Retrospective study on prognosis of the medically compromised patients in department of oral and maxillofacial surgery

Choi, Sung Lim; Min, Seung Ki; Choi, Moon Ki

Abstract

This study has carried out retrospective study about patient who were medically compromised by age, sex, prevalent disease, chief complaint, dental management and their prognosis. There were based on a total of 2773 new patients who has visited to the Department of Oral and Maxillofacial Surgery, Wonkwang University in Iksan, South Korea, from January to december in 2000. The 478 patients (17.2%) among total 2773 were showed medically compromised and male and female were 211 (44.1%), 267 (55.9%) patients. Age distribution of patients with systemic diseases was higher in 7th decade group of 139 patients (29.1%), and followed by 6th group of 79 (16.5%) and 5th of 66 (13.8%). The range of age was from 4 to 94 years (mean age, 56.9 years) and that of female(59.5 years) was higher than male(53.7 years). There was a higher frequency for female(22.1%) than male(17.1%) in the both 3rd and 4th decade group. In 539 cases of 478 patients with systemic diseases, cardiovascular disease was the most frequent diseases (234 cases, 43.6%), and was followed endocrine disease in decreasing order by (123 cases, 22.8%), hepatic disease (49 cases, 9.1%), respiratory disease(26 cases, 4.8%), renal disease (6 cases, 1.1%). The oral diseases related to chief complaint were periodontal disease (25.3%), retained root (19.3%), odontogenic abscess (16.7%) and dental caries (9.3%), and so on. Dental treatment was performed immediately without any medical consultation were tooth extraction of 311 cases (57.7%), surgical incision and drainage of 48 cases (8.9%), periodontal curretage of 21 cases (3.9%) and others of 46 cases (8.5%). The rest of 103 cases of total (20.1%) were treated after controlling and improving patients'condition by medication or medical consultation to their physician. Only 4 patients (0.8%) among total 478 patients were shown poor prognoses associated with liver malfunction, blood disorders and respiratory distress patients.