Dental Management of the Cardiovascular Compromised Patient: A Clinical Approach

Singh, S. P.; Gupta, Khushboo; Garg, Kavita Nitish; Fuloria, Neeraj Kumar; Fuloria, Shivkanya; Jain, Teerthesh

doi:10.5530/jyp.2017.9.89

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…On assessing the responses about attitude and awareness on Indications and Contra-indications of various dental procedures following cardiac surgeries it was noted 64.7% of the post-graduates and 52.3% of the under-graduates were aware of the recommended dental procedures. Deppe et al [12], Singh et al [13] evaluated the long-term need for dental treatment and concluded that non-radical dental treatment modes prior to cardiac valve replacement can only be successful over the longterm if adequate postoperative dental care is provided suggesting the need for emergency dental treatment even after surgery however in the present study majority of the study participants (94.3%) lack confidence in treating emergency cases and prefer referring to physician or cardiac specialist before starting any dental procedures.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Awareness towards Dental Management of Post-Cardio-Thoracic Surgery Patients among Dental Students

Johara Maria Cruz,

Keerthi Narayan. V,

Vasumathi.D

2021

Indian Journal of Forensic Medicine & Toxicology

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Background of the Study: Oral health care professionals must be able to identify various cardiac diseases and its associated post-operative dental emergencies to adopt the appropriate measures to treat them efficiently and effectively. A comprehensive dental treatment plan should be constructed keeping in view all the possible complications related to the post-operative cardio-thoracic surgical factors.Aim: This study was aimed to determine the knowledge, attitude and awareness towards dental treatment and their management following Cardio-thoracic surgeries among the dental students at undergraduate and postgraduate level. Methodology:A cross sectional survey was conducted using self-administered questionnaires, through Google forms among 100 dental students from Tamil Nadu India. Statistics has been done and results are tabulated. Results:The overall knowledge towards various cardio-thoracic surgical procedures carried out and their dental management among dental students was only 65% and 45% for postgraduates and interns group respectively. Conclusion:The present study showed lack of awareness with limited knowledge and attitude towards various cardiac-thoracic surgical procedures carried out and their corresponding dental management among the dental students especially at the undergraduate level. Hence enlightening and educating the students on several post-surgical management phases at the undergraduate level is essential for effective and efficient treatment outcome and increase the quality of life.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Awareness towards Dental Management of Post-Cardio-Thoracic Surgery Patients among Dental Students

Johara Maria Cruz,

Keerthi Narayan. V,

Vasumathi.D

2021

Indian Journal of Forensic Medicine & Toxicology

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“…Any discontinuation of this group of drugs requires having the permission of the cardiologist. In patients with prosthetic valves and pacemakers, the anticoagulant drug must not be discontinued, and close consultation must remain between the dental professional and the cardiologist (20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

“…The cardiologist must manage the condition, and a consent letter for completing the dental procedure is required because of the risk of further complications, such as cardiac arrest. Anti-anxiety drugs for reducing the arrhythmic patient stress and sublingual nitrites if chest pain is present are some useful ways to manage this group of cardiac patients (20,14).…”

Section: Cardiac Arrhythmias and Dysrhythmiasmentioning

confidence: 99%

Latest Concepts in Endodontic Management of Patients with Cardiovascular Disorders

Kuzekanani

Gutmann

2019

Eur Endod J

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There are several cardiovascular interventions that need special considerations in the provision of treatments within the scope of endodontics. If these interventions are not carefully identified, diagnosed, and considered in the overall treatment plan for the patient, they may result in fatal conditions. These include hypertension that causes fatal cardiac disorders, such as angina pectoris, ischemic heart diseases, and myocardial infarction, and also cerebrovascular diseases; congestive heart failure; infective endocarditis, valvular diseases, and carrying pacemakers; and the use of antiplatelet and anticoagulant drugs that are commonly prescribed for patients who have experienced heart stroke. The aim of this article is to review the newest recommendations for patients with these disorders who require endodontic treatments.

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“…30 Vitamin K antagonists warfarin and acenocoumarol are used in conditions associated with coronary heart disease, including the prophylaxis of venous thromboembolism, and in patients with arythmias, artificial valves, thrombophilia, and antiphospholipid syndrome. 35,36 In these cases, the administration of vitamin K antagonists should not be stopped before any dental procedures -including procedures of a higher risk of bleeding -if the patient's international normalized ratio (INR) <3 24 h before the planned procedure. 34 If the patient's INR > 3, the attending physician should adjust the therapy to achieve a lower INR.…”

Section: Risk Of Bleeding In Dental Proceduresmentioning

confidence: 99%

Dental treatment of post-myocardial infarction patients: A review of the literature

Samulak-Zielińska

Dembowska

Lizakowski³

2019

Dent. Med. Probl.

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Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life, but also negatively affects the course of ischemic heart disease. Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special consideration with regard to the timing and form of dental treatment as well as to the precautions required. Patients at risk of cardiac complications that are greater than the benefits of dental treatment should be identified and only the most urgent conditions should be treated. The aim of this study was to present the latest guidelines for dental treatment in patients who have suffered myocardial infarction. We reviewed the available literature explaining when dental treatment can be undertaken, whether antibiotic prophylaxis is required, whether the patient can be anesthetized locally, and how to provide the maximum safety during the visit. The principles of the surgical treatment of patients receiving drugs that affect hemostasis were also reviewed.

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Dental Management of the Cardiovascular Compromised Patient: A Clinical Approach

Cited by 14 publications

References 16 publications

Knowledge and Awareness towards Dental Management of Post-Cardio-Thoracic Surgery Patients among Dental Students

Knowledge and Awareness towards Dental Management of Post-Cardio-Thoracic Surgery Patients among Dental Students

Latest Concepts in Endodontic Management of Patients with Cardiovascular Disorders

Dental treatment of post-myocardial infarction patients: A review of the literature

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