Systemic diseases and its significance in oral surgery

Complex medical history of the patient becomes a dilemma for oral and maxillofacial surgeons. Coexisting illnesses also can complicate the provision of anesthesia in these groups. There are no guidelines directed towards management of these special high-risk groups of patients for local and general anesthesia. There are many medical conditions that can directly affect the provision of medical care and some where the consequences of oral disease or even dental treatment can be life threatening. Adequate knowledge of commonly seen systemic conditionsaids in providing optimal primary and secondary care.The definition of a medically compromised? patient is not precise and in this context it is interpreted as the presence of a medical factor which may have implications for the provision of care. To achieve optimal oral health for the medically compromised patient the oral surgeon and physician and the anesthetist must work closely. In this book we have discussed possible hurdles one can face while managing such patients and making optimal treatment plan before any minor or major maxillofacial surgeries.