Medical/dental management of a chronic hepatitis C patient. A case report.
Hepatitis C accounts for 20% to 40% of all acute viral hepatitis, with between 150,000 and 170,000 new cases reported in the United States each year. Approximately 50% of these patients will progress to chronicity with potential hepatic disorders. In an average dental practice that treats 20 patients each day, it is estimated that one hepatitis C patient will be encountered every 2 weeks. Because numerous dental procedures stress the immune, coagulation, and metabolic systems, a thorough understanding of the potential complications imposed by hepatitis C to these systems is essential. This case study encompasses comprehensive medical and dental management of the chronic hepatitis C patient. It includes assessment, intervention, and evaluation, as well as projected planning for future treatment.
Wisnom
C J
CJ
Baltimore College of Dental Surgery, University of Maryland, Dental School, Baltimore.
Kelly
M
M
D001780:Blood Coagulation Tests; D002985:Clinical Protocols; D003730:Dental Care for Persons with Disabilities; D006509:Hepatitis B / Q000150:complications; D006526:Hepatitis C / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D006472:Oral Hemorrhage / Q000517:prevention & control; D015819:Substance Abuse, Intravenous / Q000150:complications