Cardiovascular System
Infective Endocarditis
Dental Management
-Be aware of the source and frequency of bacteremia.
- Be aware of the magnitude of the bacteremia.
Medical Management
Most strains of viridans streptococci, are sensitive to penecillins
For patients unable to tolerate penicillin, vancomycin is most effective.
Signs and Symptoms
Fever, Heart Murmur and Positive blood culture chest pains, shortness of breath. Although clinical presentation may vary!
Hypertension
Dental Management
Concerns with acute rise in blood pressure
May not treat is BP to high.
Medical Management
Series of tests to determine cause. If found
Cause is treated.
Signs and Symptoms
May be Asymptomatic. Main sign
is High Blood pressure.
Ischemic Heart Disease
Dental Management
Before treatment need to consider infection
risk, bleeding and ability to tolerate care.
Medical Management
Identify Disease, Reduce risk factors, may take
medication to manage. Lifestyle changes.
Signs and Symptoms
Chest pain most important sign!
Cardiac Arrhythmias
Dental Management
Identify Patients with history
of this. Avoid event before it happens.
Medical Management
Medication, cardioversion, pacemakers
radiofrequency ablation, etc.
Signs and Symptoms
Lightheadedness, Palpitations, syncope
shortness of breath etc.
Heart Failure
Dental Management
Identify patients with disease. Then determine if risk of
treatment is worth it based on how bad their condition.
Medical Management
Risk reduction. Identifying underlying causes. Eventually drug therapy
Signs and Symptoms
Dyspenia most common