Things to tell your doctor before dental treatment

Speaking of dental treatment, you may immediately think of "seeing the teeth", thinking that this is the whole content of treatment. In fact, in order to ensure the safety of oral treatment, patients also need to go through a key link - health assessment. Before treatment, you need to tell your doctor truthfully about your health condition.

The content that needs to be evaluated before seeing a doctor mainly includes the following 5 aspects

1. Do you suffer from the following diseases:

Cardiovascular and cerebrovascular diseases such as coronary heart disease, hypertension, stroke, etc.

Endocrine system diseases such as diabetes, hyperthyroidism (hyperthyroidism), rheumatism, etc.

Blood system diseases such as leukemia, anemia, thrombocytopenic purpura, lymphoma, etc.

Infectious diseases such as hepatitis B, syphilis, AIDS, etc.

2. Whether you used the following drugs in the past or now: such as anticoagulant drugs, chemotherapy drugs, bisphosphonates, hormone drugs and antipsychotic drugs, etc.

3. Whether there is a history of drug allergy: such as penicillin, anesthetics and other allergies.

4. Whether to eat before operation.

5. Whether the woman is menstruating or pregnant.

Why do patients need to inform the dentist of the above situation? Next, let us understand several factors that need to be paid attention to during the diagnosis and treatment process.

1. Patients with cardiovascular disease have weakened heart function and poor blood vessel elasticity. Excessive mental stress or painful stimulation can cause the patient's blood vessels to constrict and blood pressure to rise, causing the blood vessels supplying the heart to fail to meet the heart's needs, thereby inducing angina pectoris, arrhythmia, etc., and even life-threatening in severe cases. If you have cardiovascular disease, be sure to tell your doctor before dental treatment.

2. Suffering from diabetes The continuous high-sugar environment is conducive to the growth and reproduction of certain bacteria in the oral cavity, which is one of the reasons why the oral infection rate of diabetic patients is higher. In order to avoid infection and delayed wound healing, diabetic patients need to control their fasting blood sugar in an appropriate range before undergoing invasive treatments such as tooth extraction. Diabetic patients can have oral treatment 1 to 2 hours after breakfast, when the drug works best. Oral treatment should be withheld if the patient has severe uncontrolled diabetes.

3. Invasive oral treatment of patients with hyperthyroidism may cause mental stimulation and infection, causing patients with hyperthyroidism to have high fever, tachycardia, nausea and vomiting, irritability, delirium and other manifestations of thyroid storm . If patients with hyperthyroidism need to perform oral-related operations, they should be performed under the condition of normal thyroid function, and keep the resting pulse below 100 beats/min and the basal metabolic rate below +20%. Dentists should also pay attention to allowing patients to receive treatment without fear or tension, and monitor the patient's pulse and blood pressure before, during, and after surgery to prevent postoperative infection.

4. Patients with blood system diseases Patients with blood system diseases may experience reductions in platelets, hemoglobin, and white blood cells, which may lead to continuous bleeding, delayed wound healing, and decreased body resistance. If patients with chronic leukemia are in a stable period after treatment, they can receive oral treatment with the cooperation of stomatologists and hematologists, while paying attention to preventing infection and bleeding. Patients with acute leukemia cannot be treated invasively.

5. For patients with infectious diseases , medical staff will take appropriate protection according to the type of infection to avoid cross-infection among patients.

6. The use of special drugs mainly includes anticoagulant drugs, bisphosphonate drugs, chemotherapy drugs, hormone drugs and antipsychotic drugs, etc.

The main function of anticoagulant drugs is to delay the blood clotting time. Such drugs will have a certain impact on the blood coagulation function. Before the invasive oral treatment, the drug users need to accept the blood coagulation function evaluation and take corresponding preventive measures to avoid bleeding after bleeding. Can not coagulate by itself; bisphosphonate drugs are often used to treat diseases such as osteoporosis, and patients who use this type of drug may have osteonecrosis of the jaw after oral surgery; chemotherapy drugs can cause white blood cells, red blood cells, and thrombocytopenia. Patients taking drugs should pay attention to the problems of bleeding and infection; hormonal drugs can cause hyperglycemia, low autoimmunity, etc.; antipsychotic drugs can cause high blood pressure, hyperglycemia, etc.

Inform your dentist before treatment if you have used or are currently using any of the above medications. If you are allergic to certain medicines, please tell us in time.

7. Going to the doctor on an empty stomach The hunger caused by fasting and the nervousness when going to the doctor can easily lead to hypoglycemia and even fainting, especially when the patient needs to inject anesthesia drugs, the risk of hypoglycemia will be higher. Therefore, patients should avoid visiting the doctor on an empty stomach.

8. In the menstrual period During the menstrual period, women's blood is more difficult to coagulate than usual. If patients undergo invasive treatment during the menstrual period, it may cause compensatory bleeding. Moreover, women who are in menstruation have weaker resistance than usual and are at a higher risk of infection. If invasive treatment is required, the menstrual period should be avoided.

9. In the first trimester of pregnancy, the fetus is susceptible to adverse effects. Therefore, in non-emergency situations, women in the first trimester should try to avoid oral treatment. If pregnant women need to see their teeth, it is more suitable during the 4-6 months of pregnancy, but they should be cautious about tooth extraction and medication.