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Medically Compromised Patients

Are there adverse drug reactions to local anesthetics?

This summary is based on the article published in the Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology journal: Adverse drug reactions to local anesthetics: a systematic review (March 2013) Context  Local anesthetics (LAs) are widely used, especially in oral and ophthalmologic treatments. The types, doses, means of administration of LAs, and combined drugs are the main factors that could induce adverse drug reactions. Purpose of the Review Analyze adverse drug reactions (ADRs) associated with local anesthetics (LAs) and to characterize the safety profile of LAs in clinical application. Results A total of 922 articles were retrieved, and 101 of them, containing 1,645 events, ...

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At a glance: what are the common medical conditions that predispose patients to dental problems?

This post is based on the section on “Dental care for patients with systemic disorders” of the MERCK Manual website Hematological Disorders Disorders that interfere with coagulation which require consultation with the patient’s general practitioner.  Cardiovascular Disorders Cardiovascular disease is a disease of the heart blood vessels which includes numerous problems. Many of these problems are related to a process called atherosclerosis, a condition that develops when a substance called plaque builds up in the walls of the arteries.  Cancer Extracting a tooth adjacent to a carcinoma of the gingiva, palate, or antrum facilitates invasion of the alveolus (tooth socket) ...

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How can you deliver effective oral hygiene instruction to children with autism?

This question was submitted by a general dentist: “How can we deliver effective oral hygiene instruction to children with autism?” Dr. John O’Keefe, Director of Knowledge Networks at CDA interviewed Dr. Clive Friedman,  past President of the International Association for Disability and Oral Health (IADH) and current member of IADH Education Committee Understanding your patient is crucial The key to success in treating an autistic child is to follow an approach based on understanding the patient, not only in terms of their diagnosed condition, but also of their psychosocial environment. It is important to understand where a child fits on ...

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