vii Diuretics ie furosemide HCTZ viii Pain medications 1 ie Percocet Norco II

Vii diuretics ie furosemide hctz viii pain

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vii. Diuretics i.e. furosemide, HCTZ viii. Pain medications (<1%) i.e. Percocet, Norco II. Smoking cessation a. How it impacts oral health: Tobacco products ↑risk of severe gum disease, teeth discoloration, bone deterioration, and oral cancer i. Pharmacological TX options for smoking cessation: 1. Nicotine Replacement Therapy (NRT) a. Transdermal patches b. Gum c. Lozenges 2. Chantix (varenicline) 3. Zyban (bupropion SR) III. Anticoagulants and Antiplatelets a. How it impacts oral health: ↑ risk of bleeding and prolongs healing time i. For extensive surgery, root removal, or bone removal, consider reducing or holding anticoagulation therapy ii. If holding warfarin , time held should be based on severity of procedure, age of patient, current INR, indication, and current dose of warfarin iii. If holding an Factor Xa inhibitor , length of days held before procedure should be based on CrCl of patient iv. Aspirin (ASA) as a sole antiplatelet agent used for ischemic stroke prevention is safe to continue during dental procedures v. Premature discontinuation of patients on dual anti-platelet therapy may increase risk of stent thrombosis leading to a myocardial infarction or death (i.e. ASA + clopidogrel, Effient (prasugrel), or ticagrelor) 1. The American Heart Association in collaboration with the American Dental Association along with other professional healthcare organizations stresses a 12- month therapy of dual antiplatelet therapy after placement of a drug-eluting stent in order to prevent thrombosis at the stent site. Any elective surgery should be postponed for 1 year after stent implantation, and if surgery must be performed,
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  • Spring '17
  • Pharmacology, Dentistry, Oral and maxillofacial surgery, American Dental Association, Periodontitis, Pharmacy Interprofessional Experience

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