ASM22 Final Program

The Medically Risky Patient: How to Identify and What to Do When Things Go South

Brian Freund, DDS, MD

Statistically, our office patient population will gradually get older, and a higher percentage will have chronic significant medical conditions. Unfortunately, most of us are not keeping up with an awareness of new drugs or procedures and how these can impact our practices. Understanding just how stable or unstable a patient is can help to avoid a disaster. Getting “medical clearance” from the family doctor is no longer a “Get-out-of-jail-free card.” The first half of this course will give the general practitioner an overview of what’s new in the medical management of their dental patients. Common conditions such as coronary artery disease, atrial fibrillation, diabetes, kidney failure and obesity will be reviewed. The impact of new anticoagulants, blood pressure medication and anti- arrhythmics on dental treatment will be considered. The second half will be dedicated to dealing with events that range from nuisance to the life- threatening. A simple approach to the distressed patient will let the dental team recognize what is serious and then address it in a confident and definitive manner. Learning Objectives: • To understand just how compromised “sick” patients are and to identify the red flags • Provide an overview of new medications and procedures that may impact the dental appointment • Provide a simple approach to assessing and stabilizing a patient in an emergency situation

Course Code:

F042PL

Room: Time:

718A – South Building

2:00 – 4:30 pm

Type:

Lecture Ticketed Paid

Audience:

Dentist; Dental Hygienist; Dental Assistant

RCDSO QA Program: Category 1 (Core) (3 CE Credits) Fee + HST: $22.60 ($20 + $2.60)

Dr. Brian Freund is qualified as a dentist and physician in Ontario. He received his medical degree from McMaster University and received his dental and specialist training at the University of Toronto. He practices as an oral and maxillofacial surgeon, with a special interest in pain and minimally invasive facial rejuvenation.

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