1 Oral and Maxillofacial Diseases, Research Center, Department of Oral Medicine, Faculty of Dentistry, Mashhad,
University of Medical Sciences, Mashhad, Iran;
2 Mashhad University of Medical Sciences, Mashhad, Iran;
of Prosthodontics, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran;
4 Faculty of Dentistry,
Member of student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
Advances in medical and dental techniques have led to a growing aged
population living with complex medical conditions. This study focuses on the
detection of medically compromised dental patients by means of a validated
patient-administered medical risk-related history questionnaire. Materials
and Methods: We used the questionnaire EMRRH (European Risk Related
Medical History) in order to study the prevalence as well as the risk
assessment of past medical problems in a population who visited dental centers
(dental university, dental offices and clinics) for treatment in
Mashhad, Iran. Results:A total number of 1,188 patients
were registered, 871 of whom had a medical history that was of some interest to
us. From the population with medical problems which was 30.6% of the total
(N=219), 26.7% of the
patients were classified as risk ASA I; 37.3% as ASA II, 16.9% as ASA III; and
19.1% as ASA IV. Among the diverse
pathologies, the highest percentage was hypertension (11.6%), followed by
allergies to different drugs (8.37%).
Conclusion: It seems absolutely essential for dental practitioners
to take a detailed medical history prior to any therapeutic
procedure, as certain medical conditions, if unnoticed, will lead to unfavorable
consequences and/or repercussions.
Keywords:: ASA risk, dentistry, EMRRH, medical history. .
open-access license: This is an open access article licensed under the terms of the (https://creativecommons.org/licenses/by/4.0/legalcode), which permits unrestricted, noncommercial
use, distribution and reproduction in any medium, provided the work is properly cited.
* Address correspondence to this author at the Dental School, Vakil Abad
BLVD, Mashhad, Postal code: 91735, Iran; Tel: 09155201889;