Angina Mediation & Dental Treatments

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Angina Mediation & Dental Treatments

Post 7 in the “Medications and Dental Surgery: How your medical history influences treatment decisions” series discusses Angina medications and how to manage them with dental treatment.

Heart-related chest pain, also known as Angina, indicates that the heart muscle is receiving insufficient oxygen due to a reduced blood supply normally resulting from narrowing of the coronary blood vessels.  These vessels can become very severely narrowed due to a buildup of what is called atheromatous plaques.  These plaques gradually build up in the blood vessels supplying the heart muscle and the chest pains become more frequent, and severe. Medical treatment by an interventional cardiologist becomes necessary.

Patients who suffer episodes of angina, and who have medication for their angina, must bring their medications with them to all dental and surgical appointments.   Angina can be brought on by exercise-induced stress or emotional stress.  Dental treatment, therefore, may cause emotional stress sufficient to initiate angina in some patients.

The most common medications used to treat angina is Glyceryl Trinitrate (oral spray or small tablet placed under the tongue), anti-platelet therapy using daily Aspirin 100mg and beta-blockers including such drugs as Atenolol.

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