This document discusses medical emergencies that can occur in a dental chair and how dentists should prepare for them. It notes that emergencies are more common in elderly patients, those undergoing painful procedures, or those with concomitant medical conditions or drug use. Taking a thorough patient history is important for prevention. Common conditions that can precipitate emergencies include syncope, angina, hypertension, and allergic reactions. Dental clinics should have an emergency kit containing drugs like oxygen, epinephrine, nitroglycerin, and glucose, as well as training in CPR, since drugs alone are not always sufficient. Proper preparation is key to treating emergencies without serious issues.

1. Medical Emergencies in
Dental Chair
Dr. Sahil Kumar
Department of Pharmacology

2. Introduction
• Most emergencies are minor (Syncopal episodes),
life threatening major emergencies can also occur.
• Most likely to occur after LA, painful procedures
like tooth extraction, endodontic procedure.
• A dentist should be well prepared to deal with such
emergencies.

3. Incidence of emergencies increasing…
1) Higher percentage of elderly pts attending clinic.
2) Medical advances.
3) Concomitant drug therapy.
4) Drug Abuse.

4. Best tool to prevent emergencies –
Take History

5. Relevant medical conditions which can
precipitate emergency in dental practice:
Syncope,
Angina,
MI,
HTN,
Hypotension,
Hypo/ Hyperglycemia,
Epilepsy,
Asthma,
Hyperventilation,
Hemorrhage,
Cerebrovascular accidents,
Allergic reactions.

6. Many medical emergencies can be treated
without drugs.

7. Syncope Management

8. Choking management

9. • Every dental clinic must have an emergency
kit containing drugs for critical emergency.
• Emergency tray should not be overequipped
to avoid confusion.
• Without ABCDs of CPR, drugs are of little
value.

10. EMERGENCY DRUGS
Oxygen
Epinephrine
Nitroglycerin
Bronchodilator
Glucose
Aspirin

11. Anaphylaxis

12. Other Support Drugs
• Not critical emergency drugs; useful in conditions
with which the dentist is familiar but immediate
medical services not available.
Anticonvulsants
Glucocorticoids
Antihistamine
Respiratory Stimulant
Local Hemostatics

14. THANK YOU