18 Questions
What type of dental procedures are recommended for patients with mild stable angina?
Dental Procedure I, II, III
For patients with moderate angina, which type of dental procedures are suitable?
Dental Procedure III, IV
In the case of severe angina, what dental management procedures are recommended?
Dental Procedure V, VI
What type of dental procedures are suggested for patients with stable angina pectoris or a history of myocardial infarction?
Dental Procedure I, II
Which patients require prophylactic nitrate in their dental management?
Patients with moderate and severe angina
What is the dental management protocol for patients with mild stable angina?
Type I + mild sedation with N2O/O2
What is the recommended dose of valium (diazepam) for an anxious patient before treatment?
5-10 mg
What is the suggested position for a patient during dental treatment if experiencing anginal pain?
Sitting upright
What medication should be used if there is no relief from anginal pain after taking nitroglycerine?
Vasodilator spray
What vital signs should be recorded for a patient who is anxious before treatment?
Vital signs
What type of anesthesia is recommended for a patient with angina during dental procedures?
Local anesthesia with vasoconstrictor
What should be assumed if there is no relief from angina after the third dose of nitroglycerine?
Myocardial infarction (heart attack)
What are the general guidelines for management of cardiac patients in the dental setting?
Patients should have their 'Nitrate' medication with them. Preoperative sedation with diazepam may be given. Patients should be in a semi-seated position.
When should elective dental treatment be deferred in cardiac patients who have had a recent cardiac event or surgery?
Elective dental treatment should be deferred within 30 days after surgery or attack. Any emergency procedure should be done in a hospital setting.
What is the recommended timeline for providing elective dental treatment to cardiac patients after a cardiac event or surgery?
After 30 days, if the patient is symptom-free, elective dental treatment can be provided with caution.
What precautions should be taken for invasive mandatory dental procedures in cardiac patients with a history of angina?
Invasive mandatory dental procedures should be performed in hospital visits.
What is the significance of considering drug interactions in stable angina patients undergoing dental treatment?
Drug interactions should be considered with NSAIDs, Penicillin, Metronidazole, and Tetracycline to avoid complications.
When should the International Normalized Ratio (INR) be checked in patients with stable angina before extraction or minor surgery?
INR should be provided the day of extraction or minor surgery. If it is within therapeutic range (≥3.5), consider local hemostatic measures.
Test your knowledge on the clinical manifestation of angina, including the characteristics, site, triggers, duration, and management of anginal pain. Understand how anginal pain can be referred to the jaw and teeth, mimicking dental issues. Explore the overlap of nerve pathways in angina manifestation.
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