ASA

Question 1

What classify’s a ASA I patient?

Answer 1

• Normal healthy, no apparent disease, requires no dental management modifications.
• normal BP <120/80

Question 2

What classify’s a ASA II

Answer 2

-Patient with mild systemic disease may or may not need dental management modifications

Question 3

With ASA II what are some conditions?

Answer 3

• Well controlled NIDDM, asthma, epilepsy
• Stage I hypertension (140/90 - 159/99)
• Healthy pregnancy

Question 4

What classify’s an ASA III?

Answer 4

• Patient with moderate-to-severe systemic disease, but not incapacitating, may have drug concerns and require special care
• Will most likely require dental management modifications

Question 5

With ASA III what are some conditions?

Answer 5

• Well-controlled IDDM
• Stage II hypertension (160/100 or higher)
• CHF
• AIDS
• Chronic COPD

Question 6

What classify’s an ASA IV?

Answer 6

• A patient with severe systemic disease that is incapacitating and life threatening
• Requires dental treatment modifications
• Often in a special facility

Question 7

Prehypertension

Answer 7

120/80 - 139/89

Question 8

Treatment for ASA I patients

Answer 8

• Observe routine dental manaement

- Reevaluate in 6 months

Question 9

Treatment for ASA II patients?

Answer 9

• Recheck BP before treatment for 3 consecutive visits; if reading exceeds guidelines consult MD
• Observe routine dental management
• Use stress-reduction protocol

Question 10

Treatment for ASA III patients?

Answer 10

• Recheck BP in 5 minutes
• If the same consult MD before treatment
• Use stress reduction protocol

Question 11

Treatment for ASA IV patients?

Answer 11

• Recheck B in 5 minutes
• Consult MD immediately
• DO NOT preform dental treatment until evaluation is corrected
• Preform emergency dental treatment with drugs (antibiotics for infection or analgesic for pain)
• Refer to hospital if therapy is indicated