COMPLEXITY DENTAL CARE CENTER

Transcription

1 COMPLEXITY DENTAL CARE CENTER

2 The High Complexity Dental Care Center of Fundación Cardioinfantil Instituto de Cardiología is part of the medical team in charge of providing care to patients with cardiovascular diseases taken to surgery, in order to address any dental issues that may further compromise their health. Sculpture in Tribute to the Director - Founder Dr. Reinaldo Cabrera Polanía ( ) RIP Artist Julia Merizalde Team of 14 specialized dentists and 8 dental hygienists and assistants. LEADERS in dental care for patients with systemic compromise and patients with complex dental-orofacial disorders. Dr. Marleny Martinez de Mahecha High Complexity Dental Care Center Director Fundacion Cardioinfantil Instituto De Cardiologia

3 MEDICAL-DENTAL The High Complexity Dental Care Center of Fundación Cardioinfantil Instituto de Cardiología has been a pioneer and leader in the medical and dental management of patients with systemic compromise. As a result of its experience, it is positioned as the most competent in the country and the region for identifying, diagnosing and preparing a comprehensive dental treatment plan to address dental-orofacial issues in the context of systemic disease. The Center s record and experience is supported by the number of patients with various diseases including prosthetic valves, atrial fibrillation, arrhythmias, angioplasty, coronary bypass, congenital heart disease; blood dyscrasias, hemophilia, deep vein thrombosis, thrombocytopenia; trauma or oral cancer sequelae; chronic patients with more than two systemic diseases and multiple medications. Every year, care is provided to an average of 1,800 new patients, 74% presenting with one or more systemic diseases. This is reflected in a study conducted in OF PATIENTS WITH SYSTEMIC COMPROMISE Table 1 Distribution of new patients seen at the Fundación Cardioinfantil Dental Center in 2012: 1,868, 74% with at least 1 disease Patient classification N of Patients % Patients with at least one systemic disease % Patients with no systemic disease % Total number of patients receiving care %

4 Figure 1 Figure 2 Patient distribution by number of systemic diseases. 4 or more disease 21% 3 diseases 20% Among Of these patients, 21% reported having 4 or more systemic diseases. 1 disease 34% 2 diseases 25% disorders were reported. patients who reported at least one systemic disease 38% of patients reported one type And of cardiovascular disease. Figure 2 and Table 2 Syndrome - Genetic 2% Oncologic 3% Hematopoietic 6% Stomatognathic 2% Disease distribution by systems. 11% Cardiovascular 38% Neurologic Others 38% Table 2 Disease distribution by systems. Others* Cardiovascular Stomatognathic Hematopoietic Oncologic Syndrome - Genetic Neurologic Total *Others: Joints, Endocrine, Gastrointestinal, Hepatic, Immune, Muscle-skeletal, Skin and adnexa, Renal, Reproductive, Respiratory. Stroke Coagulopathy Thromboembolism Thrombophlebitis Deep vein thrombosis Anemia Anticoagulation Coagulation factor deficiency Von-Willebrand disease Hemophilia Hypercoagulability Leukopenia Idiopathic Thrombocytopenic Purpura Bicuspid aorta Cardiac arrhythmias ASD VSD PDA Aortic dysplasia Endocarditis Chagas disease Valve stenosis Atrial fibrillation Rheumatoid fever Valve insufficiency Valve prolapse Prosthetic valve Tetralogy of Fallot Transposition of the Great Vessels The following is a list of the main groups of systemic diseases seen at the High Complexity Dental Care Center of Fundación Cardioinfantil Instituto de Cardiología, highlighting the most relevant. Chronic renal disease Renal failure Alzheimer Autism Dementia Encephalopathies Epilepsy Hydrocephalus Microcephaly Cerebral palsy Parkinson s disease Mental and/or psychomotor developmental delay Facial abnormality Cellulitis Cystic lesions Mandibular fracture Facial multiple trauma Exostosis Head injury Temporomandibular joint dysfunction Bone marrow aplasia Bilirubinemia Cirrhosis Hepatitis Craniosynostosis Scleroderma Systemic lupus erithematosus Antiphospholipid Antibodies syndrome Sjögren s syndrome Crest Syndrome Dandy-Walker Syndrome Down Syndrome Eisenmenger s Syndrome Marfan Syndrome West Syndrome Williams Syndrome Turner Syndrome

5 CARE MODEL Since its inception 25 years ago, the care model has centered on the attending dentist responsible for the comprehensive treatment, with the intervention or participation of the various medical-dental specialties. Our mission is to recover, maintain and care for oral health for our patients. We are committed to patient safety and quality care with a profoundly humane approach. HIGH DENTAL-OROFACIAL COMPLEXITY High complexity dentistry is defined as the specialty that provides comprehensive management to patients with severe complications involving the function of the stomatognathic system. These complications include oral cancer sequelae, facial trauma, congenital malformations, and they may be present in patients with one or more systemic disorders. Because of its experience and care record, the High Complexity Dental Care Center of Fundación Cardioinfantil is the top referral center no only for patients with systemic diseases but also for patients with high complexity dental and orofacial disorders requiring HOSPITAL CARE. ATTENDING DENTIST PROSTODONTICS ENDODONTICS ORTHODONTICS AND MAXILLARY ORTOPEDICS PERIODONTICS ORAL AND MAXILLOFACIAL SURGERY The High Complexity Dental Care Center of Fundación Cardioinfantil Instituto de Cardiología consists of the following 4 divisions Obturators for oroantral/oronasal. communication defects. Maxillofacial prostheses for orofacial defect reconstructions, including skin, eye prosthesis, pinna and nose. Osseointegration maxillary, mandibular or zygomatic implants. Mandibular reconstruction. Total Temporomandibular Joint replacement. Temporomandibular Joint Arthrocentesis. Pre- and post surgical orthodontics. Facial reconstructive surgery Orbital Floor Malar bone Zygomatic arch Stomatology Hospitalization Prosthodontics Oral Restoration Oral Surgery Maxillofacial Orthodontics Maxillary Orthopedics

6 STOMATOLOGY AND HOSPITALIZATION DIVISION ORAL AND MAXILLOFACIAL SURGERY DIVISION As part of the comprehensive care model of the High Complexity Dental Care Center, the team of Maxillofacial surgeons has developed dental care lines with the following divisions: Stomatology. Patient preparation prior to endodontic, periodontal or oral surgery procedures in patients with anticoagulation, blood dyscrasias, deep vein thrombosis or stroke, among others, either in the outpatient clinic or in the hospital. This Division comprises the following specialties: General dentistry Endodontics Pediatric dentistry Periodontics The team of specialists plans comprehensive treatment in accordance with the needs of the patient in the OUTPATIENT CLINIC, HOSPITALIZATION, or IN THE OPERATING ROOM UNDER GENERAL ANESTHESIA. The Stomatology Division is part of the cardiovascular focus and of the humane, timely and efficient comprehensive care model for the benefit of patients and their families. THIS MODEL HAS A POSITIVE IMPACT ON THE HEALTH CARE SYSTEM. Hygiene phase. Elimination of soft or calcified plaque and removal of local irritants and dental cavities. Therapeutic phase. Dental work with resins, endodontics and periodontics. Surgical phase. Removal of residual dental tissue according to clinical criteria for tooth extraction. A General Anesthesia package is offered for comprehensive dental treatment for both children and adults. The package includes: Education to parents or tutors before and after treatment. Prevention: Scaling and prophylaxis, sealants, fluoride. Dental Fillings: Amalgam, resin and/or ionomer. Endodontics: Pulpotomy, Root Canals in single root, two-root and multiple-root teeth. Oral surgery: First level temporal and permanent teeth extractions Soft and hard tissue abnormalities Dental and facial abnormalities Temporomandibular joint Maxillofacial trauma Reconstructive surgery Prosthodontics and Oral Restoration. Dental and orofacial reconstruction and closure of oronasal, oroantral communications, and in sequelae from oncologic surgery o trauma. Participation in the oral Restoration plan with the study of stereolithographic models, CT scans, surgical guides and dental casts. In patients who require dental restoration with prosthesis supported on implants, participating in the oral restoration plan from the preparation of the bone bed to the placement of the implant and final Restoration. In the management of patients with temporomandibular joint pain or dysfunction, using bite splints, pivot splints or deprogrammers. Orthodontics. In the ortho-surgical treatment of patients with dento-facial abnormalities, maxillary and mandibular size and shape abnormalities with pre- and post surgical orthodontics

7 PROSTHODONTICS ORAL RESTORATION DIVISION The Prosthodontics Oral Restoration Division is unique in that it provides treatment to patients with specific low, medium and high complexity disorders, with or without systemic diseases. This specialty works jointly with plastic surgery, head and neck surgery and maxillofacial surgery, endodontics and orthodontics, in order to determine the treatment plan. It seeks to solve the needs of patients with dental loss or severe bone resorption of the alveolar ridge, restoring function and cosmesis, or offering reconstruction to patients with sequelae from oncologic surgery or trauma, such as closure of oronasal or oroantral communications. ORTHODONTICS AND MAXILLARY ORTHOPEDICS DIVISION The orthodontics division teams with Maxillofacial surgery to diagnose severe dentofacial abnormalities in order to determine the treatment plan, including orthosurgical correction, orthognatic surgery and post surgical orthodontics. Diagnostic studies: X-rays, Stereolithographic models, CT scans, Surgical guides and Diagnostic Waxing. Restoration using metal-ceramic crowns, ceramic only crowns, or computerized techniques. Restoration using removable and semi-precision attachments. Restoration using crowns on osseointegration implants. Restoration using total fixed or removable prostheses on implants. Restoration using removable or total conventional prosthesis. Restoration using obturator prostheses for oroantral/oronasal communication defects Restoration using reconstruction prostheses for orofacial defects, including skin, ocular prosthesis, pinna and nose. Ortho-surgical orthodontics Conventional and non-conventional corrective orthodontics The Maxillary Orthopedics specialty provides care to children up to 12 years of age with maxillary/mandibular abnormalities and altered tooth position, with or without systemic compromise. In syndromes with dento-maxillo-facial abnormalities, cleft lip and palate, in order to intercept, correct, prevent and modify functional and skeletal changes, reducing the time and complexity of future orthodontic requirements. EARLY DENTAL TREATMENT Crowding Deforming oral habits Supernumerary teeth Class II and III malocclusion Premature loss of temporary teeth EARLY SKELETAL TREATMENT Mandibular class II micrognathia Class II due to maxillary anteroposterior increase Class III due to mandibular prognatism Class III due to middle-third hypoplasia Maxillary facial asymmetries

8 In 2013, 999 patients received in-hospital care: Emergency, Dental care for inpatient and Operating Rooms, with an average of 84 patients per month, distributed as follows: DENTISTRY IN A JANUARY Emergency Dental care for inpatient General Anesthesia Stomatology General Anesthesia Maxillofacial Surgery FEBRUARY MARCH APRIL SETTING As part of Fundación Cardioinfantil with its national and international accreditations, the Center operates under the highest quality standards for patient and family care and safety. The team of specialized dentists is trained in multi-disciplinary in-hospital management, working side by side with the different medical and dental specialties to solve patient needs. The High Complexity Dental Care Center of Fundación Cardioinfantil is in a position to perform procedures ranging from routine dental care to the more complex procedures requiring hospital admission. MAY SEPTEMBER JUNE OCTOBER JULY NOVEMBER AUGUST DECEMBER

9 ONE-STOP COMPREHENSIVE DENTAL TREATMENT AND CARE PBX + (571) Ext Mobile +(57) Calle 163A # 13B Bogotá Colombia odontologia@cardioinfantil.org Every time you use the services of Fundación Cardioinfantil you are helping to save the lives of low-income children suffering from heart disease.