Tell Your Dentist About Prescriptions San Diego, CA
Many people wonder whether their dentist needs to know details about their general medical history, particularly when it comes to their prescription medications. It can feel intimidating to open up to a dentist about personal information. Still, a complete health dentist integrates information about your overall health to provide you with the best oral care, so it is important to strive for transparency.
For more information about the comprehensive care provided by complete health dentists, our team at Westwood Family Dentistry in San Diego is here to help. Call us at (619) 490-4445 to learn more.
Conditions that Might Make You Ineligible for Certain Procedures
One of the most important reasons that patients should share their prescription list with their dentist is so they can better understand their medical history. Conditions in the mouth can affect body systems seemingly far-removed. Having background information about patients' general health is vital in implementing practices with the oral-systemic link in mind.
For example, suppose a patient confides in their dentist that they are taking medication for a heart condition. In that case, this revelation can prompt their dentist to inquire further about their cardiac status. On the other hand, suppose patients have a specific condition such as valvular heart disease, congenital heart disease, have previously had heart surgery, or a condition known as infective endocarditis. In that case, some dental procedures should not be performed or may need special advanced planning. This is why it is important for patients to keep their dentist in the loop.
“… having background information about patients’ general health is vital to appreciating the oral-systemic link.”
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. Which medications can prevent dental treatments?
Q. How can combining medications affect certain medical conditions?
Q. What conditions might make me ineligible for a dental procedure?
People Also Ask
Q. How is diabetes affected by oral hygiene?
Q. Am I at high risk for developing oral cancer?
Q. What are some of the reasons one might need a tooth extraction?
Q. What pre-existing conditions are affected by dental health?
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. 2025
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