Browsing by Autor "Anggelo Carrizo"

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Dentists’ training in Chile and some iberoamerican countries. Considerations for education, health and job.
(Universidad de Concepción., 2014) Anggelo Carrizo
In the recent years many research focused on the training of dentists in Chile and other countries of Iberoamerica and its implications have been published. However, there is no analysis of all the evidence at a regional level. The aim of this article is to review the changes in the training of Dentists in Iberoamerica, the educational and/or sanitary policies associated to these changes and the impact that these have had in the future for the dentists in Chile and the region. In general terms it´s been observe a strong increase of the amount of available places for studying Dentistry in several countries of the area, without a clear sanitary or educational planning that justify it. This increment does not show and positive impact in the access to the dental treatment, especially in the poorest populations. Although the levels of dentist´s satisfaction are high, in the recent years have been observed a rise in the unemployment and a salary decrease, which could impact in the professional satisfaction. In Iberoamerica uncontrolled growth is observed in the training of dentists, which has no positive impact on the population´s oral health, but negatively to the workforce.
Oral surgery in patients under antithrombotic therapy. Narrative review.
(Universidad de Concepción., 2015) Anggelo Carrizo; David Carrasco
Aging population and increase of cardiovascular diseases have raised the number of patients receiving antithrombotic therapy in elective or emergency dental care, including surgical procedures. The aim of this article is to review the evidence and clinical guidelines published in the past five years for dental management of patients on antithrombotic therapy. The American Antithrombotic Therapy Guideline - 2012 - generally recommends not to suspend antiplatelet or anticoagulant treatment in dental procedures since they are considered to have low bleeding risk and easy resolution. In the dental area there is ample published evidence regarding oral surgical procedures management, especially by maxillofacial surgeons. Low number of complications associated with extractions or other minor surgeries of the oral cavity, without suspending antithrombotic drugs and only taking some minimum safeguards, such as healing by first intention or the use of some local hemostatic agents, have been shown. Overall, patients under chronic antithrombotic therapy should maintain their medications when undergoing low and medium complexity dental procedures, since complications are minor and easy to handle. Due to the interactions between them, particular care should be taken with patients using more than one drug.