The Medical History: What You Need to Know to Provide Effective, Safe Dental Care

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Steven J. Scrivani, D.D.S., D.Med.Sc. Professor, The Craniofacial Pain and Headache Center, Department of Oral and Maxillofacial Pathology, Oral Medicine and Craniofacial Pain, Tufts University School of Dental Medicine; Department of Public Health and Community Medicine, Pain Research, Education and Policy Program, Tufts University School of Medicine.

This course is the direct link between the biomedical and medical core sciences and clinical dental practice.  It will provide a review of the medical knowledge necessary to provide safe, quality dental care to patients of all ages with systemic medical illness.

Based upon a comprehensive review of the patients’ medical history, this course will present medical topics in a case-based format, and will explore the following systemic disease sections: Hematology, Cardiology, Pulmonary, Renal, Oncology, Gastroenterology, Endocrinology, Immuno-Compromised States, and Women’s Issues and the Pregnant Patient.

Learning objectives:

Upon completion of this course, participants will be able to:

  • Understand the basic pathophysiology of systemic disease states and how it presents in clinical situations
  • Assess the medical background information necessary as a pre-requisite for the appropriate medical evaluation and risk assessment for all patients
  • To be familiar with the thorough diagnostic process for evaluating patients with systemicdisease
  • Relate the disease process to its clinical medical management and any appropriate   treatment modifications for providing safe, quality dental care
  • Order and interpret appropriate diagnostic studies and utilize the obtained data and information in patient management
  • Consult comfortably and effectively with the patient’s treating physician regarding medical issues that will impact patient dental care
  • Understand alterations in prescribed pharmacotherapy for dental disease based upon the patients systemic medical illness