What are the 4 in-patient conditions evaluated and treated in a hospital?
Sepsis/endocarditis/brain abscess of suspected/potential dental origin
Facial/intra-oral swellings
Poor dentition/traumatized dentition that poses an aspiration risk (perio involved teeth become aspiration risks during intubation)
Traumatized dentition
Acute threat to the airway, altered vitals, breathing, and or circulation from a dental etiology is a ____
What type of management is necessary?
Emergency
Prompt, aggressive management
Complains, vital signs, illness or injury consistent with acute condition that could progress to life-threatening or increase morbidity if not treated within 24 hours is ____
What type of management is necessary?
Urgent
Prompt management
Complains, vitals illness or injury consistent with a subacute or chronic condition that do NOT require treatment within 24 hours to reduce morbidity or mortality is _____
What type of management is necessary?
Non-Emergent
Sub-acute can be seen within 1-2 weeks
Chronic to be seen in 2-4 weeks
ED procedures (4)
I and D
Suturing of minor oral and lip lacerations
Stabilization of dentoalveolar injuries
Curettage and packing of osteitis post-extraction (dry socket)
Consult OMFS with more complex trauma or airway protective I&D
Recommend to admit patients for IV antibiotic therapy of sepsis and scheduling for emergent extraction
Pre-surgical clearance patient types (5)
Kidney, liver, lung, heart, and other organ transplants
Bone marrow transplants
TAVR, LVAD and other cardiothoracic surgeries
Pre- and post-oncology patients
orthopedic joint replacements
What injuries are the most common acute trauma treated by hospital based dentists?
Dentoalveolar
No fracture below the gingival margin
Crown (ellis) fracture
Fracture below the gingival margin
Crown/root fracture
Tend to percussion, no mobility
Concussion
Tooth in place, but 1-2 mobility is noticeable, tender to percussion
Subluxated Teeth
T/F: stabilization is not needed for non-displaced injury
True
T/F: stabilization and/or extraction is not needed for displaced injury
FALSE--they are needed
6 types of displaced injury
Intruded
luxated
extruded
root fracture
alveolar fracture
avulsed teeth
Head and neck cancer accounts for what percentage of all cancer?
4%
H&N cancer is more common in
Males
Pre-treatment of cancer patients includes (4) and does what?
cleaning
restorations
extractions
coordination of maxillofacial prosthetics
decreases morbidities
Peri-treatment and post-treatment with aggressive ____ and _____, _____ _______ and strategies to deal with long term and permanent side effects decreases morbidities.