Tell Your Dentist About Prescriptions San Jose, CA
Although prescription medications each carry their own set of side effects, many affect oral health and dental treatment. Patients who are undergoing medical treatment or have ongoing conditions requiring medication may not be open with their dentist about the prescriptions they are taking. Despite the risks of ineligibility for certain dental treatments, the dentist must be aware of medications taken to best care for the patient's oral health concerns.
Patients who build a strong rapport with their dentist increase the likelihood of proper treatment, preventative treatment, and altering medications to suit oral needs. At the same time, they are aware of the risks that medical and oral medications have when combined as well as procedures that put them at a higher risk of other complications. After discussing medical history and prescribed medications with a complete health dentist, a patient can outweigh the risks and rewards and come to a sound conclusion.
Complete health dentistry information is available at NuSmile Dental & Orthodontics in San Jose and the surrounding area. We can discuss the importance of building rapport and effective communication with your primary dental provider. Call us at (408) 791-2800 to schedule a consultation appointment to go over prescriptions that may affect your dental treatment eligibility.
Heart Conditions
A primary dental provider should be aware of all conditions, medications, and prior treatments of their patients, especially those for more serious problems, such as heart disease. According to The Academy of General Dentistry, "the most common cause of drug-related interactions is the doctor's lack of information about your medical history." It is important to relay all medical conditions, medical history, medications, supplements, vitamins, allergies, and any adverse reactions that result from medications or treatments.
Despite oral hygiene's positive effect on the heart, patients with heart conditions may be ineligible for certain dental procedures. Invasive dental procedures, such as periodontal treatment, may increase the risk of heart attacks and strokes. Some procedures boost inflammation in the body as it responds to bacteria entering the bloodstream after surgery. If the treatment is more detrimental than the condition itself and poses the risk of ineligibility, then a complete health dentist can weigh the circumstances and offer alternatives.
“Despite oral hygiene’s positive effect on the heart, patients with heart conditions may be ineligible for certain dental procedures.”
Medications That Limit Treatments
Among the most common medications that can prevent dental treatment is for high blood pressure. A Hindawi medical research journal states, "it is generally recommended that emergency dental procedures be avoided in patients with a blood pressure of greater than 180/110 mmHg." Due to the high prevalence of disease and medication use for hypertension, complete health dentists are aware of antihypertensive medications' oral side effects.
Complete health dentists understand the risks of dual-drug interactions of certain medical prescriptions with medications commonly used during dental visits. The term medically-compromised refers to patients with "impaired health statuses, such as pregnancy, or patients with systemic diseases like ischemic heart disease, congenital heart disease, liver disease, renal disease, asthma, patients with immunodeficiency and patients with altered immune status." Patients who do not disclose medical conditions and medications with their dentist while undergoing dental treatment may risk worsening their medical status or even result in fatality.
“Due to the high prevalence of disease and medication use for hypertension, complete health dentists are aware of the oral side effects of antihypertensive medications.”
Mixing Dental and Medical Prescriptions
Many adverse reactions occur due to drug interactions between medical and dental medications, especially when providers are unaware of a patient's history or present prescriptions. Since most drug interactions are harmful or even deadly, primary care providers and complete health dentists understand which medications to prescribe when coupled with prescriptions for other medicines.
Patients must set aside their personal wishes for treatment when more serious conditions require ongoing medication that may interfere with dental procedures. A study on common dental drug interactions finds that "a thorough medical and drug history of all prescription, OTC, and herbal products must be taken and documented and reviewed at every dental visit." This prevents adverse reactions, doubling symptoms, and fatal risks from occurring and allows dentists to be proactive in finding alternative measures.
“Patients must set aside their personal wishes for treatment when more serious conditions require ongoing medication that may interfere with dental procedures.”
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Altering Treatment Based on Medications
Many health conditions require medications that must be taken and pose fatal risks if a patient stops taking them. Complete health dentists have extensive background and education regarding systemic health conditions requiring medications and their adverse effects when coupled with oral medications. They can adjust dosages, prescribe alternatives, and alter dental treatments to fulfill their patient's needs.
It may be necessary to alter non-invasive dental treatments for patients with pre-existing medical conditions or patients taking certain medications. It is also possible to postpone or alter invasive treatments and surgeries if medications pose risks or interfere with a patient's medical condition. Complete health dentists can initiate, modify, and alter treatment based on medical history with the discretion of the patient's primary care provider and prescribe medications that sync with those the patient is already taking.
“It may be necessary to alter non-invasive dental treatments for patients with pre-existing medical conditions or patients taking certain medications.”
Questions Answered on This Page
Q. Why are patients with heart conditions ineligible for many dental procedures?
Q. Which medications can prevent dental treatments?
Q. How can combining medications affect certain medical conditions?
People Also Ask
Q. How do preexisting conditions affect dental care?
Q. Am I at high risk for developing oral cancer?
Q. How can I find out if my employer's plan covers dental treatments?
Q. How does medication for diabetes impact oral hygiene?
Q. What lifestyle choices help promote good oral health?
Q. What are some of the reasons one might need a tooth extraction?
Frequently Asked Questions About Opening Up to Your Dentist
Q. How do dentists treat patients with heart valve conditions?
A. First, your dentist will ask questions about the nature of the heart condition, including any medications and procedural history. After reviewing this information and potentially coordinating with your medical doctor, the dentist may prescribe you an antibiotic before the procedure to lower their risk of developing a heart infection known as infective endocarditis.
Q. Will a dentist prescribe an antibiotic if I have had a joint replacement?
A. Most likely, no. According to the American Dental Association, the most current guidelines recommend against prophylactic antibiotics (antibiotics taken before a procedure) in patients who have prosthetic joint implants.
Q. What other conditions or prescriptions are important for my dentist to know about?
A. In general, your dentist should know about all of your prescription medications because even if a prescription may not seem related to their oral health, it may interact with medications used by a dentist. For example, as reviewed previously, cardiac medications, anticoagulants, and medications for osteoporosis can affect their dental treatments. Additionally, their dentist will want to know about any history of organ transplants, biological implants, or chemotherapy.
Q. Can taking or not taking my prescription medications affect my mouth?
A. Some patients are, in fact, taking medications that may be negatively impacting their mouth. At the same time, not taking prescribed medications can also affect your oral health. Do not stop taking prescription medicines on your own discretion. In most cases, a physician and dentist will tell you what medication you are being prescribed and its benefits, as well as the risks it carries. Patients who feel their oral health is being affected should communicate that with both their dentist and doctor to try and alter the medication.
Q. Are there alternative dental treatments for patients currently taking interactive medications?
A. Almost all dental treatments have alternative treatments that can be done for patients with certain medical conditions or who are taking certain medications. If the particular treatment does not have alternatives, we may alter the treatment or, when absolutely necessary, speak to the patient's doctor about altering the medication or stopping it for a short period, if possible. Since each treatment differs and has differing levels of necessity, we will discuss the available options with the patients.
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Dental Terminology
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Helpful Related Links
- American Dental Association (ADA). Glossary of Dental Clinical Terms. 2026
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