in life expectancy results in medical consultations of older patients, which leads in many occasions to different medical pathologies that increase the complexity of our treatments or even their danger if they are not considered properly...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Toxicología y Legislación Sanitaria, leída el 25-01-2016