Cultura

Interprofessional Practice In Dentistry: Contributions Of Dentists And Dental Technicians To Patient Care

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abdullah Saud Alrafee, Haya Musaed Alwaalan, Hamad Saud Alrafie, Mshari Suliman Al Mutairi, Bashaer Gazi Alosaimi, Saeed Ateeq Kh. Al Zahrani, Nasser Tayeb Marir, Mohammed Saeed Alasiri
Turki Abdullah Alahmari, Inad Mohammed Alotaibi, Budur Burayghish Alanaz, Hussain Ali Alqahtani, Bushra Yousif Almarzouqi, Kholoud Saud Ali Al-Anazi, Abdulaziz Naser Abdulaziz Al Munyif

Abstract

High-quality dental care is essential for promoting oral health, improving patient well-being, and ensuring positive clinical outcomes. This review explores key factors influencing the quality of dental care, with a particular focus on optimizing clinical procedures, enhancing patient-centered communication, reducing dental anxiety, and supporting continuous professional development among dental professionals. The review highlights the importance of evidence-based clinical practices, preventive strategies, and the integration of advanced technologies to improve diagnostic accuracy, treatment effectiveness, and patient comfort. Emphasis is placed on patient-centered care as a cornerstone of modern dentistry, where effective communication, empathy, trust-building, and shared decision-making significantly influence patient satisfaction, adherence to treatment, and long-term oral health outcomes. Additionally, strategies for managing dental anxiety including environmental modifications, behavioral approaches, sedation techniques, and technological distractions are discussed as critical components for enhancing the patient experience. The review also underscores the role of continuing education and professional development in equipping dental teams with up-to-date clinical skills, technological competence, leadership abilities, and interpersonal skills necessary for high-quality care delivery. Collectively, these elements contribute to a comprehensive, patient-focused approach that improves clinical outcomes, strengthens dentist–patient relationships, and supports sustainable excellence in dental practice.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty