1. Emergencies in Dental Office
Lithuanian University of Health Sciences
Greta Pamparaitė, OF5

2. Vocabulary fasting – pasninkavimas dizziness - galvos sukimasis
angina pectoris – krūtinės angina
dyspnea - dusulys
vomiting - vimdymas
resuscitation - atgaivinimas
artificial ventilation - dirbtinis kvėpavimas
collapse – susmukti, griūvimas

3. Contents Introduction Most common emergencies in dental office
Symptoms and signs of emergencies
Management
Emergency kit
Conclusion

4. Preparation to manage medical emergencies
The treatment by the dentist requires:
Preparation
Prevention
Management
The dentists should be skillful in:
Cardio-Pulmonary Resuscitation (CPR)
maintaining airway
immediate diagnosis of the emergency condition

5. Common emergencies in dental practice
Syncope/fainting
Chest pain
Angina pectoris
Myocardial infarction
Cardiac arrest
Anaphylactic shock
Stroke

6. Syncope(1) Symptoms and signs: fear, anxiety, pain weakness fasting
pale skin
dizziness
loss of consciousness
slow pulse rate

7. Syncope(2)
Management
To lay the patient flat as soon as possible and raise the legs to improve venous return
Loosen any tight clothes

8. Chest pain(1) Causes: Angina pectoris 2. Myocardial infarction
pain lasts for only a short duration
2. Myocardial infarction
pain persists for long duration
is more severe than angina pectoris

9. Chest pain(2) Symptoms and signs:
severe chest pain in substernal region
dyspnea/breathless
vomiting
weak pulse
loss of consciousness

10. Chest pain(3) Call 112 or 03 Management to relieve pain and anxiety
to call for medical assistance
allow patient to rest in his most comfortable position
loosen tight clothes around the neck.
Call 112 or 03

11. Cardiac arrest Symptoms and signs: fainting or collapse
respiratory arrest
Management:
external cardiac massage
artificial ventilation
immediate cardiopulmonary resuscitation

12. Cardiopulmonary resuscitation
1 inch = 2.54 centimeters

13. Anaphylactic shock Symptoms and signs: abdominal pain flushing of face
pallor
rapid & weak pulse  
Management :
make the patient lie down flat with legs raised
oxygen administration and medical help

14. Cerebrovascular accidents (stroke)
 Symptoms and signs:
loss of consciousness
weakness of arm and leg on one side
drooping of one side of face
Management
maintenance of airway
hospitalization

15. Emergency kit in dental office
Epinephrine
Nitroglycerin
Instant glucose or sugar packets
Oxygen cylinder with mask
Laryngoscope
Oral airways

16. Emergency kit in dental office
Laryngoscope
Oral airways

17. Questions Which emergencies are the most common? How to perform CPR?
What should you do if your patient is collapsed?
What supplies should be in emergency kit?
Which number we should dial for emergency assistance?

18. Thank you for attention