A patient's medical history is a vital part of his or her dental history and increases the dentist's awareness of diseases and medication which might interfere with the patient's dental treatment.This requires a medical and dental history to be filled out and then reviewed; to; know what the patient wants,; needs and what their limitations are.
There are certain medical conditions that need to be checked with that medications so that proper treatment can be performed.Heart disease in the past, means that you require antibiotics before undertaking any dental treatment, to check; bleeding. The reason being that oral bacteria are released into your blood stream during your dental treatment. These bacteria thrive; in the damaged heart tissue, causing harm.
Ensure that your patient carries his puffer incase he\she is suffering from asthma. Many heart patients use nitro-glycerine when stressed and this should be easily available. Allergies to medications, which can be life-threatening and uncontrolled high blood pressure, may cause serious consequences.
Cardiovascular diseases affect a large section of the population. A wide array of medication; are used to treat such disorders. However the primary mechanisms involve the renin- angiotensin system mediated via renal mechanisms and nervous system control via adrenergic supply.
Common examples of antiarrhythmic drugs: Disopyramide, phosphate, Quinidine, Procainmide, Mexilitene, Verapamil, Diltiazam.
These drugs are used to treat CCF and certain dyrrthymia such as atrial fibrillation.Common drugs used in this; group are: Digoxin.
Bronchial asthma is the most common respiratory disorder encountered by dentist and it is important that they be well versed with the relevant aspects of the disease.
Asthma is a clinical syndrome characterised by signs and symptoms of intermittent and potentially reversible airflow limitation related to bronchial and bronchiolar constriction coupled with hyper-secretion of viscous mucus, superimposed on a background of inflammation.
It can be induced by an allergen or chemical irritant (extrinsic asthma) or by an intrinsic factor such as an infection or emotional distress (intrinsic asthma).
The American Society of Anaesthesiologists classification of asthma is given in the table below:
|ASA Class||Description||Dental Treatment Modifications|
Typical extrinsic or intrinsic asthma
Exercise- induced asthma
||Follow ASA II modification. Administer sedation-inhalation with nitrous oxide, oxygen or oral benzodiazapines if indicated.|
Obtain medical consultation; before beginning treatment.
Provide only emergency care in clinic.
Defer elective care until respiratory status improves or until patient can be treated in controlled environment.
The most important objective is the prevention of complications.The following principles apply in this sense:
The major connective tissue disorders include: Lupus erythmatosus, rheumatoid arthritis, scleroderma, dermatomyositis, Sjogren syndrome.