Skip to main content
Top
Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Research article

Medical status of patients presenting for treatment at an Australian dental institute: a cross-sectional study

Authors: Agnieszka M. Frydrych, Richard Parsons, Omar Kujan

Published in: BMC Oral Health | Issue 1/2020

Login to get access

Abstract

Background

Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.

Methods

This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.

Results

Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p = 0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p = 0.0002) or a mental health condition (p = 0.0368).

Conclusion

Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.
Literature
1.
go back to reference Fenlon MR, McCartan BE. Medical status of patients attending a primary care dental practice in Ireland. J Ir Dent Assoc. 1991;37(3–4):75–7. PubMed Fenlon MR, McCartan BE. Medical status of patients attending a primary care dental practice in Ireland. J Ir Dent Assoc. 1991;37(3–4):75–7. PubMed
2.
go back to reference Al-Bayaty HF, Murti PR, Naidu RS, Matthews R, Simeon D. Medical problems among dental patients at the school of dentistry, the university of the West Indies. J Dent Educ. 2009;73(12):1408–14. CrossRef Al-Bayaty HF, Murti PR, Naidu RS, Matthews R, Simeon D. Medical problems among dental patients at the school of dentistry, the university of the West Indies. J Dent Educ. 2009;73(12):1408–14. CrossRef
3.
go back to reference Humbert A, Schmage P, Harendza S. Internal diseases encountered by dental students while treating dental patients during undergraduate training. BMC Med Educ. 2018;18(1):149. CrossRef Humbert A, Schmage P, Harendza S. Internal diseases encountered by dental students while treating dental patients during undergraduate training. BMC Med Educ. 2018;18(1):149. CrossRef
4.
go back to reference de Jong KJ, Oosting J, Abraham-Inpijn L. Medical risk classification of dental patients in The Netherlands. J Public Health Dent. 1993;53(4):219–22. CrossRef de Jong KJ, Oosting J, Abraham-Inpijn L. Medical risk classification of dental patients in The Netherlands. J Public Health Dent. 1993;53(4):219–22. CrossRef
5.
go back to reference Khader YS, Alsaeed O, Burgan SZ, Amarin ZO. Prevalence of medical conditions among patients attending dental teaching clinics in northern Jordan. J Contemp Dent Pract. 2007;8(1):60–7. CrossRef Khader YS, Alsaeed O, Burgan SZ, Amarin ZO. Prevalence of medical conditions among patients attending dental teaching clinics in northern Jordan. J Contemp Dent Pract. 2007;8(1):60–7. CrossRef
6.
go back to reference Radfar L, Suresh L. Medical profile of a dental school patient population. J Dent Educ. 2007;71(5):682–6. CrossRef Radfar L, Suresh L. Medical profile of a dental school patient population. J Dent Educ. 2007;71(5):682–6. CrossRef
7.
go back to reference Cottone JA, Kafrawy AH. Medications and health histories: a survey of 4,365 dental patients. J Am Dent Assoc. 1979;98(5):713–8. CrossRef Cottone JA, Kafrawy AH. Medications and health histories: a survey of 4,365 dental patients. J Am Dent Assoc. 1979;98(5):713–8. CrossRef
8.
go back to reference Eggleston DJ. The value of a simple medical questionnaire in dentistry. Aust Dent J. 1977;22(3):160–4. CrossRef Eggleston DJ. The value of a simple medical questionnaire in dentistry. Aust Dent J. 1977;22(3):160–4. CrossRef
9.
go back to reference Peacock ME, Carson RE. Frequency of self-reported medical conditions in periodontal patients. J Periodontol. 1995;66(11):1004–7. CrossRef Peacock ME, Carson RE. Frequency of self-reported medical conditions in periodontal patients. J Periodontol. 1995;66(11):1004–7. CrossRef
10.
go back to reference Georgiou TO, Marshall RI, Bartold PM. Prevalence of systemic diseases in Brisbane general and periodontal practice patients. Aust Dent J. 2004;49(4):177–84. CrossRef Georgiou TO, Marshall RI, Bartold PM. Prevalence of systemic diseases in Brisbane general and periodontal practice patients. Aust Dent J. 2004;49(4):177–84. CrossRef
11.
go back to reference Rhodus NL. The frequency and profile of medically compromising conditions in an dental school patient population. Gen Dent. 1988;36(3):219–22. PubMed Rhodus NL. The frequency and profile of medically compromising conditions in an dental school patient population. Gen Dent. 1988;36(3):219–22. PubMed
12.
go back to reference Nery EB, Meister F Jr, Ellinger RF, Eslami A, McNamara TJ. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol. 1987;58(8):564–8. CrossRef Nery EB, Meister F Jr, Ellinger RF, Eslami A, McNamara TJ. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol. 1987;58(8):564–8. CrossRef
13.
go back to reference Jainkittivong A, Aneksuk V, Langlais RP. Medical health and medication use in elderly dental patients. J Contemp Dent Pract. 2004;5(1):31–41. CrossRef Jainkittivong A, Aneksuk V, Langlais RP. Medical health and medication use in elderly dental patients. J Contemp Dent Pract. 2004;5(1):31–41. CrossRef
14.
go back to reference Almas K, Awartani FA. Prevalence of medically compromised patients referred for periodontal treatment to a teaching hospital in Central Saudi Arabia. Saudi Med J. 2003;24(11):1242–5. PubMed Almas K, Awartani FA. Prevalence of medically compromised patients referred for periodontal treatment to a teaching hospital in Central Saudi Arabia. Saudi Med J. 2003;24(11):1242–5. PubMed
15.
go back to reference Fitzgerald J, Epstein JB, Donaldson M, Schwartz G, Jones C, Fung K. Outpatient medication use and implications for dental care: guidance for contemporary dental practice. J Can Dent Assoc. 2015;81:f10. PubMed Fitzgerald J, Epstein JB, Donaldson M, Schwartz G, Jones C, Fung K. Outpatient medication use and implications for dental care: guidance for contemporary dental practice. J Can Dent Assoc. 2015;81:f10. PubMed
16.
go back to reference Bhateja S. High prevalence of cardiovascular diseases among other medically compromised conditions in dental patients: a retrospective study. J Cardiovasc Dis Res. 2012;3(2):113–6. CrossRef Bhateja S. High prevalence of cardiovascular diseases among other medically compromised conditions in dental patients: a retrospective study. J Cardiovasc Dis Res. 2012;3(2):113–6. CrossRef
17.
go back to reference Miller C. AAOM Clinical Practice Statement: Subject: Medical History. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):618–9. CrossRef Miller C. AAOM Clinical Practice Statement: Subject: Medical History. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):618–9. CrossRef
18.
go back to reference Staff TRM. Health History Vital in Assessing Patients, Reducing Risk. J Calif Dent Assoc 2015; 43(7):395–396, 398. Staff TRM. Health History Vital in Assessing Patients, Reducing Risk. J Calif Dent Assoc 2015; 43(7):395–396, 398.
19.
go back to reference Hadden AM, and the FCE, Record-Keeping Working G: Clinical examination & record-keeping: Part 2: history taking. Br Dent J 2017; 223(11):823–825. Hadden AM, and the FCE, Record-Keeping Working G: Clinical examination & record-keeping: Part 2: history taking. Br Dent J 2017; 223(11):823–825.
20.
go back to reference Miyatake Y, Kazama M, Isoda M, Nejima J. Internal medicine education in dentistry: knowledge required varies according to dental specialty. Eur J Dent Educ. 2004;8(1):18–23. CrossRef Miyatake Y, Kazama M, Isoda M, Nejima J. Internal medicine education in dentistry: knowledge required varies according to dental specialty. Eur J Dent Educ. 2004;8(1):18–23. CrossRef
21.
go back to reference Carvalho RM, Costa LR, Marcelo VC. Brazilian dental students’ perceptions about medical emergencies: a qualitative exploratory study. J Dent Educ. 2008;72(11):1343–9. CrossRef Carvalho RM, Costa LR, Marcelo VC. Brazilian dental students’ perceptions about medical emergencies: a qualitative exploratory study. J Dent Educ. 2008;72(11):1343–9. CrossRef
22.
go back to reference Dornan T, Bundy C. What can experience add to early medical education? Consensus survey. BMJ. 2004;329(7470):834. CrossRef Dornan T, Bundy C. What can experience add to early medical education? Consensus survey. BMJ. 2004;329(7470):834. CrossRef
23.
go back to reference von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Initiative S. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806–8. CrossRef von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Initiative S. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806–8. CrossRef
24.
go back to reference Tack CJ, Plasschaert AJ. Student evaluation of a problem-oriented module of clinical medicine within a revised dental curriculum. Eur J Dent Educ. 2006;10(2):96–102. CrossRef Tack CJ, Plasschaert AJ. Student evaluation of a problem-oriented module of clinical medicine within a revised dental curriculum. Eur J Dent Educ. 2006;10(2):96–102. CrossRef
25.
go back to reference Dennis MJ, Bennett JD, DeLuke DM, Evans EW, Hudson JW, Nattestad A, Ness GM, Yeung A. Improving the Medical Curriculum in Predoctoral Dental Education: Recommendations From the American Association of Oral and Maxillofacial Surgeons Committee on Predoctoral Education and Training. J Oral Maxillofac Surg. 2017;75(2):240–4. CrossRef Dennis MJ, Bennett JD, DeLuke DM, Evans EW, Hudson JW, Nattestad A, Ness GM, Yeung A. Improving the Medical Curriculum in Predoctoral Dental Education: Recommendations From the American Association of Oral and Maxillofacial Surgeons Committee on Predoctoral Education and Training. J Oral Maxillofac Surg. 2017;75(2):240–4. CrossRef
26.
go back to reference Schofield DJ, Callander EJ, Shrestha RN, Passey ME, Kelly SJ, Percival R. Multiple chronic health conditions and their link with wealth assets. Eur J Public Health. 2015;25(2):285–9. CrossRef Schofield DJ, Callander EJ, Shrestha RN, Passey ME, Kelly SJ, Percival R. Multiple chronic health conditions and their link with wealth assets. Eur J Public Health. 2015;25(2):285–9. CrossRef
27.
go back to reference AIHW: Australian Institute of Health and Welfare. Australian Burden of Disease Study: impact and causes of illness and death in Australia 2015—Summary report. Australian Burden of Disease Study series no. 18.Cat. no. BOD 21. Canberra: AIHW. 2019. AIHW: Australian Institute of Health and Welfare. Australian Burden of Disease Study: impact and causes of illness and death in Australia 2015—Summary report. Australian Burden of Disease Study series no. 18.Cat. no. BOD 21. Canberra: AIHW. 2019.
28.
go back to reference AIHW: Australian Institute of Health and Welfare. Mental health services—in brief 2019. Cat. no. HSE 228. Canberra: AIHW. 2019. AIHW: Australian Institute of Health and Welfare. Mental health services—in brief 2019. Cat. no. HSE 228. Canberra: AIHW. 2019.
29.
go back to reference Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of vasoconstrictors. Med Oral Patol Oral Cir Bucal. 2009a;14(1):E20-27. PubMed Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of vasoconstrictors. Med Oral Patol Oral Cir Bucal. 2009a;14(1):E20-27. PubMed
30.
go back to reference Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of anti-microbial agents in odontology. Med Oral Patol Oral Cir Bucal. 2009b;14(3):E123-128. PubMed Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of anti-microbial agents in odontology. Med Oral Patol Oral Cir Bucal. 2009b;14(3):E123-128. PubMed
31.
go back to reference Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of anti-inflammatory-analgesics in odontology. Med Oral Patol Oral Cir Bucal. 2009c;14(2):E81-89. PubMed Gomez-Moreno G, Guardia J, Cutando A, Calvo-Guirado JL. Pharmacological interactions of anti-inflammatory-analgesics in odontology. Med Oral Patol Oral Cir Bucal. 2009c;14(2):E81-89. PubMed
32.
go back to reference Ciancio SG. Medications' impact on oral health. J Am Dent Assoc 2004; 135(10):1440–1448 (quiz 1468–1449). Ciancio SG. Medications' impact on oral health. J Am Dent Assoc 2004; 135(10):1440–1448 (quiz 1468–1449).
Metadata
Title
Medical status of patients presenting for treatment at an Australian dental institute: a cross-sectional study
Authors
Agnieszka M. Frydrych
Richard Parsons
Omar Kujan
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01285-2

Other articles of this Issue 1/2020

BMC Oral Health 1/2020 Go to the issue