What are the seven steps in patient evaluation and risk assessment?
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1. Obtain an accurate medical and social history
2. Review of patient medications
3. Obtain vital signs
4. Physical Examination
5. Order and review diagnostic tests
6. Medical consultations (as needed)
7. Complete risk assessment
2
What are the factors to consider when treating medically complex patients?
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Risk of infection, risk of bleeding, risk of drug interaction, risk of acute medical emergency, risk of MRONJ, location of treatment, timing of treatment, prognosis of patient, oral manifestations of systemic disease, medical risk assessment/work up
3
What is the significant connection between systemic and oral health?
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There is a significant connection between systemic and oral health.
4
What can manifest in the oral cavity as signs of systemic disease?
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Signs of systemic disease can manifest in the oral cavity.
5
How can medications taken to control systemic disease affect oral health?
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Medications taken to control systemic disease can also affect the teeth and oral soft tissues.
6
What are the conditions that require antibiotic prophylaxis?
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Prosthetic (mechanical) heart valves, unrepaird congenital heart defect, previous history of infective endocarditis, organ transplantation
7
What are the factors that can impair the immune system?