The first group of eight contraindications for tooth extraction, hypertension patients, hypertension patients have large fluctuations in blood pressure and fragile blood vessels.
If the patient’s blood pressure is higher than 150/100 mm Hg, the tooth extraction is prone to bleeding or fainting symptoms, and can even cause brain bleeding.
Therefore, hypertensive patients should not be rushed to pull a tooth, if must pull a tooth, must drop their blood pressure to normal limits before pulling a tooth, and do corresponding clinical examination, in order to determine their heart, brain, kidney without substantial damage, and then agreed by the doctor can pull a tooth.
The second category, heart disease patients heart disease patients with poor heart function, in the extraction of teeth often due to tension and pain caused by arrhythmia, angina pectoris and other symptoms, can even cause myocardial infarction.
Therefore, patients with congenital heart disease, rheumatic heart disease, coronary heart disease, congestive heart failure, and a heart attack within 6 months or in the angina phase should not be rushed to the tooth extraction.
If tooth extraction is necessary for such patients, they should take medication to dilate blood vessels before tooth extraction, and prepare emergency medicine such as nitroglycerin. The tooth can be extracted with the consent of the doctor.
But in the extraction of teeth to such patients, the best choice of lidocaine as anesthetics, and can not be added to lidocaine adrenaline, in order to prevent patients from arrhythmia.
In addition, patients with myocarditis who want to have their teeth extracted should be injected with antibiotics two to three days before tooth extraction to prevent infection during tooth extraction and induce bacterial endocarditis.
The third category, blood disease patients some blood diseases (such as hemophilia, thrombocytopenic purpura, leukemia, etc.) patients with poor coagulation mechanism.
If they hastily pull out the tooth, the wound often leads to bleeding or infection, and some patients can even be life-threatening.
Therefore, blood disease patients can not be arbitrarily extracted teeth.
The immune function of diabetic patients is poor, and the wound is not easy to heal.
If they pull out their teeth without controlling their blood sugar, they are more likely to get infected or worsen their diabetes.
Therefore, it is not easy for diabetic patients to extract teeth. If tooth extraction is necessary, the blood sugar should be lowered to the normal range first, and then the tooth extraction operation can be carried out with the consent of the doctor. Antibiotics should be used before and after tooth extraction to prevent infection.
Fifth, liver disease patients Some liver diseases (such as hepatitis, cirrhosis) patients lack prothrombin in the body.
If this kind of patients hastily extracted teeth, often can appear wound bleeding more than symptoms;
Bleeding can be very severe in individual patients and can cause infection.
Therefore, tooth extraction should be prohibited in patients with liver disease with serious liver function damage.
If tooth extraction is necessary for such patients, liver preservation therapy should be performed first, and tooth extraction can be performed after the liver function is basically restored to normal. Hemostatic drugs, such as vitamin K, p-carboxybenzylamine, 6-amino acetic acid, should be used in time after tooth extraction.
If THE SIXTH KIND, PREGNANT WOMAN PREGNANT WOMAN IS PREGNANT BEFORE 3 MONTHS PULL A TOOTH TO CAUSE ABORTION EASILY, IF BE IN THE 3 MONTHS BEFORE BE IN LABOR PULL A TOOTH TO CAUSE PRETERM LABOR EASILY.
Therefore, pregnant women can not pull teeth during the above period, if it is necessary to pull teeth, teeth can be pulled in the fourth, fifth, sixth month after pregnancy within the three months.
In addition, women in menstruation during the extraction of teeth easy to cause bleeding wound more than, so women can not be extracted during menstruation.
Patients with hyperthyroidism have a high basal metabolic rate.
If they pull out their teeth while they are sick, they are likely to cause infection.
Therefore, patients with hyperthyroidism need to wait for thyroid function to return to normal before tooth extraction.
The 8th KIND, maxilloFACIAL REGION HAS CANCEROUS SWELLING AND THE PATIENT THAT IS DOING RADIOTHERAPY IF this KIND OF patient rashLY PULLS a tooth, can CAUSE RADIOACTIVE osteomyelitis.
Therefore, for patients with maxillofacial cancer who are undergoing radiotherapy, tooth extraction should be scheduled 6 months after radiotherapy.
