Clinical Decisions in Medically Complex Dental Patients, Part II, An Issue of Dental Clinics of North America

Cover image

Title page

Table of Contents

Copyright

Contributors

Forthcoming Issues

Preface

A Patient with a History of Right-Sided Stroke and Hemiplegia, in a Wheelchair, Presents with a Complaint of Upper Left Tooth Pain

Key points

Scenario

Dental management decision and justification

Clinics care points

Disclosure

Nonverbal Patient with Autistic Spectrum Disorder Presents for an Initial Dental Visit

Key points

Medical scenario

Dental management and decision justification

Clinics care points

Disclosure

Patient with a History of Down Syndrome Presents for Periodic Examination and Cleaning

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Dementia Presents from a Nursing Home with a History of Decreased Oral Intake, Malodor, and Weight Loss

Key points

Scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Cerebral Palsy Presents for Evaluation of Third Molar Pain

Key points

Scenario

Dental management decision and justification

Clinics care points

Dental Considerations and Precautions Associated with Oral Excisional Biopsy on a Patient with Cushing’s Syndrome (Hypercortisolism)

Key points

Medical scenario

Clinics care points

Disclosure

A Patient with Addison Disease (Primary Adrenal Insufficiency) Presenting for Surgical Extraction of Third Molars

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

Impacted Wisdom Teeth Removal on a Patient with Primary Hypothyroidism (Hashimoto Disease)

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

Implant Placement in a Patient with Thyromegaly Associated with Graves Disease

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

Mandibular Jaw Lesion Excisional Biopsy on a Patient with Hyperparathyroidism (Primary)

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Hypothyroidism in Need of Periodontal Connective Tissue Graft Surgery

Key points

Medical scenario

Clinics care points

Conflict of interest

The Patient Faints in the Waiting Area with a Suspected Hypoglycemic Event

Key points

Medical scenario

Clinics care points

An Elderly Patient with Undiagnosed Type 2 Diabetes Mellitus Presenting for an Emergency Extraction

Key points

Medical scenario

Dental management decision and justification

Risk factors for diabetes

Clinics care points

A Diabetic Patient with a Recent History of Flap and Osseous Surgery Presents Back with Bleeding and Infection

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Patient with Type I Diabetes Mellitus Develops Post-Operative Hyperglycemia After Osseous Surgery

Key points

Medical scenario

Clinics care points

A Diabetic Patient with Acute Osteomyelitis Presenting with Jaw Pain and Submandibular Swelling

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Juvenile Idiopathic Arthritis Presents for Dental Extraction

Key points

Medical scenario

Dental management decision and justification

Highlights and additional considerations

Clinics care points

Disclosure

A Patient Who Recently Underwent Total Temporomandibular Joint Replacement Reporting for Endodontic Therapy

Key points

Dental management decision and justification

Highlights and additional considerations

Clinics care points

Disclosure

A Young Adult Patient with Rheumatoid Disorder Presents for the Evaluation of Limited Mouth Opening

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Moderate-to-Severe Temporomandibular Joint Degenerative Joint Disease and Unilateral Joint Pain Presents for Oral Medicine Consult

Key points

Dental management decision and justification

Highlights and additional considerations

Clinics care points

Disclosure

A Patient with a Diagnosis of Gonococcal Arthritis and Symptomatic Bilateral Temporomandibular Joints Presents for Scaling and Root Planing

Key points

Medical scenario

Dental management decision and justification

Highlights and additional considerations

Clinics care points

Disclosure

A Patient with a History of Fibromyalgia Reports for an Intraoral Incisional Biopsy

Key points

Medical scenario

Dental management decision and justification

Highlights and additional considerations

Clinics care points

Disclosure

Scaling and Root Planning in a Patient Taking Chronic Corticosteroid Therapy for Lupus Erythematosus

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Conflict of interest

A Female Patient Recently Diagnosed with Sjogren Syndrome Presents to the Dental Office Seeking Upper and Lower Complete Dentures

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with a History of Multiple Myeloma Presents for the Evaluation of Oral Lesion and Burning Sensation of the Mouth

Key points

Medical scenario

Clinics care points

Disclosure

A Patient Undergoing Treatment of Hematologic Malignancy Reports for Oral Evaluation

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Conflict of interest

A Patient Presenting for Dental Extraction After Completion of Chemotherapy

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A 65-Year-Old Man with Recent History of Radiation Therapy to the Head and Neck Reporting for Treatment of a Non-restorable Tooth

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Conflict of interest

A Patient with a History of Tonsillar Cancer Presents for Evaluation of Exposed Alveolar Bone in the Mouth

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient Presents for Dental Extraction and Goes into Sickle Cell Crisis in the Dental Chair

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Patient with Refractory Trigeminal Neuralgia was Referred for Suspected Odontogenic Pain

Key points

Case Report

Dental management decision and justification

Summary

Clinics care points

A Patient with Herpes Zoster of the Maxillary Division of Trigeminal Nerve Presents for Oral Evaluation and Toothache

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

Child Patient with a History of Status Epilepticus Referred for Management of Grossly Decayed Primary Molar

Key points

Medical scenario

Discussion

Patient with Crohn's Disease Presents for Pain in Relation to Maxillary Teeth

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Conflict of interest

A Patient Diagnosed with Bulimia Reports to the Dental Office Seeking Cosmetic Dental Work

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Disclosure

A Pregnant Patient (First Trimester) Reporting for Pain in Relation to the Maxillary Left First Molar Was Prescribed a Full Mouth Series Radiographs in the Dental Office

Key points

Medical scenario

Dental management decision and justification

Ideal management

Clinics care points

Disclosure

A Pregnant Patient with Gestational Diabetes Reports for Scaling and Root Planning

Key points

Medical scenario

Dental management decision and justification

Clinics care points

Restorative Dental Treatment and Endodontic Surgery in a Pregnant Patient Receiving Corticosteroids

Key points

Medical scenario

Dental management decision and justification

Clinical care points

Financial support and sponsorship

Conflicts of interest