MediLavia
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The evidence for patients

Why dentistry belongs in a multidisciplinary clinic

We explain why modern dentistry can no longer exist apart from other medical specialties and should be part of a multidisciplinary clinic.

Clinical aspect

Dentistry has become high-tech surgery

Five to ten years ago, dentistry was mostly extractions and simple fillings. Today everything has changed. Modern dentistry includes:

  1. Dental implantation

    Surgical placement of titanium implants in the jawbone.

  2. Bone grafting

    Restoring bone-tissue volume.

  3. Sinus lift

    Surgery on the maxillary sinus.

  4. Re-implantation

    Replacing implants after failures.

  5. Complex orthodontics

    Using microimplants.

All of these are full surgical operations. They demand the same approach to surgical, medication and infection safety as general surgery.

Legal aspect

Health assessment is a standard requirement

Under modern standards, any surgical intervention — including dental — requires an assessment of the patient's general health. This is a requirement of the American Dental Association (ADA), the American Academy of Family Physicians (AAFP) and international patient-safety protocols.

What we do

Many clinics limit themselves to a questionnaire and a signed consent — and shift responsibility to the patient if important information is missed. We actively identify risks through a professional examination by a physician. This protects both you and the clinic.

The evidence

Benefits for patients

Integrating a general practitioner into dental routing brings multi-level benefits that go beyond pre-operative safety.

A 2025 study analysed more than 15 million dental procedures. Serious infectious complications — sepsis, endocarditis, brain abscesses — occur in 12.8 people per 100,000 procedures, and the rate is rising. Risk factors: age over 60, diabetes, cardiovascular disease and certain medications.

12.8 : 100,000
Rate of serious infectious complications across more than 15 million dental procedures (2025) — and it is rising
78.4%
Of dental-clinic patients had above-normal blood pressure
+46%
Higher odds of closing care gaps with integrated care (up to 2.08× at maximum integration)
91%
Of patients are willing to receive information about diabetes and cardiovascular risk in a dental setting

A dental visit is a unique opportunity to screen for systemic disease. Among older patients in the ElderSmile programme, 7.8 percent had previously undiagnosed diabetes and 24.6 percent undiagnosed hypertension.

Benefits for the clinic

  1. Lower clinical risk

    A professional examination provides a higher standard of quality than a questionnaire alone.

  2. Lower legal risk

    A documented pre-operative assessment protects the clinic if complications arise. Perioperative cardiovascular complications occur in 3 percent of admissions for non-cardiac surgery.

  3. Better coordination of care

    Team-communication quality is directly tied to satisfaction: with good communication 81 percent of patients are highly satisfied, with poor communication only 22 percent.

The economics of safety

Targeted screening of at-risk patients is economically justified. A general-practitioner consultation costs far less than treating complications — hospitalisation, extra procedures, legal expenses. Integration lets us catch problems before they manifest.

We do not just treat teeth — we care for your health as a whole. That is why dentistry in our clinic is part of a multidisciplinary team rather than a standalone service.

Sources
  1. Evaluation Endosseous Dental Implants Success Rate, Adverse Events, and Associated Risk Factors: A Retrospective Study.The International Journal of Oral & Maxillofacial Implants. 2025. Lang L, Saponaro PC, Hammoudeh H, et al.
  2. Incidence and Severity of Postoperative Complications Following Oral, Periodontal, and Implant Surgeries: A Retrospective Study.Journal of Periodontology. 2019. Askar H, Di Gianfilippo R, Ravida A, et al.
  3. Occurrence and Clustering of Complications in Implant Dentistry.Clinical Oral Implants Research. 2020. Karlsson K, Derks J, Wennström JL, Petzold M, Berglundh T.
  4. Occurrence of Complications in Patients Restored With Implants.Clinical Oral Implants Research. 2022. Cecchinato D, Marino M, Håkansson J, Lindhe J, Derks J.
  5. Medication-Related Osteonecrosis of the Jaw: MASCC/ISOO/ASCO Clinical Practice Guideline.Journal of Clinical Oncology. 2019. Yarom N, Shapiro CL, Peterson DE, et al.
  6. Incidence of Medication-Related Osteonecrosis of the Jaw and Associated Antiresorptive Drugs in Adult Finnish Population.Scientific Reports. 2025. Kujanpää M, Vuollo V, Tiisanoja A, et al.
  7. Oral Manifestations of Commonly Prescribed Drugs.American Family Physician. 2020. Glick A, Sista V, Johnson C.
  8. American Association of Oral and Maxillofacial Surgeons Position Paper on Medication-Related Osteonecrosis of the Jaw--2014 Update.Journal of Oral and Maxillofacial Surgery. 2014. Ruggiero SL, Dodson TB, Fantasia J, et al.
  9. Risk of Medication-Related Osteonecrosis of the Jaw After Dental Extractions in Patients Receiving Antiresorptive Agents - A Retrospective Study of 240 Patients.Bone. 2023. Coropciuc R, Coopman R, Garip M, et al.
  10. Anaphylactic Reactions to Local Anesthetics in Dental Practice: A Nationwide French Retrospective Study.Clinical Oral Investigations. 2022. Hascoët E, Mahé J, Meillard H, et al.
  11. Allergic Reactions in Dental Practice: Classification of Medicines, Mechanisms of Action, and Clinical Manifestations.Clinical Reviews in Allergy & Immunology. 2025. Lisiecka MZ.
  12. Allergies in Dentistry and Potential Cofactors: A Case-Control Study.Quintessence International. 2025. Corvin L, Freitag-Wolf S, Dörfer C, Heine G.
  13. Investigation of Reactions to Dental Materials.The British Journal of Dermatology. 2005. Gawkrodger DJ.
  14. Transmission of Blood-Borne Pathogens in US Dental Health Care Settings: 2016 Update.Journal of the American Dental Association. 2016. Cleveland JL, Gray SK, Harte JA, et al.
  15. Bloodborne Infections Relevant to Dental Practice.International Dental Journal. 2024. Al-Amad SH.
  16. Management of Healthcare Personnel Living With Hepatitis B, Hepatitis C, or Human Immunodeficiency Virus in US Healthcare Institutions.Infection Control and Hospital Epidemiology. 2022. Henderson DK, Dembry LM, Sifri CD, et al.
  17. Medical Clearance for Common Dental Procedures.American Family Physician. 2021. Herrick KR, Terrio JM, Herrick C.
  18. The Effects of Systemic Diseases and Medications on Implant Osseointegration: A Systematic Review.The International Journal of Oral & Maxillofacial Implants. 2019. Aghaloo T, Pi-Anfruns J, Moshaverinia A, et al.
  19. Are There Contraindications for Placing Dental Implants?.Dental Clinics of North America. 2019. Kullar AS, Miller CS.
  20. Interventions for Replacing Missing Teeth: Antibiotics at Dental Implant Placement to Prevent Complications.The Cochrane Database of Systematic Reviews. 2013. Esposito M, Grusovin MG, Worthington HV.
  21. Consensus Report by the Italian Academy of Osseointegration on the Use of Antibiotics and Antiseptic Agents in Implant Surgery.The International Journal of Oral & Maxillofacial Implants. 2021. Caiazzo A, Canullo L, Pesce P.
  22. Antibiotic Prophylaxis at Dental Implant Placement: Which Is the Best Protocol? A Systematic Review and Network Meta-Analysis.Journal of Clinical Periodontology. 2019. Romandini M, De Tullio I, Congedi F, et al.
  23. The Role of Antibiotics in Preventing Surgical Complications in Periodontology and Implant Dentistry.Periodontology 2000. 2025. Chen Z, Chiou LL, Calatrava J, Wang HL.
  24. Prescription of Antibiotic Prophylaxis for Dental Implant Surgery in Healthy Patients: A Systematic Review of Survey-Based Studies.Frontiers in Pharmacology. 2021. Bernabeu-Mira JC, Peñarrocha-Diago M, Peñarrocha-Oltra D.
  25. Potential Risks of Orthodontic Therapy: A Critical Review and Conceptual Framework.Australian Dental Journal. 2017. Wishney M.
  26. Orthodontic Treatment With Fixed Appliances and Biofilm Formation--a Potential Public Health Threat?.Clinical Oral Investigations. 2014. Ren Y, Jongsma MA, Mei L, van der Mei HC, Busscher HJ.
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  28. Complications and Treatment Errors Involving Periodontal Tissues Related to Orthodontic Therapy.Periodontology 2000. 2023. Jepsen K, Sculean A, Jepsen S.
  29. Success Rates of Osseointegration for Implants Placed Under Sterile Versus Clean Conditions.Journal of Periodontology. 1993. Scharf DR, Tarnow DP.
  30. Influence of Different Operatory Setups on Implant Survival Rate: A Retrospective Clinical Study.Clinical Implant Dentistry and Related Research. 2009. Cardemil C, Ristevski Z, Alsén B, Dahlin C.

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