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The medically compromised patient.

A G Parnell

    International Dental Journal
    |June 1, 1986
    PubMed
    Summary

    Managing diabetes mellitus and hypertension in dental patients requires careful consideration. Dental professionals should screen for hypertension and manage diabetic patients to prevent complications, referring complex cases to specialists.

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    Area of Science:

    • Medical Science
    • Dental Medicine
    • Endocrinology

    Background:

    • Diabetes mellitus affects up to 5% of the population, characterized by high blood sugar due to insulin issues.
    • Uncontrolled diabetes can lead to severe complications like heart attacks, strokes, and vascular damage.
    • Hypertension complications, including stroke and renal failure, typically manifest after several years.

    Purpose of the Study:

    • To outline the dental management of patients with diabetes mellitus and hypertension.
    • To present a screening method for evaluating medically compromised patients in a dental setting.
    • To emphasize the importance of pain and stress management during dental procedures for these patients.

    Main Methods:

    • Review of diabetes mellitus and hypertension management principles.
    • Guidelines for treating diabetic patients in dental settings, differentiating between children and adults.
    • Recommendations for dental practitioners regarding blood pressure screening and management of hypertensive patients.
    • Description of a screening method for medically compromised dental patients.

    Main Results:

    • Diabetic patients, except children and those with complications, can undergo simple dental procedures if pain, stress, and missed meals are managed.
    • Children, unstable diabetics, and those with infections or requiring extensive procedures need hospital care under an endocrinologist.
    • Hypertensive patients on medication can be treated normally; those not well-controlled require physician referral.
    • Dental appointments should prioritize pain elimination and stress reduction for all medically compromised patients.

    Conclusions:

    • Effective dental management of diabetic and hypertensive patients is crucial for preventing complications.
    • A proactive screening approach aids in identifying and managing medically compromised individuals in dentistry.
    • Collaboration between dentists, physicians, and endocrinologists ensures optimal patient care.

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