Compromised Medical Status
Similar to extremes of age, compromised medical status may contraindicate the removal of an impacted tooth, Frequently, compromised medical status and advancing age go hand-in-hand. If the impacted tooth is symptomatic, its surgical removal must be viewed as elective. If the patient’s cardiovascular or respiratory function or host defenses for combating in ection ‘are compromised Of the patient has a serious acquired or congenital coagulopathy, the surgeon must consider leaving the tooth in the alveolar process. On the other hand, if the tooth becomes symptomatic, the surgeon must work carefully with the patient’s physician to remove the tooth with the
least operative and postoperative medical sequelae.