Improved
treatments for chronic diseases has extended the lives of many
people and allowed them to be able to seek dental treatment in
the private dental office. Dental treatment of the patient
with medically complex chronic diseases can increase the risks
of experiencing a medical emergency during dental treatment.
The taking and analysis of the medical history is one of the
most important strategies to identify the patient at risk.
Information gained from posing logical questions to follow up
positive responses to disease-oriented questions, and making
informed decisions on precautions to take in case management
will be discussed in this course. This course will provide
the participant with a comprehensive list of follow up
questions for diseases or symptoms related to developing
into a medical emergency situation listed on the 2002 ADA
Health History. Preventive strategies for preventing the
emergency situation will be included, as well as management
recommendations.
Objectives: The participant will
l. Identify proper follow-up
questions for conditions listed on the most recent ADA
Health History.
2. Apply information gained in
patient assessment to identify risks during dental treatment
for medical emergencies.
3.
Be aware of
adverse events that could occur during oral healthcare for the
medically complex patient and prevention/management procedures
for these situations.
4.
List
stress-reduction strategies to use in stress-related
situations.
Course
Outline
I.
Components of an adequate health history
A.
ADA Medical history form - recent format
B.
Symptom-oriented vs. disease oriented questionnaire
C.
Vital sign measurements, implications to Dentistry
D.
Follow up questions for known disease
E.
Follow up questions for symptoms of undiagnosed disease
11.
Dental management for diseases on ADA Health History
A.
Changes in
treatment plan for at-risk clients
B.
Appropriate
dental considerations to prevent emergency
C.
Stress reduction
protocol for medically compromised patients
D.
Management for
emergency situations involving
a.
Loss of
consciousness
b.
Airway
obstruction
c.
Cardiovascular
emergencies
d.
Stress-related
emergency situations
e.
Uncontrolled
bleeding
