Medical History Update for Oral Surgery

Medical History Update for Oral Surgery

Bleeding Issues
Medication:  Coumadin   Plavix   Pradaxa Xarelto Eliquis  Aspirin  Antineoplastics     any blood thinners including garlic
Diseases:    Liver diseases
Conditions:  Clotting issues
Healing Issues
Smoker?          Dry Mouth?         Birth control?
Diseases:     Diabetes      Renal Disease     COPD     Congestive heart failure     HIV
History of:  Multiple myeloma, Bone metastasist, osteoporosis, radiation therapy in head or neck, chemotherapy.
Medication: 
Bone healing or strengthening pills or shots = Bisphosphates? taken for osteoporosis, Paget’s disease, multiple myeloma, hypercalcemia, and metastatic breast cancer and prostate cancer
Oral

  • Aldendronate (Fosamax, Alendro)
  • Risedronate (Actonel)
  • Ibandronate (Boniva)
  • Atelvia Skelid (tiludronate) This one OK
  • Tiludronate (Skelid) This one OK

Intravenous

  • Pamidronate (Aredia, Pamisol) worst
  • Zolendronic acid (Zometa, Reclast) worst
  • Ibandronate (Boniva IV)
  • Clodronate (Bonefos) This one OK

Subcutaneous

  •  Denosumab monoclonal Ig Ab (Prolia, XGEVA=like IV). Prolia patients should be treated the way we treat ORAL Bisphosphonate Patients. Xgeva patients should be treated the way we treat IV Bisphosphonate Patients.
Immunosuppressive drugs? Enbrel Humira
Antiangiogenic agent? Cancer and macular degeneration like Sunitinib (Sutent) Bevacizumab (Avastin)
Pre-Med issues
Synthetic joints?
Shunts?
Congential heart defects?

FYI  Bisphosphonates can be classified into 2 categories: non-nitrogen containing and nitrogen containing bisphosphonates. Nitrogen-containing bisphosphonates are the only compounds that cause BP-related osteonecrosis. Reference

Treatment of BP patient OS and implant

 

                                                      

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