The Medicine Cabinet
By Pamela Myers, RDH
Most patients cannot accurately tell you what medications or dosages they are taking, especially geriatric patients. One patient that I recently treated in the private sector, where I occasionally practice, was an 85-year-old World War II veteran. He is very alert and very agile for his age. But when I inquired about his medications, he simply said, "Well, I take something for my thyroid and a couple of diabetes pills, and something for my heart."
I asked him the names and dosages, and he laughingly said, "Well, they are hard to remember ... It would be easier if they just were called Diabetes pill 1 and Diabetes pill 2."
Sound familiar? In my full-time practice, I am blessed in that I provide care with electronic medical records that provide me with my patient's current medications and dosages in real time. However, access to the patient's current medications may not be enough information. Most patients over the age of 50 are taking at least three prescribed maintenance medications. If your patient population is over the age of 65, it could be on average at least four maintenance prescriptions, plus an assortment of other over-the-counter (OTC) supplements.
Maintenance drugs do not include antibiotics, antivirals, or anti-inflammatory/pain medication prescribed for short-term dosages. What I hope to do with this article is to give practicing hygienists a basic overview of oral side effects of the most commonly prescribed medications, as well as some medications that have adverse oral effects that they and their patients should be aware of.
Gingival hyperplasia, overgrowth of the gum tissue, is common in patients taking anticonvulsants, immunosuppressant drugs, and calcium channel blockers taken by cardiac patients.
Xerostomia, or dry mouth, is prevalent with antihistamines, anticholinergics, antidepressants/antipsychotics, antihypertensives, diuretics, antiulceratives, central nervous system stimulants (CNS), bronchodilators, and some cancer chemotherapeutic agents (see Table 2).
Increased gingival bleeding may occur in patients taking anticoagulants such as aspirin therapy, Plavix (clopidogrel), or Coumadin (warfarin).
The most commonly prescribed medication classes include contraceptives/hormones, analgesics, antilipemics, antihypertensives, antiulceratives, and antipsychotics/antidepressants (see Table 1).
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This could have long-term implications for acerbating bone loss due to periodontal disease. Premarin and other estrogen-containing medications are prescribed as hormone replacement therapy (HRT) for peri- and postmenopausal women and can cause nausea
By Press Release Dental implants are fast becoming the treatment of choice for many. Up to 69 percent of adults ages 35-44 have lost at least one permanent tooth to an accident, gum disease, a failed root canal or tooth decay.
Liver failure has many etiologies, too, including such seemingly innocuous problems as inadequate food intake and gum disease. Your question highlights the importance of building and maintaining a relationship with a veterinarian with whom you
In light of the results of the reviewed research and critical analysis, it is evident that mechanical oral hygiene plays an important part in the prevention and treatment of periodontal disease.(1) 1. van der Weijden F, Slot DE.
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There’s nothing just like having a toothache and throbbing gums to ruin your entire day, all of your week and keep plaguing you with pain for an entire month and much more. Pain is particularly excruciating when you have the type of tooth and gum decay that affects the actual pulp of your teeth in which the most sensitive of nerves are.
Gum disease is an entirely preventable problem, that’s why it is so disappointing to see the statistics of people losing their teeth over it. Dentists have made it a point to teach and inculcate how to treat gum disease, to let patients know how crucial it is to care for the gums as much as possible by brushing and flossing, but to no avail.
There have been campaigns to show the best ways to cure gum disease before the disease gets way too out of hand. If it gets way too complex for mere home remedies, you’re up for gum disease treatment that involves clinics, syringes and medicine. From homeopathy to alternative medicine and finally to the modern medicine we have in the market, there are all kinds of medicines, herbal drinks and tablets that provide relief to pain, but not quite solve the problem of a raging toothache coupled with swelling gums.
Protecting your dental health by daily habits is among the guaranteed methods for promoting a powerful teeth and healthy gums that induce you neither pain suffering. Daily brushing, especially at regular intervals ensures that plaque and bacteria get brushed from the enamel of the teeth as well as in between it. Brushing saves tooth from decay by preventing the build-up of a tougher type of teeth grime called tartar to stay in the top of the teeth or nestle in the middle, causing trouble that may simply be solved by introducing floss into your daily dental health routine.
Not only brushing and flossing, other mouth care practices ought to be included. Gargling is a good method to attack odor-causing germs in the mouth. The simplest gargle are the ones items that have antiseptic properties so that they just don’t mask the odor, however they get rid of the bacteria that creates it. Gargles are available in many various flavours, so it’s simple enough to locate a flavour that you might like which means you shall be asked to utilize it daily.
Stay abreast of a great oral cleanliness and promote the effectiveness of your gums and teeth!
Know the different methods on how to treat gum disease as well as where and who can help us cure gum disease .
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