Health Care Collaboration

Dentists sometimes consult with physicians and other health professionals about their patients’ health conditions. The College supports interdisciplinary care and communication between health professionals. We expect dentists to understand the dental implications of their patients’ medical conditions. Dentists have the training and knowledge to determine whether a treatment plan modification is required and/or if additional precautions are needed during or after a procedure.

We don’t advise that dentists obtain general clearance from physicians for dental treatment. Blanket clearances can sometimes be too broad and may not address specific medical concerns relevant to dental procedures. It is more effective for dentists to request detailed information about a patient’s medical history and current health status. If dentists consult with their patients’ physician, it is more beneficial to request a patient risk assessment or risk stratification to determine if a procedure can be done safely. If dentists require assistance with altering a patient’s medication, dentists should communicate with the prescribing physician. For example, dentists should provide clear information to physicians in regard to anesthesia, the proposed procedure and its risks so that the physician can provide appropriate risk assessment. Dentists should also co-ordinate the dental appointments with their patients’ medical treatment, if necessary. If appropriate, after treatment is provided, dentists should inform the patients’ physicians about the progress of the patient.

As always, we encourage the provision of collaborative care, informed by each professions’ clinical expertise, to provide inter-professional care for the benefit of patients.