Dental Management in Medically Compromised Patients : An Overview

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. In a recent survey of a general dental practice in Australia it was found that up to 55 per cent of some age groups had concurrent medical problems. Thus there is a real risk that adverse interactions between medical conditions and dental treatment may occur on some occasions, even fatal ones. It is not possible for any individual to know the details of all medical conditions, their treatment and the possible interactions with dental treatment. However, by the application of some sound general principles the risks of any potential interactions can be evaluated. The essential steps for a clinician are: knowledge of the medical history of all patients, potential drug interactions and management of medical emergencies. These principles will be discussed and illustrated by examples of medically compromised patients who may experience common or potentially serious sequelae as a result of dental treatment.

Peran Program Merdeka Belajar Kampus Merdeka pada Pengembangan Pengetahuan Dokter Gigi melalui Edukasi Tatalaksana Pasien dengan Penyakit Sistemik di Tempat Praktik

“…Perawatan gigi dan mulut pada pasien dengan penyakit sistemik merupakan suatu aspek yang penting dalam praktik kedokteran gigi, yang apabila diabaikan dapat menimbulkan konsekuensi yang merugikan (Kannan, 2017;Manihani et al, 2020). Oleh karena itu, dokter gigi perlu memahami potensi komplikasi yang dapat terjadi sebagai konsekuensi dari perawatan gigi pada pasien dengan kelainan sistemik baik ketika pra-perawatan atau pengobatan pasca perawatan atau diindikasikan perawatan darurat.…”

A brief review in dental management of medically compromised patients

“…To avoid Hypoglycemia, IV infusion with glucose which should be measured regularly so that soluble insulin can be added as required. 2 In case of moderate to severe dental infection it is better to administer antibiotic to diabetic patients prior to the dental extraction or surgery and also post op antibiotic medication for 3 to 5 days due to compromised immune system in such patients.…”