Altering anticoagulation therapy: a survey of physicians
Article Abstract:
Physicians appear to disagree about whether and under what circumstances patients taking anticlotting medication should alter their regimen before dental procedures. Of concern is the risk of bleeding with the procedure versus the risk of embolism if the patient temporarily reduces or stops taking medication. Ninety-five Delaware hematologists, cardiologists, internists, and family practitioners responded to a survey. One-quarter would not reduce warfarin therapy and nearly half would not reduce aspirin therapy for any dental procedure. Opinion varied according to medical condition and type of procedure. Nearly one-third of respondents recommended altering therapy before a root canal versus 11% before a professional cleaning. This shows a lack of understanding of the potential for bleeding during dental procedures because root canals cause little or no bleeding compared with cleaning. The American Dental Association (ADA) has stated that most patients taking anticlotting medications can safely undergo even surgical procedures, but this discrepancy between the ADA and physicians leaves dentists without clear guidance.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1996
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Prevalence of cusp fractures in teeth restored with amalgam and with resin-based composite
Article Abstract:
Many dentists believe that teeth restored with amalgam are more likely to be associated with cusp fractures than those restored with resin-based composite. However, the results of a study indicated that there is no significant difference in the prevalence of cusp fractures in amalgam-restored teeth and resin-based composite-restored teeth but the teeth in older people are more likely to suffer a cusp fracture.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2004
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Pain on injection of prilocaine plain vs. lidocaine with epinephrine: a prospective double-blind study
Article Abstract:
Prilocaine is no more effective in preventing pain during an anesthetic injection than lidocaine combined with epinephrine, according to a study of 310 patients. Some dentists use prilocaine first and then lidocaine and epinephrine because they believe prilocaine produces less pain on injection. However, this two-anesthetic technique may not be necessary.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2001
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