In this issue of Dental Clinics, guest editors Drs. Mel Mupparapu and Andres Pinto bring their considerable expertise to the topic of Clinical Decisions in Medically Complex Dental Patients. This issue is Part 1 of a practical guide to an essential area of clinical practice. Dozens of commonly encountered patient scenarios are provided and discussed by experts in the field, highlighted by easy-to-follow flow charts, tables, and images. Coverage of potentially significant conditions helps dentists protect and safely treat patients with a medical complexity or during a medical emergency.
Contains 42 patient scenarios including a patient with a pacemaker, history of stroke, and stent placement presenting for extraction of the lower molar; a patient with a history of COPD, ischemic heart disease, and cardiac arrhythmia presenting for restorative treatment; an adolescent with poorly managed asthma referred for pulp therapy in a permanent tooth; a patient with severe dental anxiety and episodes of fainting in need of dental restoration; and more.
Provides in-depth clinical reviews on clinical decisions in medically complex dental patients, offering actionable insights for clinical practice.
Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Forthcoming Issues - p. xviii 7. Preface - p. xix 8. Scaling and Root Planing in a Patient with Atherosclerosis, Arrhythmia, and Anticoagulation - p. 393 9. Restorative Treatment in a Patient with Symptomatic Valvular and Structural Heart Disease - p. 397 10. Crown Preparation in a Patient with Hypertension and Type 2 Diabetes Mellitus - p. 403 11. Treatment of a Mandibular Abscess in a Patient with Coronary Artery Disease and Intermittent Angina - p. 407 12. A Patient with Permanent Cardiac Pacemaker, History of Stroke Presents for an Extraction of Mandibular Molar Tooth - p. 411 13. A Child with Tetralogy of Fallot Presents for Extraction of Mandibular Premolars - p. 415 14. Complete Denture Fabrication in a Patient with Chronic Obstructive Pulmonary Disease and Active Tobacco Use - p. 419 15. A Patient with a History of Extrinsic Asthma Presents for Endodontic Therapy for the Upper Molar - p. 423 16. Restorative Treatment in a Patient with Chronic Obstructive Pulmonary Disease, Ischemic Heart Disease, and Arrhythmia - p. 427 17. An Initial Visit in a Patient with a History of Tuberculosis - p. 431 18. Periodontal Maintenance in a Patient with a Lung Transplantation Post-COVID-19 Infection - p. 435 19. An Adolescent with Poorly Managed Asthma Referred for Pulp Therapy in a Permanent Tooth - p. 439 20. Adolescent Patient with Cystic Fibrosis Presents with Suspected Ludwig Angina - p. 443 21. Patient Receiving Hematopoietic Stem Cell Transplantation Reports for Dental Clearance - p. 447 22. Dental Management of the Human Papilloma Virus-Related Oropharyngeal Cancer Patient - p. 453 23. An Adolescent Patient Reports to Dental Office for Pain in Relation to Mandibular Molar with an Incidental Palpable Thrill in the Submandibular Region - p. 457 24. Mönckeberg Medial Arteriosclerosis in a Geriatric Patient with Chronic Kidney Disease and Poorly Controlled Diabetes Reporting for a Dental Recall Visit - p. 461 25. Patient with Hemophilia A Presenting for Extractions and Implants - p. 465 26. Patient with von Willebrand Disease Presenting for Selective Scaling and Root Planning - p. 469 27. Young Hemophilia Patient Presenting with Avulsed Maxillary Permanent Incisor - p. 473 28. Mandibular Arteriovenous Malformation (Vascular Lesion) in a 16-Year-Old Patient - p. 477 29. Patient Living with Human Immunodeficiency Virus and Depression with High HIV Viral Load Presenting for Evaluation of Root Caries - p. 481 30. Dental Extraction in a Patient Living with Human Immunodeficiency Virus with Neutropenia and Thrombocytopenia - p. 483 31. A 50-Year-Old Woman Living with Human Immunodeficiency Virus and Comorbid Conditions, Presenting for Scaling and Root Planing - p. 487 32. Patient Living with Human Immunodeficiency Virus with a History of Chronic Obstructive Pulmonary Disease and Experiencing Oxygen Desaturation During Dental Treatment - p. 491 33. Patient Living with Human Immunodeficiency Virus with Gingival Pain and Oral Soreness (Red and White Lesions) - p. 495 34. A Patient with Severe Anxiety and Episodes of Fainting in Need of Dental Restoration - p. 499 35. A Patient with a History of Myocardial Infarction and a Stent Presenting for Full Mouth Extractions - p. 503 36. A Patient with Epilepsy Presenting for a Dental Hygiene Visit - p. 507 37. Foreign Body Aspiration in an Elderly Male with No Significant Medical History - p. 511 38. Diabetic Patient in the Chair for Implant Surgery - p. 515 39. A Patient with an Unknown Latex Allergy Presenting for Sealant Placement - p. 519 40. Penicillin Allergy in a Patient Presenting for Scaling and Root Planing - p. 523 41. A Patient with Known Allergy to Local Anesthesia Presenting for a Dental Restoration - p. 527 42. Restorative Dental Treatment in a Patient with Mild to Moderate Chronic Kidney Disease (Stages 1–3) - p. 531 43. Patient with Severe End-Stage Renal Disease Stages (4–5) Presenting for Surgical Periodontal Therapy - p. 535 44. Patient on Hemodialysis Develops Painful Periodontal Abscess and Presents for Treatment - p. 539 45. Patient on Hemodialysis with Elevated International Normalized Ratio Presents for Removal of Residual Roots in the Mandible - p. 543 46. A Patient with Active Hepatitis B Presents for Dental Extraction - p. 547 47. A Patient with Alcoholic Liver Disease Reports for Treatment of Dentoalveolar Abscess in Relation to Maxillary Left Molar - p. 549 48. Patient with End-Stage Liver Disease and Prolonged Prothrombin Time Presents for Placement of a New Dental Implant - p. 553 49. Patient with Chronic Liver Disease Was Referred for Evaluation of Oral Infection and Facial Swelling and Needs Multiple Dental Extractions - p. 557
In this issue of Dental Clinics, guest editors Drs. Mel Mupparapu and Andres Pinto bring their considerable expertise to the topic of Clinical Decisions in Medically Complex Dental Patients. This issue is Part 1 of a practical guide to an essential area of clinical practice. Dozens of commonly encountered patient scenarios are provided and discussed by experts in the field, highlighted by easy-to-follow flow charts, tables, and images. Coverage of potentially significant conditions helps dentists protect and safely treat patients with a medical complexity or during a medical emergency.
Contains 42 patient scenarios including a patient with a pacemaker, history of stroke, and stent placement presenting for extraction of the lower molar; a patient with a history of COPD, ischemic heart disease, and cardiac arrhythmia presenting for restorative treatment; an adolescent with poorly managed asthma referred for pulp therapy in a permanent tooth; a patient with severe dental anxiety and episodes of fainting in need of dental restoration; and more.
Provides in-depth clinical reviews on clinical decisions in medically complex dental patients, offering actionable insights for clinical practice.
Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Forthcoming Issues - p. xviii 7. Preface - p. xix 8. Scaling and Root Planing in a Patient with Atherosclerosis, Arrhythmia, and Anticoagulation - p. 393 9. Restorative Treatment in a Patient with Symptomatic Valvular and Structural Heart Disease - p. 397 10. Crown Preparation in a Patient with Hypertension and Type 2 Diabetes Mellitus - p. 403 11. Treatment of a Mandibular Abscess in a Patient with Coronary Artery Disease and Intermittent Angina - p. 407 12. A Patient with Permanent Cardiac Pacemaker, History of Stroke Presents for an Extraction of Mandibular Molar Tooth - p. 411 13. A Child with Tetralogy of Fallot Presents for Extraction of Mandibular Premolars - p. 415 14. Complete Denture Fabrication in a Patient with Chronic Obstructive Pulmonary Disease and Active Tobacco Use - p. 419 15. A Patient with a History of Extrinsic Asthma Presents for Endodontic Therapy for the Upper Molar - p. 423 16. Restorative Treatment in a Patient with Chronic Obstructive Pulmonary Disease, Ischemic Heart Disease, and Arrhythmia - p. 427 17. An Initial Visit in a Patient with a History of Tuberculosis - p. 431 18. Periodontal Maintenance in a Patient with a Lung Transplantation Post-COVID-19 Infection - p. 435 19. An Adolescent with Poorly Managed Asthma Referred for Pulp Therapy in a Permanent Tooth - p. 439 20. Adolescent Patient with Cystic Fibrosis Presents with Suspected Ludwig Angina - p. 443 21. Patient Receiving Hematopoietic Stem Cell Transplantation Reports for Dental Clearance - p. 447 22. Dental Management of the Human Papilloma Virus-Related Oropharyngeal Cancer Patient - p. 453 23. An Adolescent Patient Reports to Dental Office for Pain in Relation to Mandibular Molar with an Incidental Palpable Thrill in the Submandibular Region - p. 457 24. Mönckeberg Medial Arteriosclerosis in a Geriatric Patient with Chronic Kidney Disease and Poorly Controlled Diabetes Reporting for a Dental Recall Visit - p. 461 25. Patient with Hemophilia A Presenting for Extractions and Implants - p. 465 26. Patient with von Willebrand Disease Presenting for Selective Scaling and Root Planning - p. 469 27. Young Hemophilia Patient Presenting with Avulsed Maxillary Permanent Incisor - p. 473 28. Mandibular Arteriovenous Malformation (Vascular Lesion) in a 16-Year-Old Patient - p. 477 29. Patient Living with Human Immunodeficiency Virus and Depression with High HIV Viral Load Presenting for Evaluation of Root Caries - p. 481 30. Dental Extraction in a Patient Living with Human Immunodeficiency Virus with Neutropenia and Thrombocytopenia - p. 483 31. A 50-Year-Old Woman Living with Human Immunodeficiency Virus and Comorbid Conditions, Presenting for Scaling and Root Planing - p. 487 32. Patient Living with Human Immunodeficiency Virus with a History of Chronic Obstructive Pulmonary Disease and Experiencing Oxygen Desaturation During Dental Treatment - p. 491 33. Patient Living with Human Immunodeficiency Virus with Gingival Pain and Oral Soreness (Red and White Lesions) - p. 495 34. A Patient with Severe Anxiety and Episodes of Fainting in Need of Dental Restoration - p. 499 35. A Patient with a History of Myocardial Infarction and a Stent Presenting for Full Mouth Extractions - p. 503 36. A Patient with Epilepsy Presenting for a Dental Hygiene Visit - p. 507 37. Foreign Body Aspiration in an Elderly Male with No Significant Medical History - p. 511 38. Diabetic Patient in the Chair for Implant Surgery - p. 515 39. A Patient with an Unknown Latex Allergy Presenting for Sealant Placement - p. 519 40. Penicillin Allergy in a Patient Presenting for Scaling and Root Planing - p. 523 41. A Patient with Known Allergy to Local Anesthesia Presenting for a Dental Restoration - p. 527 42. Restorative Dental Treatment in a Patient with Mild to Moderate Chronic Kidney Disease (Stages 1–3) - p. 531 43. Patient with Severe End-Stage Renal Disease Stages (4–5) Presenting for Surgical Periodontal Therapy - p. 535 44. Patient on Hemodialysis Develops Painful Periodontal Abscess and Presents for Treatment - p. 539 45. Patient on Hemodialysis with Elevated International Normalized Ratio Presents for Removal of Residual Roots in the Mandible - p. 543 46. A Patient with Active Hepatitis B Presents for Dental Extraction - p. 547 47. A Patient with Alcoholic Liver Disease Reports for Treatment of Dentoalveolar Abscess in Relation to Maxillary Left Molar - p. 549 48. Patient with End-Stage Liver Disease and Prolonged Prothrombin Time Presents for Placement of a New Dental Implant - p. 553 49. Patient with Chronic Liver Disease Was Referred for Evaluation of Oral Infection and Facial Swelling and Needs Multiple Dental Extractions - p. 557
