Before initiating treatment, the dental surgeon must know both the physical and emotional status of the patient as this information is important not only for hospitalised and medically compromised patients with complex problems but also for apparently healthy patients undergoing simple exodontia with local anesthesia. 1 For patients with a serious medical illness, who may have a poor understanding of their problems, obtaining a list of medications being taken is often very helpful.
Full Answer
What should be the first procedure in the management for medically compromised patient?
Which medical conditions can be compromised by dental treatment?
- Heart conditions.
- Organ transplants.
- Immuno-compromised health issues.
- Cancer, who are undergoing chemotherapy or radiation treatments.
- Surgical defects due to cancer removal.
What is a medically compromised patient?
What are the responsibilities of a dentist to a patient?
What is dental management?
Does metformin interfere with dental work?
What are 5 responsibilities of a dentist?
- Remove decay from teeth and fill cavities.
- Repair or remove damaged teeth.
- Place sealants or whitening agents on teeth.
- Administer anesthetics to keep patients from feeling pain during procedures.
- Prescribe antibiotics or other medications.
What are some extra responsibilities you might encounter as a dentist?
- Promoting Oral Health & Disease Prevention.
- Cleaning & Repairing Teeth.
- Interpreting X-rays & Diagnostic Tests.
- Creating Treatment Plans To Maintain Or Restore The Oral Health.
- Ensuring The Safe Administration Of Anesthetics.
- Monitoring The Growth & Development Of The Teeth & Jaws.
What is the responsibility of a health physician?
Dental Management in Medically Compromised Patients : An Overview
Manihani, A. K., Singla, K., Vyas, D., Sareen, K., Parmar, E., & Arora, A. (2020). Dental Management in Medically Compromised Patients : An Overview. International Journal of Contemporary Research and Review, 11 (08). https://doi.org/10.15520/ijcrr.v11i08.832
Abstract
There is an increasing population of apparently well, but in fact medically compromised people in the community. Most will require dental treatment at some stage and will usually seek it away from a hospital environment.
Introduction
Before initiating treatment, the dental surgeon must know both the physical and emotional status of the patient as this information is important not only for hospitalised and medically compromised patients with complex problems but also for apparently healthy patients undergoing simple exodontia with local anesthesia.
DISCUSSION
Proper history , data gathered for evaluation along with laboratory studies and appropriate consultation with the patient's physician forms a crucial aspect in the dental management of medically compromised patients 1 .
CONCLUSION
Dental management in medically compromised patients is very important aspect in daily practice but also it is the most neglected one which results in adverse consequencies. Proper emergency kit should be available in every clinic and dentist should have basic knowledge of every medical condition.
Case
- Dr V is a general dentist completing a series of restorative procedures for Mr S. Today, during a visit for some fillings, a dental assistant, DA, informs Dr V that Mr S’s blood pressure is 182/98 mm Hg. DA informs Mr S that his blood pressure is too elevated for elective treatment, so Mr S’s appointment will have to be rescheduled. DA also notes t...
Commentary
- When a health care practitioner enters into a professional relationship with a patient, she enters into a therapeutic alliance with that patient. The therapeutic alliance describes the partnership through which the health care professional and patient effect beneficial change in the patient’s health. The rationale underlying the therapeutic alliance is that it strengthens the personal bond …
Ada Code of Ethics
- The ADA Code subscribes to the 4-principles approach to medical ethics—respect for patient autonomy, nonmaleficence, beneficence, and justice—popularized by Beauchamp and Childress13 and added a fifth: veracity.14 As is commonly the case when applying the 4 principles approach, Dr V finds herself caught between 2 seemingly irreconcilable principles—respect for patient auto…
Next Steps
- The next question facing Dr V is whether she has any obligation to Mr S beyond not treating him today. Based on the standard of care and also on the ADA Code’s principle of veracity, which requires that dentists “be honest and trustworthy in their dealings with people,”21 she clearly has an obligation to inform him why she cannot treat him and to advise him that he should seek med…
Barriers
- Although Dr V has as an ethical duty to assist Mr S in obtaining medical care that is no different than she would have if he required specialty dental care, a dentist attempting to refer a patient to a physician faces a number of barriers. As will become evident, her attempt as an individual to aid Mr S in finding medical care runs into the dental profession’s long-standing position on public in…
Conclusion
- The situation in which Dr V finds herself—namely, attending a patient who requires medical care before dental treatment can proceed—is not unusual. For patients who have ready access to medical care, the situation is easily resolved, but for those who do not, the road to receiving dental care is often fraught with frustration and difficulty. This state of affairs is not helped by the Unite…