Discover and read the best of Twitter Threads about #medicalclearance

Most recents (2)

“Doctor why do I need to take this letter to my physician? It’s just a tooth l! Just take it out! What does my heart have to do with it?”

If you are a dentist, you have heard this line many many times!

Here’s why:

Old family friend.

Wife passed away many years ago due to
Cancer!

Son in the US!

Not much going on for him other than a job!

Over the last few years, ended up neglecting his health!

His diabetes was through the roof!

The 3 month average, HbA1C, was around 10 for years! (Even for diabetics it should be under 7)
Tried very hard to motivate him to address it! No change!

Wears an upper complete denture and has a few broken teeth in the lower jaw!

Met someone who got a full mouth implant rehabilitation done and so now wanted the same!

FINALLY got it to 7.5ish in December!

Great!
Read 8 tweets
#Thread to discuss medical clearance for dental treatment:

A common misconceptions about dental treatment is that it is not affected by a patient's medical history or vice versa.

"Aho daat tar aahe. Tyacha majhya heart attack/knee replacement/diabetes shi kay ghena"
"Its just teeth. What is the connection with a heart attack/knee replacement/diabetes?"

And then there is the issue of getting medical clearance in writing from their specialist doctor.

I will try to cover most common conditions, associated risks and desired clearance!
1) Diabetes:

Where there is sugar, there are bacteria.

Where there is bacteria, there is infection.

Plain and simple.

So a patient with uncontrolled diabetes is a much increased risk for infection.

What is needed:
1) Current labs. Blood Sugar and HbA1C less than 120 days
Read 38 tweets

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