General

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

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

3. Dental procedures may cause the patient anxiety or place stress on the heart. Assess cardiovascular patient for this risk.

4. Early morning and shorter appointments as well as methods for addressing anxiety levels in the patient can help to reduce the amount of stress that the patient is experiencing. 5. Vasoconstrictors should be used with caution and in low doses in patients with "controlled" cardiovascular status. Avoid epinephrine-containing gingival retraction cords.

Free Yourself from Panic Attacks

Free Yourself from Panic Attacks

With all the stresses and strains of modern living, panic attacks are become a common problem for many people. Panic attacks occur when the pressure we are living under starts to creep up and overwhelm us. Often it's a result of running on the treadmill of life and forgetting to watch the signs and symptoms of the effects of excessive stress on our bodies. Thankfully panic attacks are very treatable. Often it is just a matter of learning to recognize the symptoms and learn simple but effective techniques that help you release yourself from the crippling effects a panic attack can bring.

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