Dental Management of Systemically Compromised Patients
Authors: Paulo SÚrgio da Silva Santos and SÚrgio Alves de Oliveira Filho
Abstract: The treatment of oral diseases that individuals with systemic conditions receive has a direct impact on their overall health and/or medical therapy. The aim of this study was to determine the profile of care for patients with systemic involvement that required support in a dental clinic dental hospital. In a retrospective study 1,397 patients at the clinic for dental patients with special needs were evaluated and treated according to their respective baseline disease in a general hospital. Patients were divided according to medical specialties who handed them to undergo general dental procedures based on special criteria of care for each disease. The medical specialties that requested most of the consultations for outpatients with special needs were 346 (25%) from General Oncology, 246 (18%) from Onco-Haematology, 209 (15%) from Cardiology and 165 (12%) from Nephrology. These patients underwent to 1,232 (88%) surgical treatments, 142 (10%) conventional periodontal treatments, and 26 (2%) other procedures such as laser therapy, dental restorative treatment and osteoradionecrosis. With these results, we note that the profile of patients in a clinic Dental Hospital is generated primarily by medical specialties such as general oncology, onco-hematology, cardiology and organ and tissue transplantation teams. Surgical procedures were the most frequent in the studied population, which reflects the poor oral health condition of this group of patients.