M. Findler et al., DENTAL TREATMENT IN VERY HIGH-RISK PATIENTS WITH ACTIVE ISCHEMIC-HEART-DISEASE, Oral surgery, oral medicine, oral pathology, 76(3), 1993, pp. 298-300
Citations number
5
Categorie Soggetti
Pathology,Surgery,"Dentistry,Oral Surgery & Medicine
A new method of predental treatment and management for patients with a
ctive ischemic heart disease is reported. Patients with unstable angin
a pectoris or who have just had a myocardial infarction underwent full
treatment for pain-induced dental problems, with the use of an increm
ental three-level antiangina and antianxiety medication: before dental
treatment; in the waiting room, and c) during dental treatment. The s
etting was a tertiary referral oral medical service and hospital denta
l clinic. Twenty-six patients were treated, 16 men, 10 women, ranging
in age from 45 to 68 years. Ten patients with unstable angina pectoris
and 16 patients less than 3 months after a myocardial infarction. All
patients underwent comprehensive dental treatment. Good cardiovascula
r control was achieved, and all the procedures were uneventfully compl
eted. This study indicates the need to reconsider the absolute versus
relative contraindications for dental treatment in patients with activ
e ischemic heart disease and recommends the use of a gradual three-lev
el therapy.