Joshua A Senior Resident, Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, DR. M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India
Sachin Jacobraj M Senior Resident, Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, DR. M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India
Eswaran M A Professor, Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, DR. M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India
Ponsekar Abraham A Professor & Head, Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, DR. M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India
Address for correspondence: Joshua A, Senior Resident, Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, DR. M.G.R Educational and Research Institute, Chennai, Tamil Nadu, India E-mail: donjosejoshua01@gmail.com
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Joshua A, Sachin Jacobraj M, Eswaran M A, Ponsekar Abraham A, Medical Emergencies in Dental Office in Prosthodontics. Ind J Dent Educ. 2024;17(4):193-204.
Timeline
Received : December 02, 2024
Accepted : September 27, 2025
Published : December 10, 2024
Abstract
Medical emergencies, though infrequent, can occur in prosthodontic settings. This review highlights common emergencies like angina, myocardial infarction, cardiac arrest, asthma attacks, hypoglycemia, Addisonian crisis, airway obstruction, anaphylaxis, seizures, and syncope. Effective management of these emergencies requires prompt recognition, timely intervention, and a well-equipped practice. Dental professionals should be trained in basic life support, CPR, and the use of AEDs. A comprehensive emergency protocol, including a well-stocked drug kit, is crucial. Regular training and drills can enhance preparedness and ensure a swift, effective response to medical emergencies, ultimately safeguarding patient safety.
References
1. Srivatsa G. Urgencies in prosthodontics- “Be precise and make a difference”. J Indian Prosthodont Soc. 2018;18(Suppl 2). doi: 10.4103/0972-4052.246711.
2. Amrish B, Sonam M. Medical Emergencies in Dental Clinic. 2023. doi: 10.2174/9789815136470123010005.
3. Al-Sebaei MO. Evaluating the use of role-play simulations in teaching management of medical emergencies in the dental clinic. BMC Med Educ. 2023. doi: 10.1186/s12909-023-04818-9.
4. Preparing the Dental Office for Medical Emergencies. 2023. doi: 10.1002/9781119362579. ch3.
5. Lindsay P, Brady N, Overby M, Zhu J, Ferraro NF. Emergency protocol in the dental clinic: Assessing medical emergency training requirements and guidelines for dentists. J Am Dent Assoc. 2023. doi: 10.1016/j.adaj.2022.12.004.
6. Fernandes A, Malik J, Ansari S, Murali S, Thirupathii J. Knowledge, attitude, and practice of dentists in the management of medical emergencies in India: A cross-sectional study. J Oral BiolCraniofac Res. 2023. doi: 10.1016/j.jobcr.2023.10.007.
7. Sharma A, Sharma N, Gupta R, Sharma I, Sahi S, Sharma S. A brief review on medical emergencies in dental practice. Int J Appl Dent Sci. 2020. doi: 10.22271/ORAL.2020.V6.I3J.1025.
8. Manton JW, Kennedy KS, Lipps J, Pfeil S, Cornelius BW. Medical Emergency Management in the Dental Office (MEMDO): A Pilot Study Assessing a Simulation-Based Training Curriculum for Dentists. Anesth Prog. 2021. doi: 10.2344/ANPR-67-04-04.
9. Uppal N. Medical emergencies: Quick-release mechanism. Br Dent J. 2017. doi: 10.1038/ SJ.BDJ.2017.691. 10. Umek N, Sostaric M. Medical emergencies in dental offices in Slovenia and readiness of dentists to handle them. Signa Vitae. 2018. doi: 10.22514/ SV141.032018.7.
11. Touyz LGZ. Walk-in Emergencies in Dentistry. 2023. doi: 10.59657/2993-0863.brs.23.007.
12. Khamashta L, Ledezma L. Medical emergencies in the dental office. Eur J Orthod. 2015. doi: 10.1093/ EJO/CJV020.
13. Shah R, Venkatesh C, Patel P, Makadia N. Medical emergencies in dental clinic. J Res Med Dent Sci. 2016. doi: 10.24896/JRMDS.V4I1.166.
14. Malamed SF. Medical emergencies in the dental surgery. Part 1: Preparation of the office and basic management. J Ir Dent Assoc. 2015.
15. Laurent F, Augustin P, Youngquist ST, Segal N. Medical emergencies in dental practice. 2014. doi: 10.1051/MBCB/2013104.
16. Bijle DM. Medical emergencies in dental office. J Int Oral Health. 2013.
18. Jevon P. Medical emergencies in the dental practice poster: revised and updated. Br Dent J. 2020. doi: 10.1038/S41415-020-1789-Y.
19. Kumar K, Mukhi CS, Post-graduate, Student. Basic Resuscitation in Dental Office: A Review. 2014.
20. Aldhuwayhi S, Shaikh SA, Thakare AA, Mustafa MZ, Mallineni SK. Remote Management of Prosthodontic Emergencies in the Geriatric Population During the Pandemic Outbreak of COVID-19. Front Med (Lausanne). 2021;8:648675. doi: 10.3389/fmed.2021.648675.
21. Tariq K, Wajahat M, Hassan M, Arif A. Experience and Preparedness of Medical Emergency among Dentists of Private Dental Teaching Hospitals of Lahore. Eur J Gen Dent. 2022. doi: 10.1055/s-0042- 1742644.
22. Mohideen K, Thayumanavan B, Balaji S, Balasubramaniam M, Vidya KM, Rajkumari S. Management of Medical Emergencies in Dental Office – A Review. Int J Med Health Sci. 2017.
23. Fergeson JE, Patel SS, Lockey RF. Acute asthma, prognosis, and treatment. J Allergy Clin Immunol. 2017;139(2):438–47.
24. Marsh B, Drake MG. Outpatient management of acute exacerbations of obstructive lung diseases. Med Clin North Am. 2017;101(3):537–51.
25. Hahner S. Acute adrenal crisis and mortality in adrenal insufficiency. Ann Endocrinol. 2018;79(3):164–6
26. Paur THK, Stikkelbroeck NMMI, et al. Adrenal crisis: still a deadly event in the 21st century. Am J Med. 2016;129(3):339.
27. Schwartz A. Airway management for the oral surgery patient. Oral MaxillofacSurg Clin North Am. 2018;30(2):207–26.
29. Young NH, Nimmo GR. Anaphylaxis. Medicine. 2017;45(3):157–62.
30. Moore LE, Kemp AM, Kemp SF. Recognition, treatment, and prevention of anaphylaxis. Immunol Allergy Clin North Am. 2015;35(2):363–74.
31. Waller JR, Waller DG. Drugs for systemic hypertension and angina. Medicine. 2018;46(9):566– 72.
32. Dym H, Barzani G, et al. Emergency drugs for the dental office. Dent Clin North Am. 2016;60(2):287– 94. 33. Herman WW, Ferguson HW. Dental care for patients with heart failure: an update. J Am Dent Assoc. 2010;141(7):845–53.
34. Yates EJ, Schmidbauer S, et al. Out of hospital cardiac arrest termination of resuscitation with ongoing CPR: an observational study. Resuscitation. 2018;130:21–7.
35. Fernando SM, Vaillancourt C, et al. Analysis of bystander CPR quality out of hospital cardiac arrest using data derived from AED. Resuscitation. 2018;18:138–43.
36. Pollack RA, Brown SP, et al. Bystander automated external defibrillator application in non-shockable out-of-hospital cardiac arrest. Resuscitation. 2019;137:168–74.
37. Bansal N, Dhaliwal R, et al. Management of diabetes in elderly. Med Clin North Am. 2015;99(2):351–77. 38. Johnson EI. Seizures & epilepsy. Med Clin North Am. 2019;103(2):309–24.
39. Thijs RD, Surges R, et al. Epilepsy in adults. Lancet. 2019;393(10172):689–701.
40. Paris M, Reddy U. Update on the management of status epilepticus. Anaesth Intensive Care Med. 2018;19(3):83–6.
41. Papavasiliou AS, Kotsalis C, et al. Intravenous midazolam in convulsive status epilepticus in children with pharmacoresistant epilepsy. Epilepsy Behav. 2009;14(4):661–4.
42. Numeroso F, Mossini G, et al. Emergency department management of patients with syncope according to the 2018 ESC guidelines. Int J Cardiol. 2019;283:119–21.
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All authors contributed significantly to the work and approve its publication.
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Joshua A, Sachin Jacobraj M, Eswaran M A, Ponsekar Abraham A, Medical Emergencies in Dental Office in Prosthodontics. Ind J Dent Educ. 2024;17(4):193-204.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.