Many people wonder whether their dentist needs to know details about their general medical history, particularly when it comes to their prescription medications. It can feel intimidating to open up to a dentist about personal information. Still, a complete health dentist integrates information about your overall health to provide you with the best oral care, so it is important to strive for transparency.
For more information about the comprehensive care provided by complete health dentists, our team at Oak Tree Dental in Poway is here to help. Call us at (858) 748-2101 to learn more.
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.”
Check out what others are saying about our dental services on Google: Tell Your Dentist About Prescriptions in Poway, CA
Check out what others are saying about our dental services on Google: How a dentist can alter treatment depending on a prescription
If patients are taking a prescription medication that they think may interfere with a dental procedure or with their dental treatment otherwise, there is no reason to worry. As long as patients provide this information to their dentist, many workarounds are available to ensure that patients receive high-quality, evidence-based oral care.
Depending on the nature of the patient's prescription, their dentist may need to adjust their dose, have patients stop taking the medication for some time (in coordination with their prescribing physician), or do a blood test before they can proceed with dental care. Complete health dentists are skilled in evaluating and treating the patient as a whole, eyeing the oral-systemic link. They know how to modify treatment plans according to their personal medical profile appropriately.
“Complete health dentists are skilled in evaluating and treating the patient as a whole, eyeing the oral-systemic link.”
Questions answered on this page
Q. Why are patients with heart conditions ineligible for many dental procedures?
Q. Which medications can prevent dental treatments?
Q. How can combining medications affect certain medical conditions?
Q. What happens if I am taking a prescription that interferes with my dental care?
People also ask
Q. How is diabetes affected by oral hygiene?
Q. How do preexisting conditions affect dental care?
Q. What pre-existing conditions are affected by dental health?
Q. How often should a patient get an oral cancer screening?
Q. What lifestyle choices help promote good oral health?
Q. What are some of the reasons one might need a tooth extraction?
Frequently asked questions about opening up to your dentist
First, your dentist will ask questions about the nature of the heart condition, including any medications and procedural history. After reviewing this information and potentially coordinating with your medical doctor, the dentist may prescribe you an antibiotic before the procedure to lower their risk of developing a heart infection known as infective endocarditis.
Most likely, no. According to the American Dental Association, the most current guidelines recommend against prophylactic antibiotics (antibiotics taken before a procedure) in patients who have prosthetic joint implants.
In general, your dentist should know about all of your prescription medications because even if a prescription may not seem related to their oral health, it may interact with medications used by a dentist. For example, as reviewed previously, cardiac medications, anticoagulants, and medications for osteoporosis can affect their dental treatments. Additionally, their dentist will want to know about any history of organ transplants, biological implants, or chemotherapy.
Some patients are, in fact, taking medications that may be negatively impacting their mouth. At the same time, not taking prescribed medications can also affect your oral health. Do not stop taking prescription medicines on your own discretion. In most cases, a physician and dentist will tell you what medication you are being prescribed and its benefits, as well as the risks it carries. Patients who feel their oral health is being affected should communicate that with both their dentist and doctor to try and alter the medication.
Almost all dental treatments have alternative treatments that can be done for patients with certain medical conditions or who are taking certain medications. If the particular treatment does not have alternatives, we may alter the treatment or, when absolutely necessary, speak to the patient's doctor about altering the medication or stopping it for a short period, if possible. Since each treatment differs and has differing levels of necessity, we will discuss the available options with the patients.
Dental terminology
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.
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.
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 refers to a group of diseases that affects how the body produces or responds to the hormone insulin and causes high blood sugar.
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 includes a wide range of cardiovascular issues such as diseased vessels, structural problems, and blood clots.
Hypertension is a condition in which the force of blood pushing against the wall of a person’s blood vessels is consistently too high.
Learn more today
If you are interested in better understanding complete health dentistry and why patient-provider rapport is important, call us at 858-748-2101 to set up an appointment.
Individual results vary. How long a treatment lasts, and how it looks and feels, depends on each patient.