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June 4, 2026The Journal of The Korean Dental Association

The necessity of preoperative laboratory testing in dental surgery: A case-based clinical approach

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Why the study?

Preoperative laboratory testing is often overlooked in dental surgery, and no universally accepted protocol exists despite an aging population with increasing systemic diseases.

Does routine preoperative laboratory testing improve safety and detect undiagnosed conditions in dental surgery patients?

Population

Dental patients undergoing routine procedures such as tooth extraction and implant surgery

Design

Case-based review

Key result

Preoperative laboratory testing in dental surgery enables the detection of previously undiagnosed conditions and is recommended as a fundamental safeguard in ambulatory oral and maxillofacial care.

Authors

MSMi Hyun Seo

Discussion

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Overview

Does not support routine preoperative testing in dental surgery; leaves open targeted use in higher-risk patients.

Key Points

  • To emphasize the importance of preoperative laboratory testing in dental surgeries, particularly for aging patients with systemic diseases.
  • Clinical cases were evaluated showing the impact of blood tests in surgical decision-making.
  • Structured preoperative evaluations were discussed in relation to commonly performed procedures like tooth extraction and implant surgeries.
  • Blood tests identified previously undiagnosed conditions such as uncontrolled diabetes in 25% of cases and renal dysfunction in 18%.
  • Hematologic malignancies were detected in 10% of patients, leading to changes in surgical plans.

Structured PICO

Does routine preoperative laboratory testing improve safety and detect undiagnosed conditions in dental surgery patients?

P
Population
Dental patients undergoing routine procedures such as tooth extraction and implant surgery, particularly in an aging population
I
Intervention
Preoperative laboratory testing (blood tests)
O
Outcome
Detection of previously undiagnosed conditions (e.g., uncontrolled diabetes, renal tubular dysfunction, hematologic malignancies) and optimization of surgical outcomes

Routine preoperative laboratory testing in dental surgery is highlighted as a crucial safeguard for detecting undiagnosed systemic diseases and ensuring patient safety.

Limitations

  • No universally accepted protocol currently exists for routine preoperative blood testing.

Cite This Study

Mi Hyun Seo (2026) conducted a review in Dental surgery. Preoperative laboratory testing was evaluated. Preoperative laboratory testing in dental surgery enables the detection of previously undiagnosed conditions and is recommended as a fundamental safeguard in ambulatory oral and maxillofacial care.

synapsesocial.com/papers/6a2116cfd499ed480b16fc13https://doi.org/10.22974/jkda.2026.64.5.004
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