PRODUCTS REVIEW - blue®m oxygen for health
1. TOOTHPASTE FLUORIDE FREE 75ml
💡DETAILS: Helps teeth and gums to stay healthy; ideal for daily care of implants; pH-neutral, free of abrasives; advised by the best dentists
🔴MY REVIEW: I’ve only used it for a month but I absolutely love this toothpaste. Seriously, my teeth have never been this clean. No sensitivity either. It just feels simple, natural and effective. My teeth feel very smooth and overall a good feeling prevails in my mouth. Best fluoride free toothpaste!!
2. ORAL FOAM CLEANS/CONDITIONS 100ml
💡DETAILS: Helps to keep teeth and gums healthy; quickly and thoroughly cleans (clear) aligners; ideal to clean (heavy stained) dentures; contains no alcohol, avoids a dry mouth; advised by the best dentists and orthodontists; easy to apply
🔴MY REVIEW: Oral foam is gentle on my teeth and the flavor is good. I also noticed it didn’t leave a texture on my teeth or a chemical flavor in my mouth. It doesn’t contain any harmful ingredients so I would definitely recommend.
3. MOUTHWASH FLUORIDE FREE 500ml
💡DETAILS: Helps teeth and gums to stay healthy; contains no alcohol, avoids a dry mouth; advised by the best dentists; powerful breathcare; pH-neutral, fluoride free
🔴MY REVIEW: This mouthwash really works and serves the purpose. There is a cavity in one of my teeth, so food gets trapped and causes a horrible odor. This mouthwash is virtually neutral, while combating the bad bacteria in my mouth. Overall, I’ve had no lingering aftertaste and felt that my mouth was much cleaner and healthier. I use it every morning to rinse and deodorize my mouth.
4. OXYGEN FLUID WOUND SUPPORT 500ml
💡DETAILS: High concentration of active oxygen; accelerates wound healing (after implantation, after chemotherapy, caused by dentures); accelerates recovery after implant surgery or dental surgery; specially developed for people with a sensitive mouth; works very fast and effective; alcohol and fluoride free; does not contain artificial flavours, colourants & sulphates (SLS & SLES)
🔴MY REVIEW: I’ve been using it for a month and I will never go back to the alcohol mouthwashes. The rinse is quite pleasant to use in the presence of mouth ulcers, no stinging at all. My mouth is sensitive to the flavored mouthwashes on the market I couldn’t use any of them. This product is clean and taste 100% natural. It simply leaves my mouth feeling completely fresh and bacteria free. Highly recommend to anyone who has gingivitis.
5. ORAL GEL WOUND SUPPORT 15ml
💡DETAILS: High concentration of active oxygen; accelerates wound healing (after implantation, after chemotherapy, by ill-fitting dentures); accelerates healing of bleeding gums; reduces pockets around teeth and implants; works quickly and effectively
🔴MY REVIEW: This’s an amazing product. Soothes mouth ulcers. Easy to use and it doesn’t burn mouth. Overall, it truly does calm irritated gums. Would recommend it to anyone.
📌Disclaimer: I received these products for free in return for providing my honest and unbiased review. Please note that what may work for me, may not work for anyone else. Results may vary from person to person, so please take this into consideration if you decide to try those products.
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🔎OFFICIAL WEBSITE - https://www.bluemcare.com
🔎HONG KONG WEBSITE - http://www.henryschein.com.hk
🔎HONG KONG FACEBOOK - https://www.facebook.com/Henry-Schein-Hong-Kong-Ltd-277106375677420/
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implantation dental 在 Dr. 林葳牙科診療室 Facebook 的精選貼文
💉服用通血路藥物的病人, 牙科手術前需不需停藥? 💉
☝️首先,我們要了解什麼是通血路藥物。
血液的凝固,需要靠凝血因子與血小板的作用。依照不同的作用原理,可以分為抗血小板藥物與抗凝血劑。
💊抗血小板藥物
作用原理:抑制血小板
常見藥物:阿斯匹靈/伯基(Bokey/Aspirin)、保栓通(Plavix/Clopidogrel)、百無凝(Brilinta/Ticagrelor)…等。
適應症:缺血性腦中風、心肌梗塞…等
💊抗凝血劑
作用原理:抑制凝血因子
常見藥物:可邁丁錠(Coumadin/Warfarin)、普栓達(Pradax/Dabigatran)、拜瑞妥(Xarelto/Rivaroxaban)、艾必克凝(Eliquis/Apixaban)…等。
適應症:靜脈栓塞、心房顫動血栓型中風…等
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✌️牙科手術前需不需要停藥?
過去普遍認為,服用通血路藥物者,狀況允許下最好先停藥一段時間,等凝血功能較為正常,再做牙科手術(Aspirin停7天,wafarin停5天)。但這幾年似乎有越來越多的研究認為不一定要停藥-理由是未停藥的流血風險可能被高估,而停藥的心血管風險則被低估。貿然停藥可能會導致心血管併發症的風險。
💊抗血小板藥物
不停藥:增加的流血風險應該不高,且多半無生命危險。
停藥:增加的血栓風險也應該不高,但有可能致命。
Michael J. Wahl 2014年的文獻回顧,1,282位未停藥的牙科手術患者,只有2.7%需要術後局部止血,較嚴重而無法以局部方式止血者可能只有0.2%[1]。Kovacic 2012年的研究,任何理由停藥造成的血栓機率大約1% [2]。Biondi-Zoccai 2006年的統合分析(meta- analysis),停藥造成的嚴重心血管病變風險可能增加3.14倍(註1),若是裝心臟支架的病人停藥風險則會明顯更高)(註2)[3]。S. Nathwani 2016年在英國牙醫學會的期刊(British Dental Journal)撰文建議,服用抗小板藥物者雖然牙科術後出血風險增加,但多半可經由局部處理安全地止血而不需停藥[4]。
💊抗凝血藥物
停藥造成的栓塞,致命性可能高過未停藥造成的流血,雖然機率都相當低。
Michael J. Wahl 2015年的文獻回顧,5,431位未停藥的患者中,有0.6%無法以簡單的局部方式止血,當中沒有人因失血而死亡;而在2,673位停藥或減量的患者,出現栓塞併發症(embolic complications)的機率0.8%,其中危及性命(fatal event)的機率則為0.2%[5]。2015年的另一篇文獻回顧指出,服用wafarin者若INR在therapeutic range內,牙科手術前應該可以不用停藥[6]。Mariele認為INR = 2.5的狀態最適合牙科手術,Al-Mubarak表示INR < 3,拔牙前不停藥還算安全[7]。INR > 3.0則要小心,不要貿然做侵入性治療。
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👌結論
受限於研究方式以及病人個體的差異,停藥增加的心血管風險、以及不停藥引發的流血風險,難以確切計算機率。然而對於一般的牙科門診手術,多半可以局部方式達到止血。紗布加壓、傷口縫合、止血棉甚至膠原蛋白,都是常見有效的局部止血方式。
由於醫療存在高度差異且需要高度分工、再加上藥物的推陳出新,停藥與否有賴病人、內科醫師、牙科醫師(甚至口腔外科醫師)充分評估與討論。各位病友千萬別未經醫師許可就擅自停藥!
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註1. OR = 3.14 [1.75–5.61], P = 0.0001。嚴格來說odds ratio不能當成是機率, 但為了方便一般民眾理解,故以此解釋。
註2. OR = 89.78 [29.90–269.60]
參考資料:
1. Wahl, M.J., Dental surgery and antiplatelet agents: bleed or die. Am J Med, 2014. 127(4): p. 260-7.
2. Kovacic, J.C., et al., Safety of temporary and permanent suspension of antiplatelet therapy after drug eluting stent implantation in contemporary "real-world" practice. J Interv Cardiol, 2012. 25(5): p. 482-92.
3. Biondi-Zoccai, G.G., et al., A systematic review and meta-analysis on the hazards of discontinuing or not adhering to aspirin among 50,279 patients at risk for coronary artery disease. Eur Heart J, 2006. 27(22): p. 2667-74.
4. Nathwani, S. and K. Martin, Exodontia in dual antiplatelet therapy: the evidence. Br Dent J, 2016. 220(5): p. 235-8.
5. Wahl, M.J., et al., Dental surgery in anticoagulated patients--stop the interruption. Oral Surg Oral Med Oral Pathol Oral Radiol, 2015. 119(2): p. 136-57.
6. Management of Dental Extractions in Patients taking Warfarin as Anticoagulant Treatment A Systematic Review.
7. Al-Mubarak, S., et al., Evaluation of dental extractions, suturing and INR on postoperative bleeding of patients maintained on oral anticoagulant therapy. Br Dent J, 2007. 203(7): p. E15; discussion 410-1.
implantation dental 在 Dental Implant Consent Video - YouTube 的推薦與評價
This video is a dental implant consent video that is perfect to show to patients for implant consent (in addition to relevant forms). ... <看更多>