Dental Concerns

General

1. Monitor vital signs at every appointment because of cardiovascular effects.

2. Have the patient sit up slowly and remain seated for at least two minutes after being supine in order to minimize the risk of orthostatic hypotension.

3. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

4. Shorter appointments may be necessary due to the disease effects on musculature.

5. General anesthesia should be used with caution in patients requiring dental surgery. Consultation with Primary Care Provider

1. Consultation with the patients health care provider may be necessary in order to determine the patient's ability to tolerate stress and the extent of disease control. Client/Family Teaching

1. Do not perform activities that require mental alertness (i.e., driving a car); drug causes sedation.

2. May cause orthostatic hypotension; avoid sudden changes in position.

3. Avoid alcohol and any other CNS depressants. Antihistamines may produce an additive depressant effect.

4. Review the importance of good oral hygiene in order to prevent soft tissue inflammation.

5. Review the proper use of oral hygiene aids in order to prevent injury.

6. Daily home fluoride treatments for persistent dry mouth.

7. Avoid alcohol-containing mouth rinses.

8. Dry mouth can be treated with tart, sugarless gum or candy, sips of water, or with saliva substitutes if dry mouth persists.

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