Hospital dental practice in special patients
2014
Dental patients with special needs are people with different systemic diseases, multiple disorders or severe physi
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cal and/or mental disabilities. A Medline search was made, yielding a total of 29 articles that served as the basis for
this study, which offers a brief description of the dental intervention protocols in medically compromised patients.
Dental treatment in patients with special needs, whether presenting medical problems or disabilities, is sometimes
complex. For this reason the hospital should be regarded as the ideal setting for the care of these individuals. Be
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fore starting any dental intervention, a correct patient evaluation is needed, based on a correct anamnesis, medical
records and interconsultation reports, and with due assessment of the medical risks involved. The hospital setting
offers the advantage of access to electronic medical records and to data referred to any complementary tests that
may have been made, and we moreover have the possibility of performing treatments under general anesthesia.
In this context, ambulatory major surgery is the best approach when considering general anesthesia in patients of
this kind
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