Dental Management of Medically Complex Patients SR Prabhu
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1Dental Management of Medically Complex Patients2
3Dental Management of Medically Complex Patients
Editor SR Prabhu BDS; MDS; FDS RCS(Edin); FFD RCS (Ire); FDS RCPS(Glasgow); FDS RCS (Eng); MO Med RCS(Edin); MFGDP RCS (UK); FICD Professor of Oral Medicine, School of Dentistry Associate Dean, Faculty of Medical Sciences The University of the West Indies Trinidad and Tobago West Indies
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Dental Management of Medically Complex Patients
© 2007, SR Prabhu
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by contributors is original. Every effort has been made to ensure accuracy of material, but the publisher, printer or editor will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters would be settled under Delhi jurisdiction only.
First Edition: 2007
9788180619489
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
5Contributors 7Foreword
With improved quality of life and availability of advanced health care facilities, life expectancy of the population has considerably improved in recent times. With this trend in place, patients who seek dental care often present themselves with chronic lifestyle-related diseases and pose considerable threat to the outcome of dental treatment. Under these situations, dental practitioner is often expected to modify the dental management protocol. Dental practitioner, therefore, is expected to possess adequate knowledge of commonly occurring medical conditions and their impact on oral health and dental treatment. As an important member of health care providers’ team, dental practitioner is also expected to liaise with medical practitioners seeking or providing appropriate advice on their patients’ oral/general health.
It is true that at the undergraduate level of dental training information provided to students on medical problems particularly as they relate to dental management is inadequate. In the book Dental Management of Medically Complex Patient, SR Prabhu has addressed this issue admirably. The book deals with majority of common lifestyle-related diseases and offers adequate guidelines on the dental management. Chapters discussed are concise and provide relevant and adequate information on several medical conditions of dental significance. I am absolutely convinced that the dental students in clinical years of training would benefit from this book. I am also certain that practising dentists will find this book useful. I congratulate SR Prabhu for this timely addition to dental literature.
C Bhasker Rao
Principal
SDM Institute of Dental Sciences
Dharwad, India8
9Preface
Persons with complex medical problems seeking dental treatment often pose considerable difficulty to the dental practitioner in planning and carrying out appropriate dental management. The compromised medical status of dental patients can impact on the outcome of dental management and often this can lead to undesirable clinical outcomes. Practising dentist, therefore, should possess adequate knowledge of common medical problems that are encountered commonly in dental patients so that a proper dental treatment plan can be worked out and appropriate treatment can be offered to these patients.
In the undergraduate dental curriculum medical conditions of dental significance have not received adequate attention. Although courses on General Medicine and Surgery are offered in the third year of the BDS/DDS course, a focus on clinical application of various medical conditions, as they impact on dental management, is lacking. The book Dental Management of Medically Complex Patient, therefore, is designed just to address this deficiency.
In this book, medical conditions of dental significance have been briefly discussed and appropriate dental management strategies have been dealt with. This book should serve as a useful resource material for the clinical student of dentistry during their training period. Practising dentists also would benefit from the information provided in this book.
Editor wishes to thank international colleagues who have contributed chapters in this book. Special thanks are due to M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi for the excellent quality of publication.
SR Prabhu