In addition to the more common diseases, less frequent disorders are also covered, some of which have been recognized only in recent years.
Throughout, the approach is practice oriented, with concise text and an abundance of high-quality clinical, radiographic, and, where appropriate, histopathologic images. The combined training of the author in oral surgery and oral pathology means that he has exceptional expertise in both the diagnosis and the treatment of oral diseases. His detailed knowledge and experience are fully reflected in the Atlas of Oral Diseases , which will be very helpful for dental and medical professionals in their daily practice.
He has been a member of various EC committees for the dental profession in the campaign "Europe against Cancer" and the anti-tobacco program. He is author or co-author of more than papers in peer-reviewed scientific journals as well as various other publications. In he received a royal decoration in the Netherlands Ridder in de Orde van de Nederlandse Leeuw. He has also received an honorary doctorate from Semmelweis University in Budapest Hungary and awards or honorary fellowships or memberships from various associations, such as the Royal College of Physicians and Surgeons of Glasgow, the American Academy of Oral Medicine, and the International Association of Oral Pathologists.
Ensure profound local anesthesia before starting surgery 6.
Consider use of nitrous oxide sedation 7. Monitor vital signs closely 8. Possible limitation of amount of adrenaline to 0. Maintain verbal contact with patient throughout procedure to monitor status. Management of Patient with Congestive Cardiac Failure 1.
Defer treatment until heart function has been medically improved and physician believes treatment is possible. Possible administration supplemental oxygen 4. Avoid supine position 5. Consider referral to oral and maxillofacial surgeon 6. An upright patient position is preferred during treatment. Recommend that the patient seeks the primary care physician guidance for medical therapy of hypertension. Monitor the patients blood pressure at each visit and whenever administration of adrenaline- containing local anesthesia surpasses 0.
Use an anxiety reduction protocol. Avoid rapid posture changes in patients taking drugs that cause vasodilatation. Avoid administration of sodium- containing intravenous I.
V solutions. Defer elective dental treatment until hypertension is better controlled. Consider referral to oral and maxillofacial surgeon for emergency problems. Management of Patient with Myocardial Infarction 1.
Same as managing a patient with Angina. Defer surgery if possible for 6 months post MI attack. Administer oxygen. Check if patient is taking anticogulants. Management of Patient with Asthma 1. Defer dental treatment until asthma is well controlled and patient has no signs of a respiratory tract infection.
Listen to chest with stethoscope to detect wheezing before major oral surgical procedures or sedation. Use anxiety reduction protocol, including nitrous oxide, but avoid use of respiratory depressants. Consult physician about possible use of preoperative cromolyn sodium. If patient is or has been chronically on corticosteroids, prophylax for adrenal insufficiency.
Keep a bronchodilator — containing inhaler easily accessible. Afternoon or midday appointments are preferred. Terminate all dental procedures 2. Position patient in fully sitting posture 3. Administer bronchodilator by spray 4.
Administer oxygen 5. Defer treatment until lung function has improved and treatment is possible.
Listen to chest bilaterally with stethoscope to determine adequacy of breath sounds. Use anxiety reduction protocol, but avoid use of respiratory depressants. If patient is on chronic oxygen supplemen- tation, continue at prescribed flow rate. If patient is not on supplement oxygen therapy, consult physician before administering oxygen. If patient chronically receives corticosteroid therapy, manage patient for adrenal insufficiency.
Avoid placing patient in supine position until confident that patient can tolerate it. Keep a bronchodilator- containing inhaler accessible. Closely monitor respiratory and heart rates. Schedule afternoon appointments to allow for clearing of secretions. Management of Patient Suffering from Acute Hypoglycemia 1. Terminate all dental treatment For Mild Hypoglycemia: 2. Administer glucose source such as sugar or fruit by mouth. Monitor vital signs.
Before further dental care, consult physician, if unsure whether or why hypoglycemia has occurred.
For Moderate Hypoglycemia: 2. Orally administer glucose source, such as sugar or fruit juice 3. If symptoms do not rapidly improve, administer 50 ml 50 percent glucose or 1 mg glucagon intravenously I. V or intramuscularly I. Consult physician before further dental care. For Severe Hypoglycemia: 2.
Administer 50 ml, 50 percent glucose IV or IM or 1mg glucagon. Have someone summon medical assistance 4. Monitor vital signs 5. Transport to emergency care facility. Terminate all dental treatment. Position patient in supine position, with legs raised above level of head. Have someone summon medical assistance. Administer corticosteroid mg of hydrocortisone or its equivalent I. Administer oxygen 6. Start I. V line and drip of crystalloid solution.
Start basic life support, if necessary. Management of Patient Suffering from Hyperthyroidism 1. Defer surgery until thyroid dysfunction is well controlled.
Monitor pulse and blood pressure before, during and after surgery. Limit amount of epinephrine used. Defer surgery until diabetes is well controlled; consult physician.