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Journals and Conferences
The physical evaluation system allows the practitioner to rapidly classify each patient according to medical risk and thus to provide dental treatment comfortably and safely. The evaluation system serves as a guide to the level of dental therapy, deisions of management, and modification of treatment for the medically compromised patient. Extensive use of… (More)
The six classic vital signs (blood pressure, pulse, temperature, respiration, height, and weight) are reviewed on an historical basis and on their current use in dentistry. Normal and abnormal vital signs are explored in depth, with special attention to those conditions which can be readily recognized by the dental practitioner and with special attention to… (More)
Cocaine may induce totally unexpected cardiotoxicity in young individuals at some time distant from the cocaine ingestion. Commonly, such individuals are asymptomatic for coronary artery disease; some have no demonstrable coronary artery disease even after the cardiac event. Those who use cocaine must be considered at risk of cardiotoxicity at any time… (More)
An easily mastered safe treatment documentation system is presented. The routine consists of two parts, a comprehensive yet manageable medical history and a treatment modification record. Millions of medically compromised patients may now receive comprehensive care in safety.
No dental patient represents a greater risk of serious illness or sudden death related to the emotional and physical stresses of dental treatment than the patient who presents for emergency or routine care with a history of heart attack (acute myocardial infarction, MI). Yet most post-MI patients can be treated effectively with basic treatment modifications… (More)
Emergency drugs and devices in the dental office should be kept to a minimum. The minimum basics are defined as: positive-pressure ventilation capability; oxygen source; nitroglycerin tablets; and epinephrine syringes. Some emergency methods (airway patency maneuver and emesis/foreign body maneuver) also are described.