Evaluation of medical consultations in a predoctoral dental clinic

Aree Jainkittivong, Chih Ko Yeh, Gray F. Guest, James A. Cottone

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Objectives: A patiet's medical condition, can affect the delivery of dental care. Medical consultation is indicated for dental patients whose medical history is uncertain or when physical assessment may indicate an untreated medical problem. The aims of this study were to evaluate the use of medical consultation and determine how it affects dental treatment plans in a predoctoral dental clinic program. Study design: Reviews of 147 medical consultation requests were performed. Results: The main reasons for medial consultations were cardiovascular assessment (51.5%) and diabetic status determination (12.6%). In the cardiovascular assessment category, hypertension (48.1%) and heart murmur (17.9%) were primary concerns. Main dental concerns were the need for preoperative antibiotic prophylaxis (33.3%) and the use of vasconstrictors (20.4%). Overall, 32.1% medical consultations resulted in a alteration in dental treatment plans. As a result of medical consultations, 8% commenced their medical management. Conclusion: These results indicated that medical consultations could reduce the medical risk associated with dental procedures and unnecessary atibiotic prophylaxis. Therefore for many dental patients, good communication between dentists and physicians is essential for adequate care.

Original languageEnglish (US)
Pages (from-to)409-413
Number of pages5
JournalOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and
Volume80
Issue number4
DOIs
StatePublished - Oct 1995
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

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