Consultant Oral Surgeon, Department of Oral Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Prim Dent J. 2022 Sep;11(3):71-79. doi: 10.1177/20501684221112493.
As life expectancy and the number of people living with chronic illness increases, the medical complexity of patients requiring oral surgery will also increase. This and the continuously evolving range of medical treatments used to manage their conditions will increasingly challenge dentists in both primary and secondary care to avoid complications and treat this patient group safely.This paper will describe the importance of careful treatment planning including consideration of the timing and location in which oral surgery is undertaken for medically complex patients. The risk of acute medical events, bleeding, infection, and impaired healing which may complicate oral surgical procedures in this group of patients is discussed and the role in their care played by general dental practitioners explored.
随着预期寿命的延长和慢性病患者人数的增加，需要接受口腔手术的患者的医疗复杂性也将增加。这一点，以及用于治疗这些疾病的不断发展的一系列医疗手段，将使初级和二级保健中的牙医越来越难以避免并发症并安全地治疗这群患者。本文将描述精心治疗计划的重要性，包括考虑在何处以及何时进行口腔手术的时间和位置，这对于医疗复杂的患者而言是至关重要的。本文还讨论了这群患者中口腔手术过程中可能出现的急性医疗事件、出血、感染和愈合受损的风险，并探讨了全科牙医在他们的治疗中的作用。
