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Patient Red Flags: The Medically Compromised Patient in the Dental Office

Patient Red Flags: The Medically Compromised Patient in the Dental Office

By: Dr. John Roberson

Post Date: 8/29/2024

CE Amount: 3.75

Categories: Pediatric Medical Em...Pediatric Medical Emergencies

COURSE OVERVIEW

Patients are living longer, and they have gotten smarter when it comes to dental treatment. Seniors are seeking more advanced dentistry, and as a result, they have become a very large part of the dental practice.  There is no getting around this fact, if you practice dentistry, you will treat senior patients.  Advancements in medical/surgical treatment and pharmaceuticals have resulted in more patients with significant medical histories and extensive medication lists.  Among the graying of America’s population will produce millions of individuals with systemic medical conditions (potential Red Flags). The dental management of these medically compromised patients can be an issue dependent on what disease(s) they may have and their overall health.  Can they safely have dental treatment in my office?

 

This program focuses on several medically compromised disease states that dentists might encounter in daily practice that necessitate extra knowledge and care to prevent potential complications causing otherwise unnecessary morbidity and mortality. These include diabetes, multiple drug interactions, cardiac abnormalities, liver disease, kidney disease just to name a few.

 

The first step in managing the patient with extensive medical problems is acquiring a thorough health history; the second step is for the dentist to fully understand the significance of the disease that the patient may have. Each identified medical condition could affect dental treatment in a unique way. For example, due to this patient’s medical condition, can you safely use local anesthetic with vasoconstrictor? The dentist needs to understand the potential complications that can occur because of dental treatment of the medically compromised patient.  Knowing the Red Flags will assist the dentist and their team Before treatment is rendered on these patients.  

 

This program will also assist the dentist and their team on Medical Emergency Preparedness through development of the 5R Emergency Response Plan, the CANAL acronym, the foundation of medical emergency management. 

 

Some medically compromised patients should only be treated in a hospital setting or ASC and that will be addressed in this program.  

 

 

RED FLAGS COVERED IN THIS PROGRAM

  • Hypertension
  • Diabetes
  • Angina
  • Myocardial Infarction
  • Bleeding
  • Metabolic Syndrome
  • Cholesterol
  • Obesity
  • Stroke
  • Atrial Fibrillation
  • Transient Ischemia Attack
  • Seizure
  • Congestive Heart Failure
  • Local Anesthesia with Vasoconstrictor and various Disease States

LEARNING OBJECTIVES

Topics Covered:

  • The Medical History
  • Risk Assessment
  • Is it Safe?
  • Physical Examination
  • Emergency Response Plan 
  • Foundation of Medical Emergency Management
  • C.A.N.A.L. Acronym
  • Medically compromised Disease States
  • Vasoconstrictors: What to know
  • Patient Risk Factor Matrix
  • Patient Questions Before Treatment
  • Patient Red Flags: Medical Consultation Consideration
  • Patient Red Flags: Consider Referral to Specialist for treatment in Hospital or ASC 
  • Timeout!
  • RED FLAGS OUTSIDE of Dentistry

COURSE SPEAKER

Dr. John Roberson
Dr. John Roberson

Dr. Roberson received his DMD from the University of Mississippi School of Dentistry, where he served as president of the American Student Dental Association and received the American Association of Oral & Maxillofacial Surgeons award for outstanding performance and excellence in undergraduate oral surgery. After completing his residency in oral & maxillofacial surgery at the University of Cincinnati Medical Center–where his training included dentoalveolar surgery, anesthesia, implants, corrective jaw surgery, facial trauma, reconstructive surgery, TMJ, oral medicine & pathology, cleft lip & palate surgery, facial cosmetic surgery, and skin rejuvenation–Dr. Roberson started his practice in Hattiesburg. Dedicated to continuing education and adhering to industry standards, Dr. Roberson is a member of the American College of Oral & Maxillofacial Surgeons, International Congress of Oral Implantologists, American Dental Society of Anesthesiology, American College of Dentists, International College of Dentists, American Dental Association, Mississippi Society of Oral & Maxillofacial Surgeons, Mississippi Dental Association, and the South Mississippi Dental Association. He is an active member of Heritage United Methodist church and enjoys spending time with his wife, Melanie, and their daughter and son, Maggie and Boone.

TARGET AUDIENCE

This course is intended for Dental Assistant, Dentist, Hygienist, and Office Manager from novice to advanced.

EDUCATIONAL METHOD

Self Instructional Online CE Course

IMAGE AUTHENTICITY STATEMENT

No images in this presentation have been altered.

SCIENTIFIC INTEGRITY STATEMENT

Information shared in this continuing education activity is developed from clinical research and represents the most current information available from evidence-based dentistry.

KNOWN BENEFITS AND LIMITATIONS

Information in this continuing education activity is derived from data and information obtained from the reference section.

DISCLOSURE

This Dental Learning presentation is made possible through the continued support of . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, . John B. Roberson, DMD, FACD, FICD, FICOI, FIAOMS may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.

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