Dental Concerns

See also Dental Concerns for Calcium Channel Blocking Agents. General

1. Frequent visits to assess for gingival hyperplasia.

2. Vasoconstrictors should be used with caution, in low doses, and with careful aspiration. Epinephrine-impregnated gingival retraction cords should be avoided.

3. Patients on chronic drug therapy may develop blood dyscrasias. Symptoms include fever, sore throat, and bleeding, and poor wound healing.

Consultation with Primary Care Provider

1. Patients with symptoms of blood dyscrasias should be referred to their primary care provider for complete blood counts. Treatment should be postponed until the results are known. Client/Family Teaching

1. Practice frequent careful oral hygiene to minimize the incidence and severity of drug-induced gingival hy-perplasia.

2. Need for frequent visits with a dental health professional if hyperpla-sia occurs.

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