Monday, November 14, 2011

Drugs Affect Your Dental Health --- and Your Dental Treatment

We often get asked: "Why do you need to know my medical history at the Dentist?"

You many not have considered the impact of prescription medications and even over-the-counter drugs can have on your oral health, and on the dental treatment you receive.  Informing us of your medical history is important because the medications you have taken or are currently taking can have dental health effects or potential sided effects and possible interactions with drugs that we may or may not administer.

Sometimes it is necessary to prescribe antibiotics with certain dental procedures.  But, if you are taking oral contraceptives, be sure to let our dental staff know.  Taking tetracycline or penicillin could reduce the effectiveness of an oral contraceptive.  Another important thing that we need to know is your heart history.

If you have heart disease or a special heart condition, it is critical that we know your medical status.  During dental treatment, bleeding may occur and cause bacteria from the mouth to enter the bloodstream and work its way to the heart.  To help prevent this from happening we can prescribe antibiotics for appropriate procedures, such as teeth cleaning or teeth extractions.  Likewise, let us know if you have an artificial joint.  Antibiotics are recommended for some patients with artificial joints who also have some other medical conditions.

Another aspect we look for is a very common side effect of many drugs, such as antihistamines and antidepressants - dry mouth.  Inadequate saliva flow in the mouth can contribute to cavities and gum disease.  We can help you deal with this condition.

Some other things to inform us:
·        If you have ever had an unusual reaction to any drug;
·        If you are taking any prescription or over-the-counter drugs, including vitamins;
·        If you are planning to have surgery with a general anesthetic in the near future;
·        If you have any serious medical problems;
·        If you are pregnant or breast-feeding a baby.

Thanks for reading, and next time we ask for your medical history, know that we really have your best interest in mind!

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