Dental treatment in very high risk patients with active ischemic heart disease

Findler, M; Galili, D; Meidan, Zeev; Yakirevitch, V.; Garfunkel, Adi A.

doi:10.1016/0030-4220(93)90257-5

Cited by 26 publications

(25 citation statements)

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“…Oxyfedrine for emergency dental treatment. Although the dental office environment and dental treatment can increase heart rates and blood pressures, treatment can be safely rendered to patients with ischemic heart disease with adequate anxiety and pain control (10). Antibiotic prophylaxis is recommended for persons with cardiac valvular abnormalities at risk for developing subacute bacterial endocarditis.…”

Section: Amphetamines Asmhonementioning

confidence: 99%

Systemic Diseases and Their Treatments in the Elderly: Impact on Oral Health

Ghezzi¹,

Ship²

2000

J Public Health Dent

102

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The lifespan of the US population is increasing, with the elderly desiring successful aging. This goal is jeopardized as multiple systemic conditions and their treatments become more prevalent with age, causing impaired systemic and oral health and influencing an older person's quality of life. To obtain successful aging, a compression of morbidity must be obtained through prevention and management of disease. This paper describes the most common systemic diseases causing morbidity and mortality in persons aged 65+ years: diseases of the heart, malignant neoplasms, cerebrovascular diseases, chronic obstructive pulmonary disease, pneumonia, influenza, diabetes mellitus, trauma, Alzheimer's disease, renal diseases, septicemia, and liver diseases. Disease prevalence and the impact of medications and other therapeutic measures used to treat these conditions are discussed. Oral sequelae are reviewed with guidelines for early detection of these deleterious consequences, considerations for oral treatment, and patient management. An understanding of the impact of systemic diseases and treatment on oral health is imperative for dental practitioners to appropriately treat and manage older patients with these conditions. With a focus on early detection and prevention, oral health care providers can improve the quality of life of this population and aid in the attainment of successful aging.

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Section: Amphetamines Asmhonementioning

confidence: 99%

Systemic Diseases and Their Treatments in the Elderly: Impact on Oral Health

Ghezzi¹,

Ship²

2000

J Public Health Dent

102

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“…25 Increased pressure in cerebral ves-sels may lead to hemorrhage or cerebrovascular accident, while increased renal vascular pressure may lead to kidney failure. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Hypertension is not diagnosed following a single elevated blood pressure reading; however, an elevated reading on one or multiple occasions may be cause for evaluation by the patient's physician. Similarly, diagnosed hypertensive patients may be monitored routinely for assessment of blood pressure control.…”

Section: Annals Of Periodontology Anesthetic Agentsmentioning

confidence: 99%

Periodontal Implications: Medically Compromised Patients

Mealey

1996

Ann Periodontol

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The presence of systemic disease in patients requiring periodontal therapy creates challenges for management. Alteration of treatment plans, with emphasis on physician consultation and preventive periodontal care, is frequently needed to minimize the impact of periodontal disease on the systemic condition. Conversely, detection and treatment of systemic disorders may impact upon the status of the periodontium and the success of periodontal therapy. The goal of holistic patient management is facilitated by a free flow of information between the patients and their medical and dental health care providers.

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“…However, in others, routine dentistry can be undertaken relatively safely if care is taken, as follows: [17][18][19][20] Detailed assessment of the patient, including consultation with the physician if the patient's medical condition is unstable or has required recent hospital admission (within the past six months). Establ ish what medications the patient is taking, along with the dose and timing, and note any potent ial drug interactions and adverse effects.…”

Section: Cardiovascular Diseasementioning

confidence: 99%