JSS DEntal Hospital
Special Interest Group - Management of Medical Conditions & Medical Emergencies in Dental Practice

"When you prepare for emergencies, they cease to exist" - Malamed

The incidence of medical problems in the general population is on the rise due to various factors. Consequently the number of medically compromised patients presenting for dental treatment is also on the rise. In order to provide dental treatment safely to these medically compromised patients, a proper understanding of their medical conditions, medications taken & investigations required is very essential. Medical emergency in a susceptible person can present anytime including during dental treatment. The nature of treatment rendered & medications used in dentistry could also precipitate medical emergencies in such patients. The appropriate management of such an emergency will require proper knowledge & training before hand. These skills will require frequent reinforcement to maintain a high level of preparedness.

Good dental practice requires that a dental practitioner be aware of those medical conditions that might present first with oral manifestations and those for which special considerations are required before dental treatment is rendered. In view of the rapid changes in the understanding and treatment of disease, it is essential that a dentist be current in his knowledge of medicine and be aware of the established and accepted methods of patient management. The ultimate goal in the management of all emergencies is the preservation of life. The prime requisite in managing an emergency is maintenance of proper Position (P), Airway (A), Breathing (B), Circulation (C), and Definitive treatment (D).

The Special Interest Group (SIG) for medical problems & medical emergencies in dentistry aspires to bring together clinicians from JSS AHER who wish to participate in education & research to format Standard Operating Procedure (SOP) in these conditions which should benefit patients, clinicians & trainees.

Some of the medical conditions which can cause problems to the oral health are:

  • Diabetes
  • Temporomandibular Disorders (TMD)
  • Malignancies
  • Thyroid disorders
  • Anaphylaxis
  • Airway Obstruction
  • Syncope & Chest pain
  • Local Anesthetic toxicity
  • Asthmatic attack & Seizures
  • Hemorrhage