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DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main signs & symptoms of C.V.S diseases   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ISCHEMIC HEART DISEASES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANGINA PECTORIS ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MYOCARDIAL INFARCTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONGESTIVE HEART FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERTENSIVE DISEASES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RHEUMATIC HEART DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PROPHYLACTIC ANTIBIOTIC REGIMEN FOR CARDIAC PT. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IF PATIENT IS ALLERGIC: Adult  --------- Clindamycin 600 mg  OR Asathromycin 500 mg  OR Cephazolin  1 gm  (1 hour before ttt. Orally) ( ½ ,,,  ,,,,  ,,, injection)  Child ---------  Clindamycin 20 mg per Kg. Asathromycin  15 mg per Kg.
[object Object],[object Object],[object Object],[object Object],[object Object]
b) Children ------ (5–10 years)1/2 adult  (< 5 years) 1/4 adult
RESPIRATORY DISORDERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BRONCHIAL ASTHMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TUBERCULOSIS ,[object Object],[object Object],[object Object],[object Object]
Dental management: 1.  Patient with active T.B. 2. Patient with past history of T.B. 3. Patient with positive tuberculin test. 4. Patient with signs & symptoms of T.B. 5. Strict aseptic technique.
LIVER DISORDERS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VIRAL HEPATITIS   ,[object Object],[object Object],[object Object],[object Object],[object Object]
DIABETUS MELLITUS   ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management : 1. Appointment. 2. Premeditation 3. Local anesthesia. 4. Treatment procedure . 5.  Patient assessment.
CHRONIC RENAL FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object]
THYROID GLAND DISORDER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEUROGENIC DISORDER (EPILEPSY)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
N.B:   Dentist is no longer  treating   teeth  in patients, but rather  patients who have teeth .
THANK YOU

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DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT

  • 1. DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT
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  • 12. IF PATIENT IS ALLERGIC: Adult --------- Clindamycin 600 mg OR Asathromycin 500 mg OR Cephazolin 1 gm (1 hour before ttt. Orally) ( ½ ,,, ,,,, ,,, injection) Child --------- Clindamycin 20 mg per Kg. Asathromycin 15 mg per Kg.
  • 13.
  • 14. b) Children ------ (5–10 years)1/2 adult (< 5 years) 1/4 adult
  • 15.
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  • 17.
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  • 19. Dental management: 1. Patient with active T.B. 2. Patient with past history of T.B. 3. Patient with positive tuberculin test. 4. Patient with signs & symptoms of T.B. 5. Strict aseptic technique.
  • 20.
  • 21.
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  • 25. Dental management : 1. Appointment. 2. Premeditation 3. Local anesthesia. 4. Treatment procedure . 5. Patient assessment.
  • 26.
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  • 29.
  • 30. N.B: Dentist is no longer treating teeth in patients, but rather patients who have teeth .