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Related Experiment Videos

Dentistry and the medically compromised patient.

R A Seymour1

  • 1School of Dental Sciences, University of Newcastle upon Tyne, Framlington Place, Newcastle upon Tyne NED2 4BW.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|December 2, 2004
PubMed
Summary

Oral health significantly impacts dental care delivery, with potential links to coronary artery disease. Certain medications can cause adverse oral effects like gingival overgrowth, necessitating careful patient management.

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Area of Science:

  • Oral Medicine
  • Cardiology
  • Pharmacology

Background:

  • Medical conditions and drug therapies can affect oral health and dental care.
  • The link between oral health and coronary artery disease is a significant area of emerging research.
  • Some commonly cited medical precautions in dental care lack strong evidence.

Purpose of the Study:

  • To review the impact of medical conditions and drug treatments on oral health and dental care.
  • To explore the association between oral health and coronary artery disease.
  • To discuss drug-induced gingival overgrowth and its risk factors.

Main Methods:

  • Literature review and synthesis of existing evidence.
  • Analysis of the relationship between oral health and systemic diseases, particularly coronary artery disease.

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  • Identification of risk factors for drug-induced gingival overgrowth.

    • Main Results:

    • Evidence suggests oral health may be a risk factor for coronary artery disease, though causality is not yet established.
    • Drug-induced gingival overgrowth is a notable adverse effect of certain medications (e.g., phenytoin, ciclosporin, calcium channel blockers).
    • Risk factors for drug-induced gingival overgrowth include age, sex, periodontal status, and drug pharmacokinetics.

    Conclusions:

    • The connection between oral health and coronary artery disease warrants further investigation and may enhance the importance of oral care.
    • Overstated precautions for certain medical conditions in dentistry should be critically evaluated.
    • Understanding drug effects on oral tissues is crucial for effective dental treatment planning.