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StJohn Crean

Selecting Your Patient - Risk Assessment Based on Medical Histories

StJohn Crean

Dental implant treatment is becoming increasingly complex with advances in materials, investigations and techniques. In addition, the ability to predict outcome is further complicated by the increasingly medicalised nature of the patient population. The modern dental professional needs to understand the impact that medical conditions and their pharmaceutical treatments may have upon safe and predictable dental implant care provision as well as the health of the oral cavity. This talk will provide examples of the medical challenges faced within implant dentistry and how to predict problems before they affect the predictability of the expected outcome!

The talk will:

  • Explore the understanding of a range of common medical conditions and drugs
  • Discuss the management of these conditions especially the pharmaceutical approaches
  • Reflect on the impact of these conditions and drugs upon the planned implant treatment
  • Determine the impact of the implant treatment upon the medical condition
  • Highlight the importance of being able to manage these conditions when they become an emergency

Learning Objectives

  • To have an understanding of the implications that common medical issues may have for dental implant care provision as well as the health of the oral cavity
  • To be able to recognise the key areas of the medical history to address in performing a risk assessment exercise
  • To be able to provide a more informed dialogue supporting the consent procedure set against their patients’ expectations


StJohn Crean is Executive Dean of College of Clinical and Biomedical Sciences at University of Central Lancashire (UCLan) following previous posts of Director of Dental Research and Knowledge Transfer from October 2009, Dean of the School of Postgraduate Medical and Dental Education in January 2010. As well as Undergraduate and Postgraduate Dentistry, StJohn is also responsible for the MB BS Programme (which commenced in September 2015) and the MPharm programme in the School of Pharmacy.

StJohn is a Consultant in Oral and Maxillofacial Surgeon at Blackpool Victoria Hospitals Trust and an Honorary Consultant at University of Morecambe Bay Hospitals Foundation Trust, subsequent to his previous 2 year post of Associate Director of Undergraduate Dental Studies and Year 3 Lead at Peninsula Dental School.

He is currently the Robert Bradlaw advisor in the Faculty of Dental Surgery at the Royal College of Surgeons of England and Editor in Chief of the Faculty Dental Journal (FDJ), and was previously President of the Northwest Branch of the British Dental Association but remains Chairman of the Fylde Section.

StJohn holds numerous examinerships at home and abroad advising on the establishment of many dental undergraduate and postgraduate courses and has research interests in safely managing medicalised patients in dentistry and exploring the role of oral bacteria in systemic disease.