Oral Medicine and Medically Complex Patients

Oral Medicine and Medically Complex Patients, Sixth Edition provides succinct, yet comprehensive information on in-hospital care and outpatient management of the medically complex dental patient, as well as the management of non-surgical problems of the maxillofacial region. Fully revised to include up-to-date information on procedures and medications, the Sixth Edition contains over 15 additional charts and tables for rapid reference and expanded coverage on maxillofacial prosthodontics and increasingly prevalent conditions, such as ONJ. Oral Medicine and Medically Complex Patients follows a practical approach, organizing essential information into quickly referenced tables, easy-to-read diagrams and step-by-step procedures. Replete with examples of hospital charts, operative notes, and consultations, the book provides thorough coverage of the broad scope of clinical problems and patient populations encountered by dentists. A truly must-have resource Oral Medicine and Medically Complex Patients serves the needs of an increasing number of dental students, residents in general practice and specialty training, and practitioners engaged in the care of both hospitalized and ambulatory patients.

Auteur
Peter B. Lockhart, DDS, FDS RCSEd, FDS RCPS, is Professor and Chair of the Department of Oral Medicine and Director of the Institute for Oral Medicine at Carolinas Medical Center in Charlotte, North Carolina. He has over 35 years of experience in various aspects of hospital-based dentistry, teaching, and research in oral medicine.

Texte du rabat

Oral Medicine and Medically Complex Patients, Sixth Edition provides succinct, yet comprehensive information on in-hospital care and outpatient management of the medically complex dental patient, as well as the management of non-surgical problems of the maxillofacial region. Fully revised to include up-to-date information on procedures and medications, the Sixth Edition contains over 15 additional charts and tables for rapid reference and expanded coverage on maxillofacial prosthodontics and increasingly prevalent conditions, such as ONJ. Oral Medicine and Medically Complex Patients follows a practical approach, organizing essential information into quickly referenced tables, easy-to-read diagrams and step-by-step procedures. Replete with examples of hospital charts, operative notes, and consultations, the book provides thorough coverage of the broad scope of clinical problems and patient populations encountered by dentists. A truly must-have resource Oral Medicine and Medically Complex Patients serves the needs of an increasing number of dental students, residents in general practice and specialty training, and practitioners engaged in the care of both hospitalized and ambulatory patients.

Contenu

Contributors xi

Contributors to the Previous Edition xii

Acknowledgments xiv

Introduction xv

1. In-Hospital Care of the Dental Patient 1

Dental Admissions 1

The Patient's Medical History 2

The Admission Note 2

Physical Examination 8

Admission Orders 12

Overview of Patient Admission Procedures 14

Preoperative Considerations 14

Preoperative Note 18

Preoperative Orders 18

Intraoperative Considerations 19

Operative Notes 22

Brief Operative Note 23

Postoperative Orders 23

The Postoperative Note 29

Follow-Up Notes 30

Discharge Notes and Requests 30

Discharge Summary 30

Examples of Hospital Charts 31

Examples of Emergency Room Admissions 32

Suggested Reading 32

2. Outpatient Management of the Medically Compromised Patient 33

Medical History 33

Allergy to Drugs 34

Bleeding Disorders 36

Specific Coagulopathies 37

Medications that Predispose to Bleeding 39

Cancer 41

Radiation Therapy to the Head and Neck Region 41

Cardiovascular Disorders 50

Diabetes Mellitus 58

Drug Abuse 62

Prescription and Non-Prescription Drugs 62

Alcohol 64

Fever of Unknown Origin 65

Human Immunodeficiency Virus Infection 65

Intellectual Disability 67

Down Syndrome (Trisomy 21) 67

Fragile X Syndrome 69

Autistic Spectrum Disorders (ASD) 69

Attention Deficit Hyperactivity Disorder 70

Liver and Spleen 71

Hepatitis 71

Liver Failure and Transplantation 73

Glycogen Storage Diseases 74

Asplenia 74

Neurologic Disorders 75

Cerebral Palsy 75

Dementia 76

Degenerative Neuromuscular Disorders 78

Myasthenia Gravis 78

Motor Neuron Disease 80

Multiple Sclerosis 80

Neural Tube Defects 81

Parkinson's Disease 83

Seizures and Epilepsy 83

Orthopedic and Bone Disorders 85

Arthritis 85

Prosthetic Joint Replacement 86

Osteogenesis Imperfecta 88

Paget Disease (Osteitis Deformans) 88

Osteomalacia 89

Osteopetrosis 90

Osteoporosis 90

Pregnancy 91

Psychiatric Disorders 91

Renal/Adrenal Disorders 92

Adrenal Disorders 92

Renal Disorders 94

Respiratory Disease 95

Cystic Fibrosis 95

Asthma 96

Chronic Obstructive Pulmonary Disease 97

Tuberculosis 98

Sickle-Cell Anemia 98

Disorders of the Thyroid Gland 100

Hyperthyroidism 100

Hypothyroidism 100

Suggested Reading 101

3. Oral Medicine: A Problem-Oriented Approach 150

Altered Mucosa 151

White Lesions (or Lesions with a Predominantly White Component) 152

Red Lesions 157

Ulcerative Lesions 161

Exophytic Lesions 165

Pigmented Lesions 168

Pain and Altered Sensation 171

Orofacial Pain 171

Changes in Taste and Olfaction 181

Dry Mouth/Xerostomia 184

Malodor/Halitosis 186

Slow Healing 187

Swelling 188

Bleeding 188

Altered Oral Function 191

Problems with Teeth 191

Suggested Reading 193

4. Consultations 195

Requesting and Answering Consultations 195

Requesting Consults from Other Services 196

Answering Consult Requests from Other Services 197

Consult Format 198

Examples of Consultation Requests from Other Clinical Services 200 **5. Dental, Oral, and Maxill...