World Journal of Dentistry

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VOLUME 13 , ISSUE 4 ( July-August, 2022 ) > List of Articles

ORIGINAL RESEARCH

Emerged Medically Compromised Conditions in Thai Patients Visiting a Private Dental School

Nutchaporn Sanguansin, Parin Chinwanitcharoen, Supakorn Asavarachan, Chatchawan Sasiwilasakorn, Vorapak Chaikornkij, Supanee Thanakun, Suchada Vuddhakanok

Keywords : Cross-sectional study, Dental practice management, Dental records, Dental school, Thai

Citation Information : Sanguansin N, Chinwanitcharoen P, Asavarachan S, Sasiwilasakorn C, Chaikornkij V, Thanakun S, Vuddhakanok S. Emerged Medically Compromised Conditions in Thai Patients Visiting a Private Dental School. World J Dent 2022; 13 (4):394-399.

DOI: 10.5005/jp-journals-10015-2075

License: CC BY-NC 4.0

Published Online: 18-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To investigate medical conditions and medication use in dental patients visiting a private dental school and determine association among these factors. Materials and methods: Medical and personal profiles from systematically selected 712 dental chart records were reviewed and analyzed. Results: Females (457 patients; 64.2%) were more prevalent than males. Ages ranged between 12 and 84 years, with a median age of 27 (21, 49). The medical conditions and medication use were revealed in 217 (30.5%) and 136 (19.4%) patients with female preponderance. The most common medical conditions were hypertension (9.9%), allergy (9.1%), and diabetes mellitus (DM; 3.7%). The most prevalent drugs were drugs for hypertension and cardiovascular diseases (CVDs; 8.6%), followed by anti-diabetic drugs and drugs for thyroid disorders (4.1%). Antidyslipidemic drugs (2.7%) were usually observed. Significant associations of males with obesity, systolic blood pressure, smoking, and alcohol consumption were demonstrated (p < 0.001). Females were related with underweight (p < 0.001) and diastolic blood pressure (p = 0.009). Dental patients with overweight or obesity had a higher likelihood of having a history of hypertension or DM than normal or underweight patients [odds ratio (OR) = 15.62; 95% confidence interval (CI) 8.27,29.51; OR = 4.49; 95% CI 1.90,10.64; p = 0.001, respectively]. Drug allergy was frequent (7.3%), with the highest penicillin prevalence (35.3%). Filling, scaling, and oral surgery were the regular previous dental treatment. Medical consultation, significantly associated with high blood pressure levels and medical conditions, was stated in 32 (4.4%) participants. Conclusion: High number of medically compromised dental patients is demonstrated. Dentists should take a careful history of dental patients’ health status to render the most beneficial treatment. Clinical significance: High incidence of medical conditions and medication use in dental patients is revealed. Thorough history taking, careful clinical examinations, and knowledge about systemic diseases and medications taken by dental patients are fundamental requirements before any dental procedures.


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