Podcast
Questions and Answers
Which of the following patients might require special consideration during dental treatment?
Which of the following patients might require special consideration during dental treatment?
- Pregnant women
- Patients with endocrine diseases
- Patients with respiratory diseases
- All of the above (correct)
What is the definition of diabetes mellitus?
What is the definition of diabetes mellitus?
- A chronic hypoglycaemia long enough to cause macrovascular complications
- A chronic hyperglycaemia long enough to cause macrovascular complications
- A chronic hypoglycaemia long enough to cause microvascular complications
- A chronic hyperglycaemia long enough to cause microvascular complications (correct)
What type of diabetes is also known as insulin-dependent diabetes?
What type of diabetes is also known as insulin-dependent diabetes?
- Type 3 gestational diabetes
- Type 2 diabetes
- Type 4 non-insulin dependent diabetes
- Type 1 diabetes (correct)
Why might diabetic patients require special dental management?
Why might diabetic patients require special dental management?
What is the importance of a thorough medical history in dental treatment?
What is the importance of a thorough medical history in dental treatment?
Why might oral hypoglycaemics be avoided during dental treatment?
Why might oral hypoglycaemics be avoided during dental treatment?
What is the golden rule for dental treatment of medically compromised patients?
What is the golden rule for dental treatment of medically compromised patients?
Why might premedication be given to patients preoperatively?
Why might premedication be given to patients preoperatively?
What is the target blood glucose level for a diabetic patient?
What is the target blood glucose level for a diabetic patient?
What type of oral hypoglycaemic is pioglitazone?
What type of oral hypoglycaemic is pioglitazone?
What is the main hazard for a diabetic patient undergoing surgery?
What is the main hazard for a diabetic patient undergoing surgery?
Why should a diabetic patient inform the staff during surgery?
Why should a diabetic patient inform the staff during surgery?
What is a consideration for dental treatment in diabetic patients?
What is a consideration for dental treatment in diabetic patients?
What is a type of oral hypoglycaemic that includes chlorpropamide and glibenclamide?
What is a type of oral hypoglycaemic that includes chlorpropamide and glibenclamide?
What is a consideration for minor surgical procedures in diabetic patients?
What is a consideration for minor surgical procedures in diabetic patients?
What is important in preventing hypoglycaemia during surgery?
What is important in preventing hypoglycaemia during surgery?
What is the primary goal of dental management for medically compromised patients?
What is the primary goal of dental management for medically compromised patients?
What should be considered when assessing a medically compromised patient?
What should be considered when assessing a medically compromised patient?
What is a key aspect of managing diabetic patients in a dental setting?
What is a key aspect of managing diabetic patients in a dental setting?
What is an important consideration when delivering dental care to diabetic patients?
What is an important consideration when delivering dental care to diabetic patients?
Why is it important for dentists to understand drugs commonly taken for medical conditions?
Why is it important for dentists to understand drugs commonly taken for medical conditions?
What should dentists be able to do in case of a medical emergency?
What should dentists be able to do in case of a medical emergency?
What is a key aspect of planning dental care for medically compromised patients?
What is a key aspect of planning dental care for medically compromised patients?
What should dentists recognize in medically compromised patients?
What should dentists recognize in medically compromised patients?
Study Notes
Medically Compromised Patients
- Include patients with endocrine diseases, cardiovascular diseases, respiratory diseases, gastrointestinal diseases, liver diseases, renal diseases, blood diseases, neurogenic diseases, musculoskeletal diseases, and sexually transmitted diseases.
- Also include patients under corticosteroid, chemotherapeutic, or immunosuppressive drugs.
Medical History
- A: Anemia
- B: Bleeding disorders
- C: Cardiorespiratory disorders
- D: Drug treatment and allergies
- E: Endocrine disorders
- F: Fits or Faints
- G: Gastrointestinal disorders
- H: Hospital admissions and attendances
- I: Infections
- J: Jaundice and liver disorders
- K: Kidney disorders
- L: Likelihood of Pregnancy
- M: Mental state
Golden Rule
- No contraindication for any dental procedure if the patient is controlled.
- Give premedication to the patient preoperatively, except for anticoagulants and oral hypoglycemic.
Diabetic Patients
- Definition: Chronic hyperglycaemia that causes microvascular complications.
- Types of diabetes mellitus:
- Type 1: Insulin-dependent
- Type 2: Non-insulin dependent
- Type 3: Gestational
- Clinical features:
- Hyperglycaemia
- Microvascular complications
- Diagnosis:
- Glycated Hb more than 6.1% is indicative for regimen
- Complications:
- Hypoglycaemia
- Oral hypoglycaemics: sulfonylureas, biguanides, glitazones, and intestinal alpha-glusidase inhibitors
- General and dental management:
- Depends on glycemic status and type of anaesthesia
- Operation early morning, breakfast, and medication
- Conscious sedation is usually safe
- LA is safe
- Orthostatic hypotension
- Aspirin and steroids should be avoided
- Control of orofacial infection
- Routine dental treatment or short minor surgical procedures under LA can be carried out with no special precautions apart from taking the meal
- Desired blood glucose is 120-180 mg/dl (3-5mmol/l)
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Description
This quiz covers the pre and post operative consultation of patients with various medical conditions, including endocrine, cardiovascular, respiratory, and other diseases.
