Speciality Dentist, Oral and Maxillofacial Surgery, University Hospital Monklands, Airdrie, UK.
Dental Officer, Pollok Health Centre, NHS Greater Glasgow and Clyde, UK.
Br Dent J. 2022 Aug;233(4):266-270. doi: 10.1038/s41415-022-4454-9. Epub 2022 Aug 26.
The acute management of a facial swelling is a core competency for the dental practitioner. Onward referral to secondary care for acutely unwell patients requires timely decisions, with the referrer's initial assessment often critical in later management. Oral and maxillofacial triage is essential to ensure appropriate care is provided in the appropriate environment. Acute swelling and haemorrhage referrals to secondary care are not a common, everyday occurrence in general dental practice; however, the ability to provide a sufficient and safe handover will improve patient outcomes and ensure timely transfer to appropriate care providers. This article aims to provide the dental practitioner with insight into the oral and maxillofacial assessment of acute facial swellings and dental haemorrhage. The reader should be able to make an appropriate clinical assessment and communicate an effective referral to oral and maxillofacial care.
面部肿胀的急性处理是牙科医生的核心能力。对于病情严重的患者，需要及时向二级医疗机构转介，转介医生的初步评估在后续治疗中往往至关重要。口腔颌面分诊对于确保在适当的环境中提供适当的护理至关重要。急性肿胀和出血向二级医疗机构转介在普通牙科实践中并不常见；然而，提供充分和安全的交接将改善患者的治疗效果，并确保及时转介给适当的护理提供者。本文旨在为牙科医生提供有关急性面部肿胀和牙科出血的口腔颌面评估的见解。读者应该能够进行适当的临床评估，并有效地将患者转介到口腔颌面护理。
