Abstract
Dental treatment of medically compromised patients has become routinized in the current society with a large aged population. Among 13, 455 patients undergoing first examinaion at the Department of Oral Surgery, Machida City Hospital during the 6-year period, from January 1988 to December 1993, 2, 209 patients had underlying disease and were treated at other department, such as internal medicine. We statistically analyzed these so-called compromised patients, The results of the analysis are herein reported.
They consisted of 1, 025 male and 1, 184. female. The largest number of patients (521 cases; 23.6%) were the sixties, the second largest number (499 cases; 22.6%) was found in patients aged 50-59; 351 patients (15.9%) were aged 70-70. Regarding the underlying diseases, cardiovascular diseases were predominantly often observed (1, 469 cases; 58.0%), and the majority of these patients (862 cases; 58.7%) had hypertension. Metabolic disorders, gastrointestinal diseases, and respiratory diseases were then observed in 393 (15.5%), 324 (12.8%), and 103 patients (4.1%), respectively. More than a half of these patients (1, 245 cases; 53.6%) received surgical treatment, the majority of which (947 cases; 76.1%) were tooth extraction. Hundred and fifty seven patients (14.6%) received conservative or/and prosthetic treatment. Seven hundreds and thirty eight patients (31.8%) of the surgical cases required some anesthetic management, including nitrous oxide inhalation sedation in more than a half (388 cases; 52.6%).
Compared with other reports, the percentage of compromised patients was low in the present servey. The reason for this was thought to be that the compromised patients were limited to those having underlying diseases being treated at the time of dental treatment, and the patients with past history were excluded.
