Some of medical conditions that affect dental treatment
Many a times the dental pain is so severe that patients just want to get the tooth extracted no matter what.Dentists do recognize the pain and distress patients undergo but the protocol wisely needs to be followed.He needs to take a proper medical history in order to prevent untoward incident.
Another familiar condition dentists do come across is that, in excruciating pain patients demand the tooth to be extracted.However discomforting the pain is, in such conditions antibiotic coverage is necessary else the local anaesthesia does not act and the pain of extraction without proper antibiotic coverage is much more severe than the toothache itself.
We will have a look a certain medical conditions that make it necessary for the dental treatment to be delayed slightly for patients safety.
Some of medical conditions that affect dental treatment
Hypertension: Its a common condition characterized by high blood pressure.Patients with uncontrolled hypertension are at risk for a stroke, kidney failure, or heart attack. Since stress will increase blood pressure, dental treatment is contraindicated in patients with severe hypertension. Patients presenting with a systolic pressure between 120 to 139 should be advised to monitor their readings for improvement and see their physician for assessment. As a rule, patients with a systolic pressure greater than 160 and/or a diastolic pressure greater than 95 should be referred for medical consultation and treatment and dental treatment should be delayed.
In case if under high blood pressure, extraction is carried out it may result in excessive bleeding loss.The blood from the extraction site does not stop and then it becomes an emergency.
Hence always tell a dentist of your high blood pressure problems to avoid undue emergency during a dental visit.
Many a times the dental pain is so severe that patients just want to get the tooth extracted no matter what.Dentists do recognize the pain and distress patients undergo but the protocol wisely needs to be followed.He needs to take a proper medical history in order to prevent untoward incident.
Another familiar condition dentists do come across is that, in excruciating pain patients demand the tooth to be extracted.However discomforting the pain is, in such conditions antibiotic coverage is necessary else the local anaesthesia does not act and the pain of extraction without proper antibiotic coverage is much more severe than the toothache itself.
We will have a look a certain medical conditions that make it necessary for the dental treatment to be delayed slightly for patients safety.
Some of medical conditions that affect dental treatment
Hypertension: Its a common condition characterized by high blood pressure.Patients with uncontrolled hypertension are at risk for a stroke, kidney failure, or heart attack. Since stress will increase blood pressure, dental treatment is contraindicated in patients with severe hypertension. Patients presenting with a systolic pressure between 120 to 139 should be advised to monitor their readings for improvement and see their physician for assessment. As a rule, patients with a systolic pressure greater than 160 and/or a diastolic pressure greater than 95 should be referred for medical consultation and treatment and dental treatment should be delayed.
In case if under high blood pressure, extraction is carried out it may result in excessive bleeding loss.The blood from the extraction site does not stop and then it becomes an emergency.
Hence always tell a dentist of your high blood pressure problems to avoid undue emergency during a dental visit.
Syncope
Syncope, or fainting, is the most common emergency in the dental office.Patients should be asked if they have ever experienced a fainting episode in a dental office, or at any time in their life. It is most commonly associated with heavy coughing, orthostatic hypotension, and medication. Syncope can happen to any person at any age but are more common with pregnant and geriatric patients.
Patients who go to a dentist without having a proper meal or food in sufficient amount are at high risk for developing syncope.
Cardiovascular Disease
As far as possible dental treatment should be delayed for 6 moths post myocardial infarction commonly known as heart attack.Its because post heart attack another attack is most likely to occur within first six months after the first one even after treatment.
Patients on aspirin need to stop it 4 days before extraction only after consulting a physician.This is because aspirin does not allow the blood to clot.Clotting of blood is needed after extraction to stop blood flow.
Seizure Disorder
Seizure disorder is caused by an electrical disturbance in the brain. Any person can experience a seizure in a stressful situation and approximately half of all seizures are considered idiopathic. Epilepsy is a condition commonly associated with a syndrome of associated seizure types.
When a known epileptic patient is scheduled for treatment, the dental team should determine if the patient has taken his/her anti-seizure medication. These patients should be scheduled for short appointments, when they are well rested. Patients often report an aura before experiencing a seizure. This aura can be a sound, feeling, or smell. Shining a bright light in the patient’s eyes should be avoided, since this has been known to trigger a seizure.
Patients who are taking oral anticonvulsant medications, such as Dilantin, Zarontin, or Depacon, may experience gingival hyperplasia. Emphasis must be placed on meticulous home care to prevent serious periodontal problems and the increased need for regular dental visits.
Asthma
Asthma is a chronic respiratory disorder that results in a narrowing of airways. An asthma attack can be triggered in several ways including environmental allergens, medications, or exercise. Patients with asthma may be prone to an attack or episode brought on by the stress of dental treatment, or exposure to an allergen like latex. The patient must always be instructed to bring his/her medication/inhaler to each appointment. When the health history is reviewed at the beginning of treatment, the patient should be able to produce the medication or inhaler just in case it is needed.
These are just some of the conditions that have an impact on patients overall health and can have consequences if unchecked before dental treatment is undertaken.
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