The Medically Complex Dental Patient: A Review of Pre-Procedural Clearance and Peri-Operative Management
Abstract
Background: The rising prevalence of medically complex patients, with conditions like cardiovascular disease, diabetes, and anticoagulant use, elevates the risk of perioperative complications during routine dental care. Aim: This review analyzes the fragmented pre-procedural clearance process, advocates for a standardized interdisciplinary pathway, and evaluates essential components for safe treatment. Methods: A narrative synthesis of literature (2010-2024) was conducted, focusing on medical consultation guidelines, laboratory testing utility, and coordinated care models. Results: Adverse events are commonly linked to poor interprofessional communication, inappropriate medication management, and inadequate patient optimization. Conclusion: Establishing clear protocols, enhanced by dedicated communication roles and nursing-led pre-operative clinics, is crucial for standardizing care, improving outcomes, and safely managing this vulnerable population.
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References
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Copyright (c) 2024 Mohammad Sulaiman Alnumair, Omar Fahad Saleh Alfallaj, Mohammed Abdullah Qasem, Salha Hassan Ibrahim Muslih, Muath Adel Ali Bajjah, Manal Hamdan Mohammed Alharbi, Abeer Falah Obaidullah Alreashidi, Somaya Falah Obaidallah Alreashidi, Abdulaziz Sulaiman Alnumair, Fatimah Buayjan Saad Alotaibi, Abdullah Turki Dhair Almutairi, Mona Abdulrahman Mohammed Aljuaid
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