By Mea A. Weinberg, Stuart L. Segelnick, Joseph S. Insler, Samuel Kramer
With expanding numbers of dental sufferers being aged or having health conditions, it is necessary for the dentist to appreciate how those stipulations could impression dental therapy. The Dentist’s speedy advisor to scientific Conditions offers the appropriate details dentists need—symptoms, diagnostic assessments, medicines prescribed, and dental management—for every one disorder and . Chapters will concentrate on every one significant physically process, together with breathing, cardiovascular, hematologic, endocrine, gastrointestinal, immune, frightened, reproductive, and urinary, in addition to chapters at the liver, kidneys, epidermis, and mental stipulations. Appendices record directions for antibiotic prophylaxis, extra stipulations requiring antibiotics, and a short checklist of diagnostic assessments
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Extra resources for The Dentist's Quick Guide to Medical Conditions
Sample text
New York), a sleep study by a physician is necessary for diagnosis before a dentist can treat OSA. 7. Every dentist should do active screening for sleep apnea. 8. Never make snore appliance without prior testing for sleep apnea. W. & Andreana, S. (2002) Risk and prevention of transmission of infectious diseases in dentistry. Quintessence International, 33, 376–382. L. & Pepin, S. (2013) Obstructive sleep apnea and nonarteritic anterior ischemic optic neuropathy: evidence for an association. Journal of Clinical Sleep Medicine, 9(6):613–618.
Best to prescribe an alternative antibiotic. ●● Clarithromycin + systemic corticosteroids = may increase the risk of QT prolongation and cardiac arrhythmias. Monitor or use alterative antibiotic. ●● Interactions with aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs): Samter’s triad [also referred to as aspirin-exacerbated respiratory disease (AERD)] is a condition that occurs when aspirin or NSAIDs trigger an asthmatic attack in about 3–5% of individuals with asthma. Exacerbated respiratory disease is a clinical condition consisting of a combination of nasal polyps, chronic hypertrophic eosinophilic sinusitis, asthma, and sensitivity to any medication that inhibits cyclooxygenase-1 enzymes, namely, aspirin and other NSAIDs (Lee and Stevenson 2011).
Treatment consists of administration of activated vitamin D and monitoring of serum calcium and phosphate levels (Andress 2005; Holick 2005; Al-Badr and Martin 2008; Kestenbaum 2008). Diagnostic tests/lab results Measurement of the GFR is used to assess the severity of renal disease and shows the ability of the kidney to clear creatinine, a nitrogenous waste blood product produced by the muscles. The plasma concentration of creatinine depends on the rate of excretion by the kidneys. When the GFR is impaired, the serum creatinine level increases while the creatinine clearance (CrCl) rate decreases.