Clinical diseases with thrombotic risk and their pharmacologycal treatment: how they change the therapeutic attitude in dental treatments.

The new antiplatelets and anticoagulant drugs have been recently introduced in the daily medical practices for the control of thromboembolism associated with different diseases. The dental assistance of these patients forces us to know these drugs, understand their action mechanisms and try to decrease the risks that entail ours actions in these patients, making a thorough analysis of the risk of bleeding that is going to be related to our medical intervention, as well as the use of all the control measures of the hemorrhage from our knowledge with these patients, and to be prudent. The communication with the medical specialist that supervises these patients must be maxim, being necessary to make clinic trials for establishing protocols or guides of the handling with these patients during the odontological treatment.

Inherited, congenital and acquired disorders by hemostasis (vascular, platelet & plasmatic phases) with repercussions in the therapeutic oral sphere.

The hemostasis alterations, either congenital or hereditary origin, and acquired, are circumstances that hinder oral care to patients who suffer them and also generates in the professional who has to attend, high stress. Bleeding control once established and dental treatment planning, both in the aspect of preparation, as the realization of the odonto-stomatological therapeutic, has suffered updates that do need to remember certain aspects of the care of these patients. But we must not forget that the hematologist or internist who controls the patient's medical condition, is a cornerstone for the planning and implementation of treatment plans.

Assessment of PFA-100 system for the measurement of bleeding time in oral surgery.

Unlabelled: The common diagnostic methods to know primary hemostasis have been classified as invasive, depending on the operator, difficult to reproduce and at times not very reliable. Thus, different systems have been proposed to assess bleeding time, one of them being the PFA-100 device, which we present in this paper.

Objective: Compare specificity between the traditional Ivy method with the PFA-100 system to measure bleeding time.

Study of the analgesic efficacy of Dexketoprofen Trometamol 25mg. vs. Ibuprofen 600mg. after their administration in patients subjected to oral surgery.

Objectives: Compare the analgesic efficacy of two nonsteroidal anti-inflammatory drugs (NSAIDs) belonging to the family of propionic acids after oral surgery in order to assess which one is most effective with the minimum side effects and lowest dose. Normally, the pain after oral surgery is considered as moderate-intense and NSAIDs are the first choice when treating post-surgical dental pain. As we know, the great problem of these drugs is found in their undesirable effects.

Dental problems in patients with diabetes mellitus (II): gingival index and periodontal disease.

Unlabelled: Among the late complications associated to the diabetes mellitus, periodontal disease has been highlighted, and it can be more severe and refractory to treatment than in healthy subjects.

Objectives: Determine the prevalence of gingivitis and periodontitis as well as the Community Periodontal Index of Need of Treatment (CPITN) in diabetic population compared with a control one. Analyze the histological characteristics in the gingiva of diabetic patients.

Bucco-dental problems in patients with Diabetes Mellitus (I) : Index of plaque and dental caries.

Unlabelled: Diabetes mellitus is presently considered as one of the most frequent chronic disease, thus, it is important to know what its most relevant buccal disorders are.

Objectives: Study the different signs and symptoms that diabetic patients present in the oral cavity. Assess the status of oral hygiene and prevalence of dental caries in a diabetic population in regards to a control population.