Dentistry and Medical Complexities

Abstract

Dentistry is a safe profession, even for most medically complex patients. In several cases, fear treating such patients may be based not on scientific specifics but rather on amythology of the dangers of dentistry. The complexities of anticoagulation, artificial joint infections, local anesthetics with or without vasoconstrictors, and endocarditis are discussed. Neither continuous anticoagulation nor antiplatelet medications should be withdrawn for dental surgery. Most artificial joint patients should not receive antibiotic prophylaxis. Local anesthetics and vasoconstrictors can be used safely in most medically complex patients. Although dental treatment is not usually a risk factor for endocarditis, practitioners should consult the updated 2008 American Heart Association statement for recommendations for endocarditis prevention.




J Curr Surg. 2015;5(2-3):157-159
doi: http://dx.doi.org/10.14740/jcs187e