PREVALENCE OF SYSTEMIC DISEASES IN ORAL SURGERY PATIENTS IN SOUTH INDIAN POPULATION
Objective: The purpose of this study is to evaluate the prevalence of various systemic diseases in oral surgery patients in south Indian population.
Methods: The study population composed of 500 randomly selected patients who reported to Oral and Maxillofacial Surgery Department of Saveetha
Dental College, Chennai, over a period of 3 months for various oral surgical procedures. With a standardized questionnaire, a thorough medical and
dental history was taken, and patients were grouped according to the system involved. Data collected were statistically analyzed and results obtained.
Results: Out of 500 patients, 264 (52.8%) were medically compromised with a higher prevalence of diabetes mellitus (38.85) followed by hypertension
(32.2%), gastritis (6.65), and asthma (5.2%). The results were statistically significant.
Conclusion: The prevalence of systemic diseases in oral surgery patients is high; therefore, a thorough history taking and careful clinical examination
is mandatory before commencing any dental treatment. This will lead to identifying patients with underlying medical condition and will not only
result in modifying dental treatment but also most importantly instituting appropriate management. Medically compromised patients will be on
multiple drug therapy, and dentists must be aware of these drugs and their interactions when they prescribe medications for oral surgical procedures.
Keywords: Prevalence, Systemic diseases, Oral surgery, Medical conditions.
1. Steel K. The elderly: The single greatest achievement of mankind.
Disabil Rehabil 1997;19(4):130-3.
2. Dhanuthai K, Sappayatosok K, Bijaphala P, Kulvitit S, Sereerat T.
Prevalence of medically compromised conditions in dental patients.
Med Oral Patol Oral Cir Bucal 2009;14(6):E287-91.
3. Suomi JD, Horowitz HS, Barbano JP. Self-reported systemic conditions
in an adult study population. J Dent Res 1975;54(5):1092.
4. Galan D, Brecx M, Mayer L. Medical status, functional status and drug
utilization patterns of a population of older dental patients in Winnipeg,
Manitoba. J Can Dent Assoc 1997;63(1):29-33.
5. Cottone JA, Kafrawy AH. Medications and health histories: A survey of
4,365 dental patients. J Am Dent Assoc 1979;98(5):713-8.
6. Rhodus NL, Bakdash MB, Little JW, Haider ML. Implications of the
changing medical profile of a dental school patient population. J Am
Dent Assoc 1989;119(3):414-6.
7. Smeets EC, de Jong KJ, Abraham-Inpijn L. Detecting the medically
compromised patient in dentistry by means of the medical risk-related
history. A survey of 29,424 dental patients in The Netherlands. Prev
8. Saengsirinavin C, Kraivaphan P, Phumara P. Survey of drug used
and medical history among dental out-patients. J Dent Assoc Thai
9. Umino M, Nagao M. Systemic diseases in elderly dental patients. Int
Dent J 1993;43(3):213-8.
10. 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;58:564-8.
11. Jeon JH, Nam IW. An investigation on the oral surgery patients and
their treatments. Taehan Chikkwa Uisa Hyophoe Chi 1989;27(1):83-90.
12. Kolte VS, Dolas RS, Shenoi R. Demographic study of prevalence of
systemic diseases in oral maxillofacial surgery patients of central India.
J Maxillofac Oral Surg 2014;13(3):267-70.
13. Berg TI. Oral surgery in Norwegian general dental practice a survey.
Extent, scope, referrals, emergencies and medically compromised
patients. Acta Odontol Scand 1992;50(1):7-16.
14. Hari S, Jacob OA, Mangalam MK. Systemic health status of adult
dental patients and its dental care, study of 900 outpatients. JIDA
15. Persson RE, Persson GR, Robinovitch M. Periodontal conditions in
medically compromised elderly subjects: Assessments of treatment
needs. Spec Care Dentist 1994;14(1):9-14.
16. Jainkittivong A, Aneksuk V, Langlais RP. Medical health and medication
Asian J Pharm Clin Res, Vol 9, Issue 4, 2016, 304-307
Kumar and Rajan
use in elderly dental patients. J Contemp Dent Pract 2004;5(1):31-41.
17. BaÅŸlarh O, AdiloÄŸlu I, TaÅŸar F, TÃ¼mer C, Saysel MY. Medical profile of
a dental school patient population. Clin Dent Res 2014;38(1):28-35.
18. Campbell RL, Langston WG, Ross GA. A comparison of cardiac
rate-pressure product and pressure-rate quotient with Holter
monitoring in patients with hypertension and cardiovascular disease: A
follow-up report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod
19. 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(2):1408-14.
20. Aggarwal A, Panat SR, Talukder S. Self-reported medical problems
among dental patients in Western Uttar Pradesh, India. J Dent Educ
21. 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.
22. Miller CS, Epstein JB, Hall EH, Sirois D. Changing oral care needs in
the United States: the continuing need for oral medicine. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod 2001;91(1):34-44.
23. Heft MW, Mariotti AJ. Geriatric pharmacology. Dent Clin North Am
24. Radfar L, Suresh L. Medical profile of a dental school patient
population. J Dent Educ 2007;71(5):682-6.
25. Seymour RA. Dentistry and the medically compromised patient.
26. Blinder D, Shemesh J, Taicher S. Electrocardiographic changes in
cardiac patients undergoing dental extractions under local Anaesthesia.
J Oral Maxillofac Surg 1996;54(2):162-5.
27. Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general
dental practice in Great Britain. Part 1: Their prevalence over a 10-year
period. Br Dent J 1999;186(2):72-9.
28. Smeets EC, Keur I, Oosting J, Abraham-Inpijn L. Acute medical
complications in 277 general dental practices. Prev Med
29. Elabdin AH, Al-Muhameed Y, Al-Muhaidib G. Medically â€“ Comprised
Saudi patients attending the dental practice. A retrospective study.
Saudi Dent J 1996;8(3):136-9.
30. Margaix MuÃ±oz M, JimÃ©nez Soriano Y, Poveda Roda R, SarriÃ³n G.
Cardiovascular diseases in dental practice. Practical considerations.
Med Oral Patol Oral Cir Bucal 2008;13(5):E296-302.
31. Jover CerverÃ³ A, BagÃ¡n JV, JimÃ©nez Soriano Y, Poveda Roda R. Dental
management in renal failure: Patients on dialysis. Med Oral Patol Oral
Cir Bucal 2008;13(7):E419-26.
32. Olojede AC, Adeyemo WL, Gbotolorun OM, Runsewe O, Oluseye SA,
Goncalves FT. The prevalence of medical conditions among patients
attending oral and maxillofacial clinic at a secondary and a tertiary
health institution in Lagos, Nigeria. Am J Med Dent Sci 2013;1(1):1-4.
33. FernÃ¡ndez-Feijoo J, Garea-GorÃs R, FernÃ¡ndez-Varela M, TomÃ¡sCarmona
I, Diniz-Freitas M, Limeres-Posse
J. Prevalence of
among patients requesting
the public and
systems. Med Oral Patol Oral Cir Bucal 2012;17(1):e89-93.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.