General Complications Occurred in the Dental Office During Common Odontal Therapy – Statistical Analysis

Introduction. Any dental treatment has a traumatic character, even for clinically healthy patients, and especially for sensitive patients or the ones in special conditions (children, the elderly, pregnant women). Therefore, risk assessment in patients with dental disorders is very important in the usual practice in the dental office. The purpose of our paper is to present the results of a study conducted by us to assess the overall risk before, during or after a common dental treatment, which is rather difficult, considering the multitude of factors involved. The material was represented by a cohort of 200 patients, 111 women and 89 men, aged between 20 and 60 plus, clinically and anamnestically assessed. 157 of them were considered clinically healthy and 43 had a pathological personal history. Their behaviour in the dental office was observed during the study and the results showed a total of 18 (9%) minor accidents, different in manifestation and severity, during the common dental treatment, i.e. 10 (5%) in clinically healthy patients and 8 (4%) in those having medical history. The discussions highlight the most frequent medical emergencies encountered as well as their probable causes. In conclusion, the frequency of general medical emergencies in the dental office is not too high. However, they may occur at any time, and the correct and rapid medical response can and should allow for their professional management. Therefore, it is necessary that the dental practitioner should be properly trained in this regard and should know the patient medical history. The responsibility for the decisions made and their consequences lies with the doctor, who has the professional, moral, and legal obligation to prevent medical emergencies, to recognise and address them appropriately, to know what can be done and what should not be done in such cases.