Medically Compromised

Where a person is medically compromised we may have to alter where, when, and how we treat them. We may need to allocate extra time. Some medical conditions and the drugs prescribed have dental consequences increasing the risk of dental disease. If we know you have a problem we can advise how these effects can be minimised. Some dental problems can lead to medical problems, and we want to minimise these risks.

Medical Questionnaire

On your first visit you fill in a medical questionnaire, which is updated each exam appointment. Your responses indicate where further discussion my be necessary with the dentist. It is vital for your care that you answer the questions honestly, and if you are in doubt then to mention that to the dentist. At recall appointments make sure the dentist is updated of changes.

It rarely occurs, but the dentist may need to contact your doctor, if you suffer from an unusual or unresolved problem

On the form we also ask about habits of drinking and smoking, which give an indication of your risks of developing mouth cancers, alerting us to pay particular attention to changes to the skin lining your mouth and tongue.

The occupation section may answer why you have particular problems with your teeth, such as decay or wear patterns affecting your bite. It also helps us give specific advice about diet and other preventive measures. Changes of occupation can result in changes to habits, such as food and drink consumption, which has effects on dental health.

Physically compromised

You may have permanent or short-term mobility or dexterity problems. If we are made aware of these we can ensure treatment is booked in the ground floor surgery for easy access, and/or discuss how you may maintain the cleanliness of your mouth and prevent disease developing.

On antidepressants?

Some of these have effects in the mouth changing the flow or nature of saliva. Where this happens you can develop decay very quickly, literally within weeks. So you may need extra support from us whilst you are taking the medicine. This means extra preventive steps and possibly more visits. We know that your condition may affect your motivation to care for your mouth, and to some extent we can take the burden off you. You will get better and we don't want your mouth to be a long-term casualty after you are well again.

If a member of your family, or a friend, is suffering from depression, please encourage them to attend, and bring them if necessary. It is much easier for them to neglect their mouths, when motivation is at its lowest ebb.