Medically Compromised Patients 2011

Objectives and Goals

Each resident will be assigned one the following medical conditions (by the resident president).  Please research your condition and present your findings with references.  Include the following aspects in your report:
  • basic physiology of the condition
  • common medications used to treat the condition
  • possible considerations, complications, or alterations in dental treatment and medication usage.
  • treatment of medical emergency involving the condition
And the conditions are:
  • Diabetes
  • Hypertension/history of MI, angina
  • Liver disease
  • Kidney disease (including dialysis)
  • HIV
  • Osteoporosis/bisphosphonate patients

In addition,  the following articles will be read/abstracted as usual.


  • Be familiar with some of the more common medically compromising situations seen in practice
  • Be more prepared to treat complications or emergencies
  • Be more prepared to act as a source of information to your referring dentists

2-3      Johnson BS.  Altered hemostasis considerations for dental care.  CDA                  1995;23(11):41-54.

3-4      Sakurai K, Drinkwater D, Sutherland DER.  Dental treatment considerations for the pre- and post-organ transplant patient.  CDA 1995;23(11):61-67.

All       Malamed S.  Back to basics; emergency medicine in dentistry.  1997. J ab 5    Cal DentAssoc. 25;4:285-94.

All       Malamed S.  Emergency medicine:beyond the basics.  1997. JADA ab 6    128:843-54.

1-2      Haas D.  Adverse drug interactions in dental practice: Interactions associated with analgesics.  1999 JADA 130:397-407

2-3      Leventhal L.  Management of fibromyalgia.  1999 Ann Intern Med 131:850-858

3-4      Miller C, Little J, Falace D.  Supplemental corticosteroids for dental patients with adrenal insufficiency.  Reconsideration of the problem.2001 JADA 132:1570-1579

4-5      Little J, Miller C, Henry R, McIntosh B. Antithrombotic agents: Implications in dentistry.  2002 OOO 93:544-51

5-6      Byrne B.  Drug interactions: a review and update.  2003 Endodon Topics 4:9-21

6-1      Huber M, Terezhalmy G.  The head and neck radiation oncology patient.  2003 Quin Int 34:693-717

1-2      Huber M, Terezhalmy G.  The medical oncology patient.   2005 Quin Int 36:383-402

2-3      Dellinger T, Livingston H.  Pregnancy: Physiologic changes and considerations for dental patients.  2006 DCNA 677-697

3-4      Antibiotic prophylaxis for dental patients with total joint replacements. 2003 JADA 134:899

4-5      Antibiotic prophylaxis for bacteremia in patients with joint replacements.  2010  Amer Assoc Ortho Surg

All       Mitchell R, Lovato K, Christianson D.   Stick us with a fork, we're (almost) done!  J Vol BS 2011

All       Curtis T, Ruckman J, Sato E.  Another year of this &*%($ !!!!  J Vol BS 2011


            Yagiela J.  Adverse drug interations in dental practice:   Interactions associated with vasoconstrictors.  1999 JADA 130:701-709

            Shrout MK, Comer RW, Powell BJ, McCoy BP.  Treating the pregnant dental patient: four basic rules addressed;  JADA 1992;123(5):75-80.

            Seto BG, Beumer JI, Kagawa T, Klokkevold P, Wolinsky L.  Analysis of endodontic therapy in patients irradiated for head and neck cancer.  Oral Surg 1985;60(5):540.

            Sung EC.  Dental management of patients undergoing chemotherapy.  CDA 1995;23(11):55-59.

            Glick M.  Glucocorticosteroid replacement therapy: A literature review and                         suggested replacement therapy.  1989 Oral Surg 67;5:614.

Cooper H.  Root canal treatment on patients with HIV infection.  Int Endod J 1993 26:369.

            Jolly DE.  Interpreting the clinical laboratory. CDA 1995;23(11):32-40.

DeRossi SS, Glick M.  Dental considerations for the patient with renal disease. JADA 1996 127:211-219.

            Herman WW, Konzelman JL.  Angina: an update for dentistry.  JADA 1996           127:98-104.

            Beach CW, Bramwell JD, Hutter JW.  Use of an electronic apex locator on a cardiac pacemaker patient.  1996. J Endodon 22;4:182.

            Migliorati C, etal.  Managing the care of patients with bisphosphonate associated osteonecrosis.  An American Academy of Oral Medicine position paper.   2005  JADA:136;1658-1668