Transcript Guidelines in Treatment of Cardiovascular Patient

Group7
黃凱仁 陳彥廷
林晉宇 廖家祥
吳拓 林益賢
Contents
Introduction
 Periodontal disease
 Guidelines pre-surgery
 Prevention
 Conclusion

Introduction
Periodontitis

a set of inflammatory diseases affecting
the periodontium

caused by microorganisms that adhere
to and grow on the tooth's surfaces,
along with an over-aggressive immune
response against these microorganisms
Management


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Nonsurgical cleaning:
removal of microbial plaque and
calculus by scaling and debridement
Surgery:
definitive calculus removal and surgical
management of bony irregularities which
have resulted from the disease process
to reduce pockets as much as possible
What should dentists know?

have recently had heart surgery

have heart disease

have suffered a heart attack

angina(chest pain)
Angina(chest pain)
stable angina
 unstable angina
 drugs (calcium channel
blocker) gingival hyperplasia

Recommend
reduce stress
 1. sleeping well
 2. avoiding caffeine
 bring medications

Congestive heart failure
Systolic malfunction
(inability for the heart to contract)
 Diastolic malfunction
(inability for the heart to relax)

Recommend
Hospital clinic
 should not stay lying down too long
 Having a slower movement
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Medication

Many medications prescribed to treat
congestive heart failure may cause
xerostomia (dry mouth)
Infective endocarditis
infection of the heart valves.
 bacteria or other micro-organisms enter
the body and reach the heart

Guidelines in Treatment of
Cardiovascular Patients
A proper assessment
 Good communication
 Premedication should be considered to
relieve nervousness
 Terminate any procedure if the patient is
overly anxious
 Be prepared for emergencies

Prevention
Angina
 Myocardial infarction
 Arrhythmia
 Endocarditis, rheumatic heart disease

Angina

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
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consultation to the patient's physician .
minimize patient’s anxiety before, during and after
the treatment.
Prepare NTG tablets or spray, use it or not is
depending on the situation before treatment.
Prepare oxygen, as the case may be used in therapy.
Make sure the depth of anesthesia is enough for
therapy.
Consider row nitrous oxide calm.
maintaining communication with the patient
treatment, pay attention to the patient’s signs of life.
Limitation Epinephrin used in 0.04mg or less. (4ml in
1: 100,000).
Myocardial infarction
Note whether patients taking
anticoagulants.
 myocardial infarction is not suitable for
any dental treatment within six months,
because the recurrence rate is very high.
In case of emergency dental referral is
recommended to large institutions.

Arrhythmia
Arrhythmia patients often take
anticoagulants or have a pacemaker, the
one who has heart rate regulator
patients should not use the electric
shock.
 0.04mg limit Epinephrin used in the
following. (4ml in 1: 100,000).

Endocarditis, rheumatic heart
disease
Valvular heart is the reason of endocarditis
 Examples: Artificial valves, congenital heart
defects, rheumatic heart disease, valvular
heart degradation, aortic sclerosis, mitral
regurgitation and prolapse do, endocarditis
patients
 For these patients, the dentists should give
prophylactic antibiotic treatment like Amoxicillin
when doing dental invasive treatment

Conclusion

Proper diagnosis and treatment

Regular dental exams
Thank you for your listening !