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The number of the medical emergencies in the dental office presumably will increase due to the prolonged duration of the interventions, the increased utilization of anesthesia and the stress of fear. The following three things are needed in order to prevent such emergencies: preparedness of the staff, availability of the appropriate medicines and devices. Authors overview the prevalence (19% to 67%) and occurrence (2–20/year) of emergency situations in the office. The most frequent medical problem was the syncope (16,0–54% of all emergencies), the second frequent problem was the diabetes- related problems and the third one was the hypertensive attack/crisis and allergic reactions. All the authors of the surveyed literature emphasize the importance of the “emergency plan” and the drill of the crew. Authors suggest a list of medicines and devices as an essential tool for the treatment of the medical emergencies. This suggestion can be a good source for making the existing professional guideline more accurate. Moreover, the analysis of the international literature points out the most important issues of the emergency treatment in the dental office and it can make the education more effective and the dentist fit for face to with the unforeseen and suddenly occurred emergency situations.

Taking into consideration two main factors: the general poor condition of dental health of the population and that elderly people are becoming more and more active in traveling one can draw the conclusion that pretravel advice must contain dental issues too. Authors suggests some travel related medical problems such as infection control, a reliable dental service abroad, the proper way of cleaning teeth and prosthesis where safe water isn’t available, failures with the dentures and braces. However the more important issue is the timing of air travel after dental interventions in order to avoid barodontalgia. Unfortunately, the international literature hardly mentions this kind of problem, although it would be useful both for dentists and for the general practitioners and travel medicine professionals. There is no evidence based rules for the optimal duration between the dental intervention and air-travel so authors collect the relevant professionals’ opinion. According to their approach the minimum waiting time should be 24 hours after filling and dental extraction, in the case of implantation without complication it is 24–48 hours, while in case of more difficult interventions connecting to implantation this time can take up to 2 weeks and root canal manipulation requires at least 72 hours but a week proved to be more safe etc. The determining of optimal time of air travel after dental interventions requires more detailed surveys but hopefully the time-suggestions of this paper is good for a rough estimation. The exact timing should be decided by the treating doctor and it is depended on the patient’s condition and the type of the intervention.

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Copyright of Fogorvosi Szemle is the property of Hungarian Dental Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)