May 7, 2019 | 24th BaSS Congress | INVITED LECTURERS


Prof. Dr. Filadelfo Coniglione

Medicine Doctor; Specialization in Anesthesia and Critical Care; Assistant Professor confirmed
role. 1997- Degree in Medicine at the University of Rome Tor Vergata. Vote with 110 lode /
110, 2001- Postgraduate Diploma in Anesthesia and Intensive Care at the Postgraduate School of
the University of Rome Tor Vergata, 2003- Appointment researcher in Anesthesia and Intensive
Care (med /41), University of Rome Tor Vergata, Winner for PhD course in Microbiology,
Immunology, Infectious Diseases, organs transplantation and related diseases (XXIX cycle PhD
course code S25) at Medical University Tor Vergata, Rome (Italy).,
Professor confirmed role. Since 2002, employment as an anesthesiologist at the University
Hospital of Tor Vergata, Rome. From 2016, head of the Anesthesia service at universities “Our
Lady of Good Counsel”, Tirana, Albania, Medical Director at the Clinical Center “Padre Monti”,
Tirana Albania. Author and coauthor of a lot of researches and publications in international
journals and active participant in a lot of international scientific events

Abstract Synopsis


F.Coniglione, E.Cule, E.Pashaj, B.Rrapi, Sh.Mulla, A.Kerci, F. Vinnjolli, F.Rulli
Catholic University Our Lady of Good Counsel – Tirana, ALBANIA
“Tor Vergata”University – Rome, ITALY


The dentist’s first responsibility is to guarantee the patient’s interest and health, always acting to
this end: “primum non nocere”. Essential for this purpose is the able of dentist to prevent,
diagnose and treat any Urgency and Medical Emergencies (ME) that may arise in dental practice.
For the sake of clarity we recall that “urgency” is defined as a pathological condition that
requires treatment within 24 hours and that “emergency” means a pathological condition that
requires treatment within 1 hour. Fortunately, ME s in the dental area are rare; nevertheless it is
necessary that the dentist and his collaborators (dental hygienist, armchair assistant, etc.) are able
to recognize and treat, within their recognizable limits, the ME, in consideration that modern
dentistry has not only increased numerically but has made the interventions more aggressive and
long lasting, very often on elderly or physically compromised patients and on pediatrics.
The opinions in the literature and in the international guidelines is that, despite the rarity of the
ME in dentistry, in particular for some of them, the dental area staff must however be competent
(“be competent” of the Anglo-Saxon authors) in practices of the BLS-D, have the theoreticalpractical

knowledge necessary to recognize an emergency situation, be accustomed to adequately
treat the ME within recognized limits dentist. Currently, these required standards are not
observed or met by the Italian dentist, having not been adequately prepared to face and resolve
each ME. We must also stress that this professional lack of preparation is favored by the lack of
guidelines regarding the education and professional training of the dentist in the specific field of
emergencies. It is known, for example, that in many Italian dental offices there is no source of
oxygen and many other both instrumental and pharmacological principals that can be used in