The ADA Practical Guide to Patients with Medical Conditions

With new medications, medical therapies, and increasing numbers of older and medically complex patients seeking dental care, all dentists, hygienists, and students must understand the intersection of common diseases, medical management, and dental management to coordinate and deliver safe care.

This new second edition updates all of the protocols and guidelines for treatment and medications and adds more information to aid with patient medical assessments, and clearly organizes individual conditions under three headings: background, medical management, and dental management. Written by more than 25 expert academics and clinicians, this evidence-based guide takes a patient-focused approach to help you deliver safe, coordinated oral health care for patients with medical conditions.

Other sections contain disease descriptions, pathogenesis, coordination of care between the dentist and physician, and key questions to ask the patient and physician.

Accessing Dr. Glick’s Medical Support Website v

Contributors vi

Preface ix

Acknowledgments xi

1 Medical History, Physical Evaluation, and Risk Assessment 1
Lauren L. Patton

2 Cardiovascular Diseases 25
Wendy S. Hupp

3 Pulmonary Disease 43
Miriam R. Robbins

4 Endocrine and Metabolic Disorders 71
Terry D. Rees

5 Kidney Disease 101
William M. Carpenter and Darren P. Cox

6 Hepatic Disease 121
Juan F. Yepes

7 Gastrointestinal Disease 135
Brian C. Muzyka

8 Hematological Disease 153
Bhavik Desai and Thomas P. Sollecito

9 Bleeding Disorders 183
Dena J. Fischer, Matthew S. Epstein, and Joel B. Epstein

10 Autoimmune and Connective Tissue Diseases 201
Scott S. De Rossi and Katharine N. Ciarrocca

11 Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome and Related Conditions 231
Lauren L. Patton

12 Immunological and Mucocutaneous Disease 259
Dawnyetta R. Marable and Michael T. Brennan

13 Head and Neck Cancer 273
Steven M. Roser, Steven R. Nelson, Srinivasa Rama Chandra, and Kelly R. Magliocca

14 Neurological Disorders 299
Robert G. Henry

15 Neurodevelopmental and Psychiatric Disorders 325
Maureen Munnelly Perry and Nancy J. Dougherty

16 Substance Use Disorders 351
Abdel Rahim Mohammad

17 Developmental Defects of the Craniofacial Complex and Orthopedic Disorders 381
J. Timothy Wright, Michael Milano, and Luiz Andre Pimenta

18 Geriatric Health and Functional Issues 405
Janet A. Yellowitz

19 Women’s Health 423
Linda C. Niessen

20 Medical Emergencies 451
Lauren L. Patton

21 Medical Screening/Assessment in the Dental Office 465
Barbara L. Greenberg and Michael Glick

Appendix: List of Common Drugs 485

Index 497

About the Editors

Lauren L. Patton, DDS, is Professor and Chair, Department of Dental Ecology, School of Dentistry,
University of North Carolina, Chapel Hill, North Carolina.

Michael Glick, DMD, is Professor and Dean, School of Dental Medicine, State University of New York
at Buffalo, New York. He also serves as the Editor of The Journal of the American Dental Association.

With new medications, medical therapies, and increasing numbers of older and medically complex patients seeking dental care, all dentists, hygienists, and students must understand the intersection of common diseases, medical management, and dental management to coordinate and deliver safe care.

This new second edition of The ADA Practical Guide to Patients with Medical Conditions updates all of the protocols and guidelines for treatment and medications and adds more information to aid with patient medical assessments, and clearly organizes individual conditions under three headings: background, medical management, and dental management. Written by more than 25 expert academics and clinicians, this evidence-based guide takes a patient-focused approach to help you deliver safe, coordinated oral health care for patients with medical conditions.

Other sections contain disease descriptions, pathogenesis, coordination of care between the dentist and physician, and key questions to ask the patient and physician.

Key features include:

• Coverage of clinical topics including: Cardiovascular Disease, Pulmonary Disease, Endocrine Disorders, Bleeding Disorders, Neurologic Disorders, Neurodevelopmental and Psychiatric Disorders, Geriatric Health and Functional Issues, Neurodevelopmental and Psychiatric Disorders, HIV/AIDS and Related Conditions, and more
• Identification of risks related to hemostasis, susceptibility to infection, drug actions/interactions, and ability to tolerate dental care, specific to the patient’s medical condition
• More than 75 summary tables to help you digest vital information
• Quick reference points and guides to key dental care issues in each chapter
• A new chapter on medical screening assessment in a dental setting and biomedical screening tests performed by oral health care professionals
• Six-month access to the ICE Medical Support System website, offering point-of-care medical information to provide quality care to medically compromised patients