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ACTA
STOMATOLOGICA
NAISSI

Table of Contents for
June 2014 • Volume 30 • Number 69

PERIOPERATIVE COMPLICATIONS OF ORAL-SURGICAL PROCEDURES IN
CARDIOVASCULAR GERIATRIC PATIENTS

	Sadeta Šečić, Samir Prohić, Sanja Komšić DEPARTMENT OF ORAL SURGERY, FACULTY OF DENTISTRY, UNIVERSITY OF SARAJEVO	doi: 10.5937/asn1469332S

...Abstract

Introduction: Geriatric population is the fastest growing segment of population and comprises 14% of the population of Bosnia and Herzegovina. Aging effects, polypharmacy, primary cardiovascular disease and comorbidity are the characteristics of cardiovascular geriatric patient in dental practice. Careful preoperative assessment should always include identifying of compromising medical conditions and prescribed medications in order to minimize the risk of complications related to oral-surgery procedures in geriatric patients.
The aim: The aim of this study was to determine the prevalence of cardiovascular diseases, prescribed medications and perioperative complications of oral surgical procedures in geriatric patients with cardiovascular diseases undergoing oral-surgical procedures at Department of Oral Surgery, University of Sarajevo.
Material and methods: The total of 107 patients were included: 48 (45%) males and 59 (55%) females, gender ratio 1:1,2 in favour of females, the age range was 65- 81 years, with mean age ± SD= 69±4 years.
Results: Seventy-nine percent of patients with systemic diseases had diagnosed cardiovascular disease (n=66). The only complication related to the administration of local anaesthetic is syncope. Syncope was more common in patients with cardiovascular diseases and multiple cardiovascular medications prescribed. Fracture of tooth was the most common complication during extraction (n=15; %=18) and the risk of tooth fracture increased with aging (p<0,05). Higher incidence of postextractional complications was seen in patients with multiple systemic diseases and multiple drugs prescribed (p<0,05). Higher incidence of postoperative haemorrhage was recorded in cardiovascular patients.
Conclusion: Physiological factors associated with aging combined with compromising medical status of cardiovascular geriatric patients characterized by comorbidity and polypharmacy can complicate oral-surgical procedures.

Key words: cardiovascular diseases, geriatrics, perioperative care, local anaesthetics

...Authors and Reprint Information

Address of correspondence:

Sadeta Šečić, DDS, PhD
Department of Oral Surgery
Faculty of Dentistry, University of Sarajevo
Bolnička 4a ,71000 Sarajevo, Bosnia and Herzegovina
E-mail address: sadetas@gnet.ba