Abstract
In the dental practice or in the ambulatory of oral and maxillo-facial surgery, there may be real medical emergencies, emergencies in which the speed of effective measures is essential. A good knowledge of the things to be done in the practice, as first representatives of the medical shield in defence against the inexorable secures the winning of precious seconds. Medical care in dentistry and dentoalveolar surgery involves two seemingly different aspects: a well-defined technical one, of strict specialty, and another less well defined, which practically includes all the particularities of the patient coming to the dental practice. However precise the dental technique and the practitioner�s skill are, if the specific conditions of each patient are not taken into account, the medical benefit cannot rise to a high level, and the final result may be compromised by complications with unforeseen risks. The study included 7,996 patients resolved in the Oral and Maxillo-facial Surgery Clinic (Ambulatory), in the period from 1.02.2014 to 31.12.2018. The superficiality of a seemingly healthy patient approach may lead to the disregard of some important aspects with a predictive role in the triggering of a medical emergency, as an informational history must be more than an orderly list of symptoms. You always gain something by listening to patients and observing the way they talk about their symptoms. The crossed statistical deductions on the explored data revealed, based on the majority percentages obtained on each studied index, that the following have an extremely important aspect for the dental practice and dentoalveolar surgery: the dental anxiety level as well as the patient�s general status are the landmarks that require the greatest attention from the practitioner for the purpose of preventing medical emergencies.
Highlights
Dentoalveolar ambulatory surgery is a problem that involves a lot of responsibility from the practitioner, moral, professional responsibility, and, last but not least, forensic responsibility, which involves approaching it from the following points of view: material endowment, general investigation of the patient and the limits of these interventions in the ordinary activity of the practice
Of the total of 7,996 patients as the first stage of the study, we were interested in their distribution on the medical emergency variable
At the level of the 1031 patients who triggered medical emergencies during dentoalveolar surgery, we continued to focus in our study on the distribution of the type of medical emergency that they triggered: 38% triggered acute hypotonous failure, 35% triggered cardio-circulatory emergencies; 11% triggered allergic accidents; 9% triggered neurological emergencies; 7% triggered other types of emergencies
Summary
Dentoalveolar ambulatory surgery is a problem that involves a lot of responsibility from the practitioner, moral, professional responsibility, and, last but not least, forensic responsibility, which involves approaching it from the following points of view: material endowment, general investigation of the patient and the limits of these interventions in the ordinary activity of the practice. An extremely important stage in the prophylactic algorithm of medical emergencies in the dental practice is the detailed investigation of the patient’s general status, the preoperative balance (anaesthetic + surgical) and the choice with discernment of the place and the moment where the dental work will be carried out.
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