Short courses


Managing the Medically Compromised Patient (for Dental Hygienists and Therapists)

  • 6.5 hours
  • 1 day


This one-day course aims to update you on the current guidelines and protocols for treating patients with medical conditions in general dental practice.

More and more patients are presenting for treatment with complicating factors in their medical history. We'll discuss the impact of medical history on dental treatment and any action needed as a result.

We'll look at the common medical problems that all clinical staff are faced with, and revise the protocols and best practice requirements for these groups.

The course is run by the UCL Eastman Dental Institute in London, which has a broad range of continuing professional development (CPD) short courses. These provide hands-on training from experienced staff in dedicated facilities.

Course content

The course will cover the following areas:

  • Importance: I am not a doctor, why do I need to know?
  • Prevalence of medical problems: how likely is it that I'll see a patient with a medical problem?
  • Risk assessment: to treat, wait or refer?
  • Pain and anxiety control: what can I do to reduce risk?
  • Patient access and positioning: before I book an appointment what do I need to consider?
  • Treatment modification: adapt or stop?

We'll also look at the following problems and their solutions:

  • Medical conditions which make a patient more likely to bleed - what do you need to do to reduce the risk?
  • Anti-thromobotic drugs and their impact on dental treatment - including the novel agents
  • INR: to do or not to do? 
  • Be confident treating a patient after myocardial infarction
  • Antibiotics for cardiac patients: if the patient asks for them, what should I do?
  • Hip replacement: if the orthopaedic surgeon says the patient needs this, what should I do?
  • Patients having cancer therapy: what should I do, how can I help?
  • Dementia and it's impact on the mouth - what can I do to help?

Please note: there will be plenty of opportunity to discuss other scenarios in a group learning environment, so the above is by no means exhaustive.

Learning outcomes

By the end of the course, you should have:

  • developed an enhanced understanding of the risk assessment process when planning dental treatment for a patient
  • an increased awareness of the impact of medical conditions on the delivery of care

    Who this course is for

    You'll need to be a qualified dental hygienist or dental therapist.


    The course will be delivered through lectures and a Q&A session.

    CPD points and certificates

    You'll earn 6.5 hours of verifiable CPD and will receive a certificate of attendance on completion.


      The price for this course is £120.

      Quality controls

      All Eastman teachers are experienced professionals. You'll be asked to submit written feedback via a questionnaire at the end of the course, which is used to monitor the course's quality of teaching and value for money.


      Please read the Eastman's refunds policy before booking.

      Course team

      Dr Navdeep Kumar

      Dr Navdeep Kumar

      Over the last 20 years, Dr Kumar has been committed to special care dentistry (SCD) and has acquired an extensive range of clinical, teaching and research experience in the area to ensure the delivery of high-quality oral care for people with an impairment or disability.

      She has considerable expertise in the clinical management of the medically compromised patient and the management of the oral complications of systemic diseases. She has an integral role in training others with an interest in SCD, including those undertaking the Certificate, Diploma and Master's in SCD.

      She's actively involved in the promotion of SCD and the development of national guidelines, including the Royal College of Surgeons' guidelines relating to the oral management of oncology patients. She has co-authored a textbook on SCD ('Special Care in Dentistry'), which provides practical guidance on the safe dental management of patients with special needs. This has culminated in her becoming an examiner for the ORE, MSc and DSCD (UCL and RCS), and in her role as president of the British Society for Disability and Oral Health (BSDH) in 2009.

      Course information last modified: 7 Aug 2019, 14:52