Our Summary

This research paper discusses how the growing number of people living with chronic illnesses, and the increasing complexity of their medical needs, is presenting challenges for dentists, particularly those performing oral surgery. The paper emphasizes the importance of careful planning for treatment, considering the right timing and location for oral surgery for these patients. There is also a discussion about the risks associated with such procedures, such as sudden medical emergencies, bleeding, infections, and delayed healing. The paper also examines the role that general dentists play in the care of these patients.

FAQs

  1. What challenges do dentists face when performing oral surgery on patients with chronic illnesses?
  2. What are some of the risks associated with oral surgery for patients with complex medical needs?
  3. What role do general dentists play in the care of patients with chronic illnesses undergoing oral surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about oral surgery is to follow pre-operative instructions carefully, such as fasting before the procedure and avoiding certain medications that may increase bleeding. It is important to communicate any medical conditions or medications you are taking with your oral surgeon to ensure a safe and successful surgery. Additionally, post-operative care instructions should be followed closely to promote proper healing and reduce the risk of complications.

Suitable For

Patients who are typically recommended for oral surgery include those with impacted teeth, severe tooth decay, gum disease, jaw misalignment, facial trauma, and oral cancer. Additionally, patients with chronic illnesses such as diabetes, heart disease, autoimmune disorders, and those undergoing cancer treatment may also benefit from oral surgery to improve their oral health and overall well-being. Patients who require dental implants, bone grafts, or corrective jaw surgery may also be candidates for oral surgery. It is important for these patients to receive personalized care and close monitoring before, during, and after surgery to ensure successful outcomes.

Timeline

Before oral surgery:

  • Patient consults with dentist or oral surgeon to discuss treatment options and risks
  • Patient undergoes pre-operative assessment, including medical history review and physical examination
  • Patient may need to undergo pre-operative tests, such as blood work or imaging studies
  • Patient receives instructions on how to prepare for surgery, including fasting and medication adjustments

During oral surgery:

  • Patient arrives at the surgical facility and is prepared for the procedure
  • Anesthesia is administered to keep the patient comfortable during the surgery
  • Oral surgery is performed according to the planned treatment
  • Patient is monitored closely for any complications during and after the procedure

After oral surgery:

  • Patient is monitored in the recovery area until fully awake and stable
  • Patient is given post-operative instructions, including pain management and care of the surgical site
  • Patient may experience swelling, discomfort, and difficulty eating or speaking in the days following surgery
  • Follow-up appointments are scheduled to monitor healing and address any concerns

Overall, the timeline for a patient before and after oral surgery involves thorough preparation, careful execution of the procedure, and attentive post-operative care to ensure a successful outcome.

What to Ask Your Doctor

  1. What is the specific reason for recommending oral surgery in my case?
  2. What are the potential risks and complications associated with this procedure?
  3. How long is the recovery period expected to be, and what can I do to promote healing?
  4. Are there any alternative treatments or options available for my condition?
  5. Will I need to make any changes to my medication or diet before or after the surgery?
  6. How many similar procedures have you performed, and what is your success rate?
  7. What type of anesthesia will be used during the surgery, and what are the potential side effects?
  8. How much will the procedure cost, and will my insurance cover it?
  9. What post-operative care instructions should I follow, and who should I contact if I have any concerns or complications?
  10. Are there any specific precautions I should take due to any chronic medical conditions I may have?

Reference

Authors: Bryant C. Journal: Prim Dent J. 2022 Sep;11(3):71-79. doi: 10.1177/20501684221112493. PMID: 36073043