Tell Your Dentist About Prescriptions
Although prescription medications each carry their own set of side effects, many affect oral health and dental treatment. Patients undergoing medical treatment or have ongoing conditions requiring medication may not be open with their dentist about the prescriptions they are taking. Despite the risks of ineligibility for certain dental treatments, the dentist must be aware of medications taken to best care for the patient's oral health concerns.
Patients who build a strong rapport with their dentist increase the likelihood of proper treatment, preventative treatment, and altering medications to suit oral needs. At the same time, they are aware of the risks that medical and oral medications have when combined as well as procedures that put them at a higher risk of other complications. After discussing medical history and prescribed medications with a complete health dentist, a patient can outweigh the risks and rewards and come to a sound conclusion.
Complete health dentistry information is available at Coronado Dentistry & Pediatrics in Coronado and the surrounding area. We can discuss the importance of building rapport and effective communication with your primary dental provider. Call us at (619) 354-5136 to schedule a consultation appointment to go over prescriptions that may affect your dental treatment eligibility.
Heart Conditions
A primary dental provider should be aware of all conditions, medications, and prior treatments of their patients, especially those for more serious problems, such as heart disease. According to The Academy of General Dentistry, "the most common cause of drug-related interactions is the doctor's lack of information about your medical history." It is important to relay all medical conditions, medical history, medications, supplements, vitamins, allergies, and any adverse reactions that result from medications or treatments.
Despite oral hygiene's positive effect on the heart, patients with heart conditions may be ineligible for certain dental procedures. Invasive dental procedures, such as periodontal treatment, may increase the risk of heart attacks and strokes. Some procedures boost inflammation in the body as it responds to bacteria entering the bloodstream after surgery. If the treatment is more detrimental than the condition itself and poses the risk of ineligibility, then a complete health dentist can weigh the circumstances and offer alternatives.
“Despite oral hygiene’s positive effect on the heart, patients with heart conditions may be ineligible for certain dental procedures.”
Medications That Limit Treatments
Among the most common medications that can prevent dental treatment is for high blood pressure. A Hindawi medical research journal states, "it is generally recommended that emergency dental procedures be avoided in patients with a blood pressure of greater than 180/110 mmHg." Due to the high prevalence of disease and medication use for hypertension, complete health dentists are aware of antihypertensive medications' oral side effects.
Complete health dentists understand the risks of dual-drug interactions of certain medical prescriptions with medications commonly used during dental visits. The term medically-compromised refers to patients with "impaired health statuses, such as pregnancy, or patients with systemic diseases like ischemic heart disease, congenital heart disease, liver disease, renal disease, asthma, patients with immunodeficiency and patients with altered immune status." Patients who do not disclose medical conditions and medications with their dentist while undergoing dental treatment may risk worsening their medical status or even result in fatality.
“Due to the high prevalence of disease and medication use for hypertension, complete health dentists are aware of the oral side effects of antihypertensive medications.”
Mixing Dental and Medical Prescriptions
Many adverse reactions occur due to drug interactions between medical and dental medications, especially when providers are unaware of a patient's history or present prescriptions. Since most drug interactions are harmful or even deadly, primary care providers and complete health dentists understand which medications to prescribe when coupled with prescriptions for other medicines.
Patients must set aside their personal wishes for treatment when more serious conditions require ongoing medication that may interfere with dental procedures. A study on common dental drug interactions finds that "a thorough medical and drug history of all prescription, OTC, and herbal products must be taken and documented and reviewed at every dental visit." This prevents adverse reactions, doubling symptoms, and fatal risks from occurring and allows dentists to be proactive in finding alternative measures.
“Patients must set aside their personal wishes for treatment when more serious conditions require ongoing medication that may interfere with dental procedures.”
Altering Treatment Based on Medications
Many health conditions require medications that must be taken and pose fatal risks if a patient stops taking them. Complete health dentists have extensive background and education regarding systemic health conditions requiring medications and their adverse effects when coupled with oral medications. They can adjust dosages, prescribe alternatives, and alter dental treatments to fulfill their patient's needs.
It may be necessary to alter non-invasive dental treatments for patients with pre-existing medical conditions or patients taking certain medications. It is also possible to postpone or alter invasive treatments and surgeries if medications pose risks or interfere with a patient's medical condition. Complete health dentists can initiate, modify, and alter treatment based on medical history with the discretion of the patient's primary care provider and prescribe medications that sync with those the patient is already taking.
“It may be necessary to alter non-invasive dental treatments for patients with pre-existing medical conditions or patients taking certain medications.”
Questions Answered on This Page
Frequently Asked Questions About Opening Up to Your Dentist
New patients and emergency appointments welcome
Dental Terminology
Cosmetic Dentistry
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the function) of a person’s teeth, gums and/or bite.
Dental Checkup
A dental checkup is an appointment that involves cleaning the teeth, identifying any signs of infection and removing said signs of infection at least once every six months in the office.
Dentist
A dentist, also known as a dental surgeon, is a doctor who specializes in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity.
Diabetes
Diabetes refers to a group of diseases that affects how the body produces or responds to the hormone insulin and causes high blood sugar.
Drug Interaction
A drug interaction happens when two or more drugs react with each other causing unexpected side effects that can be harmful to the person taking the drugs.
Heart Disease
Heart disease includes a wide range of cardiovascular issues such as diseased vessels, structural problems, and blood clots.
Hypertension
Hypertension is a condition in which the force of blood pushing against the wall of a person’s blood vessels is consistently too high.
Medically Compromised Patient
A patient is medically compromised when they have an impaired health status such as immunodeficiency and heart disease.
OTC Medications
Drugs or medications that can be legally sold to patients without a prescription.
Preventive Dentistry
Preventive dentistry is the dentistry that focuses on maintaining oral health in order to prevent the spread of plaque, the formation of tartar and infections in the mouth.