Prevalence of systemic diseases among patients requesting dental consultation in the public and private systems

Abstract

Objectives: To determine the prevalence and aetiology of systemic disease among patients requesting dental treatment in public and private practice. Study Design: A retrospective analysis was performed of the medical histories of 2000 patients requesting dental treatment during the year 2009. One thousand patients came from the Fontiñas Primary Care Oral and Dental Health Unit of the Galician Health Service (SERGAS), Spain, and the other thousand from a private clinic; both clinics were situated in Santiago de Compostela, La Coruña, Spain. The data collected were the following: demographic data (age and sex), presence or absence of systemic diseases and the nosologic categories, and drug history (type and number of drugs). Results: The prevalence of systemic disease was significantly higher among patients seen in the public system (35.2% in the public system versus 28.1% in the private system; p= 0.003). The differences between the two systems were more marked when considering patients aged under 65 years, particularly with respect to rheumatic and endocrine-metabolic (diabetes) disorders. The prevalence of patients receiving polypharmacy (>4 drugs/day) was significantly higher among patients seen in the public system (5.7% in the public system versus 2.7% in the private system; p= 0.009). Conclusions: There is a high prevalence of medical disorders and of patients receiving polypharmacy among individuals requesting dental care, particularly in the public health system. Dentists must have adequate training in medical disease and must be fully integrated into primary care health teams in order to prevent or adequately resolve complications. Key words: Dentistry, medical history, systemic disease, polypharmacy.

Frequency of Medical Co-Morbidities in Oral Surgery, Prosthodontic and Orthodontic Patients

“…2 Fernández-Feijoo et al, revealed the prevalence of systemic diseases 35.2% in the public system and 28.1% in the private system at Santiago de Compostela, Galicia, Spain. 3 In the survey of Netherlands, prevalence reported was 28.2%. 4 Umino et al, reported 64.2% prevalence of one or more medically compromised conditions in elderly Japanese dental patients.…”

“…Patients, on several medications for their systemic diseases can directly or indirectly have impact on dental treatment. 2,3 Every dentist must have necessary skills to distinguish these co-morbid medical conditions which are related to their dental treatment. 4 People usually do not find any relation between their systemic and dental health, so they are reluctant to report their past medical history.…”

“…Most frequently reported medical co-morbid conditions are diabetes, chronic bronchitis, cardiovascular diseases, hypertension and arthritis. [2][3][4] As oral care is particularly important to the general health of elderly patient so, a detailed medical historyis a preventive tool to ascertain the health care of patients by avoiding any medical emergency in dental practices. [5][6][7] A dental professional is obliged to have a command on various factors in relation to the co-morbid conditions when treating a patient.…”

Evaluation of the Prevalence of Systemic Diseases in Patients Referring to the Oral and Maxillofacial Medicine Department of the Dental Branch of Islamic Azad University of Tehran During 2016-17

“…(4,5,7,11) It has been well proven that taking a complete and comprehensive clinical history by the dentist is necessary before dental treatments. (13) Thus, changing the treatment process of oral-dental illnesses is necessary to provide a better and safer treatment and to prevent potential interference with the stability of the patient's systemic health and drug consumption. (1,3,12,14) Considering the relatively high prevalence of systemic diseases, the importance of patient management, treatment planning, and treatment outcomes as well as the consequences of lack of knowledge in this regard, the lack of similarity of the reported prevalence in various studies, changes in the frequency of diseases over time, and also the lack of investigation in this regard during the last 10 years at the Dental Branch of Islamic Azad University of Tehran, we decided to determine the prevalence of systemic diseases among the patients referring to this university during 2016-17 in order to have accurate, new, and valid statistics of various systemic diseases.…”

Descriptive Analysis of the Medical Consultations Conducted in the Dental School of Kerman University of Medical Sciences

“…Furthermore, a dentist visiting 2000 adult patients, is expected to meet at least 130 patients with chronic obstructive pulmonary disease, 100 patients with peptic ulcer disease, 220 patients with chronic renal failure, 100 patients taking corticosteroids with the possibility of adrenal suppression, and 3-4 patients with epilepsy. (4)(5)(6) Patients who have their first dental visit must consult with specialists in order to clarify different aspects of their general health status including the ones which are of ambiguity for the dentist upon checking the background or performing physical examination. (7)(8) Medical consultation is scientifically and legally considered as an important step in planning dental treatment for patients with systemic problems.…”