The Dental Care Team In Modern Practice: Integrating Dentists, Technicians, And Nurses For Optimal Patient Outcomes
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
Nasser Mohammed Almutairi, Maryam Awad Saeed Aljohani, Afia Ghbran Ghazwani, Nariman Radi Alkhodar, Khalaf Mutheeb Almutairi, Shatha Hamdan Alghamdi, Abdulaziz Eid Omaysh Alotaibi, Aisha Eyttan Albalawi
Mohammad Abdalftah Aleisawi, Nojoud Ahmad Bahabri, Amna Obaid Abdo Abu Ayed, Fahdah Khalif Owinan Al-Enzi, Aisha Khalif Owinan Al-Anazi, Youssef Mohammed Alotaybi, Nouf Awadh Falah Al Otaibi
Abstract
Oral health is increasingly recognized as an essential component of overall health and well-being, with growing evidence demonstrating strong links between oral conditions and systemic diseases. Disorders such as cardiovascular disease, diabetes, and respiratory infections often manifest signs within the oral cavity, making dental professionals key contributors to early detection and prevention strategies. The modern dental care team must therefore move beyond isolated treatment of teeth and gums to embrace a holistic, health-centered approach. This evolution reflects a broader transformation in healthcare, where integration, collaboration, and prevention are prioritized over fragmented care models. Recognizing oral-systemic interconnections strengthens the role of dental professionals within the wider healthcare system (Dyar, 2022; Tartaglia, 2021).
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
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