Clinical Decisions in Medically Complex Dental Patients, Part II, An Issue of Dental Clinics of North America: Volume 67-4(Volume 67-4 The Clinics: Dentistry)

In this issue, guest editors bring their considerable expertise to this important topic. Contains 38 patient scenarios including a patient with a history of Down syndrome presenting for periodic examination and cleaning; a patient with dementia presenting from a nursing home with a history of decreased oral intake, malodor, and weight loss; a patient faints in the waiting area with a suspected hypoglycemic event; a patient with moderate to severe TMJ degenerative joint disease and unilateral joint pain presenting for oral medicine consult; a patient diagnosed with bulimia reports to the dental office seeking cosmetic dental work; and more.  Provides in-depth clinical reviews on clinical decisions in medically complex dental patients, offering actionable insights for clinical practice.  Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. 

Table of Contents:
A Patient with a History of Right-Sided Stroke and Hemiplegia, in a Wheelchair, Presents with a Complaint of Upper Left Tooth Pain Nonverbal Patient with Autistic Spectrum Disorder Presents for an Initial Dental Visit Patient with a History of Down Syndrome Presents for Periodic Examination and Cleaning A Patient with Dementia Presents from a Nursing Home with a History of Decreased Oral Intake, Malodor, and Weight Loss A Patient with Cerebral Palsy Presents for Evaluation of Third Molar Pain Dental Considerations and Precautions Associated with Oral Excisional Biopsy on a Patient with Cushing's Syndrome (Hypercortisolism) A Patient with Addison Disease (Primary Adrenal Insufficiency) Presenting for Surgical Extraction of Third Molars Impacted Wisdom Teeth Removal on a Patient with Primary Hypothyroidism (Hashimoto Disease) Implant Placement in a Patient with Thyromegaly Associated with Graves Disease Mandibular Jaw Lesion Excisional Biopsy on a Patient with Hyperparathyroidism (Primary) A Patient with Hypothyroidism in Need of Periodontal Connective Tissue Graft Surgery The Patient Faints in the Waiting Area with a Suspected Hypoglycemic Event An Elderly Patient with Undiagnosed Type 2 Diabetes Mellitus Presenting for an Emergency Extraction A Diabetic Patient with a Recent History of Flap and Osseous Surgery Presents Back with Bleeding and Infection Patient with Type I Diabetes Mellitus Develops Post-Operative Hyperglycemia After Osseous Surgery A Diabetic Patient with Acute Osteomyelitis Presenting with Jaw Pain and Submandibular Swelling A Patient with Juvenile Idiopathic Arthritis Presents for Dental Extraction A Patient Who Recently Underwent Total Temporomandibular Joint Replacement Reporting for Endodontic Therapy A Young Adult Patient with Rheumatoid Disorder Presents for the Evaluation of Limited Mouth Opening A Patient with Moderate-to-Severe Temporomandibular Joint Degenerative Joint Disease and Unilateral Joint Pain Presents for Oral Medicine Consult A Patient with a Diagnosis of Gonococcal Arthritis and Symptomatic Bilateral Temporomandibular Joints Presents for Scaling and Root Planing A Patient with a History of Fibromyalgia Reports for an Intraoral Incisional Biopsy Scaling and Root Planning in a Patient Taking Chronic Corticosteroid Therapy for Lupus Erythematosus A Female Patient Recently Diagnosed with Sjogren Syndrome Presents to the Dental Office Seeking Upper and Lower Complete Dentures A Patient with a History of Multiple Myeloma Presents for the Evaluation of Oral Lesion and Burning Sensation of the Mouth A Patient Undergoing Treatment of Hematologic Malignancy Reports for Oral Evaluation A Patient Presenting for Dental Extraction After Completion of Chemotherapy A 65-Year-Old Man with Recent History of Radiation Therapy to the Head and Neck Reporting for Treatment of a Non-restorable Tooth A Patient with a History of Tonsillar Cancer Presents for Evaluation of Exposed Alveolar Bone in the Mouth A Patient Presents for Dental Extraction and Goes into Sickle Cell Crisis in the Dental Chair A Patient with Refractory Trigeminal Neuralgia was Referred for Suspected Odontogenic Pain A Patient with Herpes Zoster of the Maxillary Division of Trigeminal Nerve Presents for Oral Evaluation and Toothache Child Patient with a History of Status Epilepticus Referred for Management of Grossly Decayed Primary Molar Patient with Crohn's Disease Presents for Pain in Relation to Maxillary Teeth A Patient Diagnosed with Bulimia Reports to the Dental Office Seeking Cosmetic Dental Work A Pregnant Patient (First Trimester) Reporting for Pain in Relation to the Maxillary Left First Molar Was Prescribed a Full Mouth Series Radiographs in the Dental Office A Pregnant Patient with Gestational Diabetes Reports for Scaling and Root Planning Restorative Dental Treatment and Endodontic Surgery in a Pregnant Patient Receiving Corticosteroids