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Background: The increasing prevalence of systemic diseases has led to a growing number of medically compromised patients requiring dental care, necessitating comprehensive and safe management approaches. Objectives: This review aims to summarize current clinical guidelines for dental management in medically compromised patients.Methods: A comprehensive narrative review was conducted by analyzing recent literature and clinical guidelines related to dental treatment in patients with cardiovascular, pulmonary, renal, endocrine, and hematological disorders.Results: Effective dental management requires thorough preoperative evaluation, including medical history, risk assessment, and interdisciplinary collaboration. Modifications such as stress reduction, short appointments, appropriate anesthetic use, and careful drug selection are essential. Specific considerations include controlling bleeding risk in hematological disorders, monitoring respiratory function in pulmonary diseases, adjusting medications in renal impairment, and ensuring glycemic control in diabetes. Preventive strategies and atraumatic techniques significantly reduce complications.Conclusion: Dental treatment in medically compromised patients can be performed safely through individualized, risk-based approaches supported by comprehensive assessment and interprofessional collaboration, ultimately improving patient outcomes and minimizing complications.
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Dipankara et al. (2026) studied this question.
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