Download Dental Management of Medically Complex Patients

The Health History and the Dental Management
of Medically Complex Patients
Peter L. Jacobsen, PhD, DDS
Diplomate, American Board of Oral Medicine
Adjunct Professor, Dept of Pathology and Medicine
Arthur A. Dugoni School of Dentistry
Mailing Address:
1290 Stanyan Street
San Francisco, CA, 94117
415 921 2448 pvt practice (wed, fri)
415 564 6106 home (wed, thur)
707 944 1279 farm (sat, sun, mon, tue)
E-mail address: [email protected]
Website: www.peterjacobsen.com
A proper Health History is a medical-legal requirement. What questions need to be asked?
Is an interview required? The elements of a health history will be reviewed with a sample
history and interview sheet provided. We all manage patients on medications or those with
heart, kidney or psychiatric problems. Some patients have infectious diseases such as HIV,
tuberculosis or hepatitis. All these patients and many more require proper management for
safe dental treatment. Dental protocols for patients with common medical problems, will be
discussed including correct prophylactic antibiotic use for hearts and prosthetic joints,
diabetes, bleeding problems, immunosupression and other diseases. The protocols are
Internet based, are constantly updated and are always available to the practitioner.
COURSE OBJECTIVES
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You will learn the major medical problems that require altering dental management to
minimize any possible medical complications.
You will learn how the drugs used in dentistry can impact a patients medical condition or
interact with drugs they may be taking.
You will learn the standard cut-off criteria between normal and abnormal for high blood
pressure, diabetes, blood dyscrasias and other systemic diseases with oral manifestations.
You will learn the most current (2007) guidelines for heart and total joint prophylaxis.
You will learn the standard management techniques for heart disease patients as well as
patients taking anticoagulants, thyroid supplements, and other medications for systemic
diseases.
You will learn about the few dental drugs that have the greatest chance of causing drug
interactions with medication used to treat systemic diseases.
A Handout will be provided which will include an English language dental health history,
which is also translated into 25 different languages. The handout will also include a Dental
Management Protocols manual addressing the management considerations for medical
problems that comprise 90% of the medical considerations
impacting dentisty.
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