vii.Diureticsi.e. furosemide, HCTZ viii.Pain medications (<1%)i.e. Percocet, Norco II.Smoking cessationa.How it impacts oral health:Tobacco products ↑risk of severe gum disease, teeth discoloration, bonedeterioration, and oral canceri.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 timei.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 patientiv.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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Dentistry, Oral and maxillofacial surgery, American Dental Association, Periodontitis, Pharmacy Interprofessional Experience