DENTAL TREATMENT IN VERY HIGH-RISK PATIENTS WITH ACTIVE ISCHEMIC-HEART-DISEASE

Citation
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
ISSN journal
00304220
Volume
76
Issue
3
Year of publication
1993
Pages
298 - 300
Database
ISI
SICI code
0030-4220(1993)76:3<298:DTIVHP>2.0.ZU;2-X
Abstract
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.