Complex Medical & Medically Integrated Dentistry
Dental care that works alongside your medical team, not apart from it.
People with complex systemic medical conditions present unique and significant challenges in dental care. Medications, disease states, and treatment regimens affect bleeding, wound healing, infection risk, bone health, and oral physiology in ways that require specialised knowledge to manage safely. Our Complex Medical & Medically Integrated Dentistry Centre is built to provide high-quality dental care to people whose health complexity would make routine dental care insufficient or potentially unsafe.
“For medically complex patients, the question is not only what dental treatment is needed, but how, when, and with what precautions it should be delivered. That requires a different conversation.”
What Does It Involve?
Every person attending this centre receives a thorough medical history review, medication reconciliation, and risk assessment before any treatment is planned. We communicate directly with treating physicians, specialists, and care coordinators to ensure our dental management is fully informed and integrated. Written summaries and treatment communications are provided to all relevant members of your medical team.
Our scope of management includes patients with controlled and uncontrolled diabetes, heart conditions and blood thinners, cancer treatment, both active and in remission � autoimmune disease, organ transplantation, bone-modifying agents, and neurological and respiratory conditions. We also manage medically complex cases referred to us by other clinicians who require specialist input for safe dental care.
12 Medically Integrated Services
Diabetes & Oral Health Care
Management of the bidirectional relationship between diabetes and periodontal disease, including glycaemic-aware treatment planning and HbA1c communication with physicians.
Heart Disease & Oral Health Care
Safe dental management for patients with cardiac conditions, including anticoagulation management, antibiotic prophylaxis for indicated cases, and cardiologist coordination.
Cancer Support Dentistry
Pre-treatment dental clearance, oral complications management, and long-term care for cancer patients across chemotherapy, radiation, and surgical treatment phases.
Chemotherapy & Radiation Oral Care
Prevention and management of mucositis, xerostomia, oral infections, and taste changes associated with oncological treatment.
Autoimmune Disease Oral Care
Dental management for patients with Sjogren's syndrome, lupus, rheumatoid arthritis, and other autoimmune conditions affecting oral tissues and treatment response.
Respiratory Disease Oral Care
Oral health management for patients with COPD, asthma, and respiratory conditions, including the oral effects of steroid inhalers and the link between aspiration pneumonia and oral hygiene.
Kidney Disease Oral Care
Safe dental management for patients with chronic kidney disease and those on dialysis, including medication dosing, bleeding precautions, and oral manifestation management.
Liver Disease Oral Care
Dental management accounting for coagulopathy, medication metabolism, and the oral manifestations of hepatic conditions.
Osteoporosis & Bone Health Assessments
Management of patients on bisphosphonate or denosumab therapy, including MRONJ risk assessment, safe dental planning, and liaison with prescribing physicians.
Neurological Disorder Oral Care
Adapted dental care for patients with Parkinson's disease, stroke, dementia, multiple sclerosis, and other neurological conditions affecting oral function and cooperation.
Organ Transplant Patient Care
Dental management for pre- and post-transplant patients, including infection risk management, immunosuppression awareness, and coordination with transplant physicians.
Medically Complex Case Reviews
Interdisciplinary case review and consultation for unusual or complex medical presentations where specialist dental input is required.
Three Principles Behind Every Appointment
Medical Literacy in Dentistry
Our clinicians understand the conditions, medications, and implications that define medically complex care. We treat within your full health context.
Direct Specialist Communication
We communicate directly with your medical team. You should not need to be the go-between for your dentist and your physician.
Safety as Non-Negotiable
For medically complex patients, every treatment decision is evaluated through the lens of systemic safety first, dental benefit second.
The Doctors Behind Your Care
Your care is led by our senior clinicians, Dr. Srivats and Dr. Param, with over 50 years of combined clinical experience. Every finding is reviewed and explained personally; we do not delegate your understanding to anyone else.
Meet our team →