1. 口 腔 醫 學 英 文 第一次PBL Oral Medical English
Topic : What Should Dentists Know about
patients with heart disease ?
Member :
曹文馨、 李皓維
徐誠毅、 曾泳慈
劉苑辰、 陳宣妤

2. 工作分配 103002003 曹文馨 : 報告PPT 3-7、提供電腦 103002008 李皓維 : 報告PPT 8-11、找相關影片

3. 目錄 Dialogue Thinking Corner – Case in Taiwan
Introduction to heart disease
Link Between Periodontal Disease and Heart Disease
several conclusions supported by different
experiments or confirmed hypothesis
What Should Dentists Do?
1.High Blood Pressure (Hypertension)
2.Chest Pain (Angina)
3. Stroke
4. Heart Attack
Points to Remember About Dental Care and Heart Disease

4. Thinking Corner – Case in Taiwan
On June 2004, a child with heart disease had a serious problem of caries in Taiwan. Doctor in the clinic was worried about the child’s healthy situation and didn’t do an operation in time. As a result, the child was infectious of endocarditis.
nick
infect
endocarditis
The death rate is 10% to 50%

5. Introduction to heart disease
Heart disease represents a range of conditions which affect heart, including heart rhythm problems, blood vessel diseases, like coronary artery disease.
There are many reason causing heart disease. For example, cardiovascular disease is caused by high blood pressure and congenital heart disease is due to gene representation.

6. Link Between Periodontal Disease and Heart Disease
Although till now, there has no sufficient evidence to prove that periodontitis is an absolute factor of atherosclerotic cardiovascular disease, some trials have confirmed on the strong association between atherosclerotic cardiovascular disease and periodontitis

7. Link Between Periodontal Disease And Heart Disease
Periodontitis and heart disease share risk factors, such as cigarette smoking, diabetes, obesity, stress, depression, physical inactivity, and a low-quality diet

8. How Oral Bacteria Hijacks the Immune System?

9. P gingivalis enter the blood stream through the mouth and manipulates white blood cells to impair the ability of the cells to kill the pathogen.
Oral pathogens like P. gingivalis have three pathways to impact oral and systemic health:
They enter us through periodontal pockets
They release their toxins into our systems
Our own bodies set off an inflammatory response to both of the above

10. What Should Dentists Do? 1. Heart Attack
A. The dentist should make sure the patient had talked to
his cardiologist about undergoing any dental treatments
in case he or she recommends waiting.
B. remember to ask the patient if he is taking
anticoagulants (blood-thinning drugs)
C. make sure that oxygen and nitroglycerin are available
in case a medical emergency should arise during your
office visit.

11. What Should Dentists Do? 2.Chest Pain (Angina)
Patients with angina treated with calcium cannel blockers may experience gum overgrowth. In some cases, gum surgery may be required.
A. dentists should be alarmed that if oxygen and nitroglycerin are
available in case a medical emergency should arise.
B. patients with stable Any dental procedure is fine.
patients with unstable angina no elective dental procedure.
C. emergency dental care should be performed in a hospital or
office equipped with cardiac monitoring capability.

12. What Should Dentists Do? 3. Stroke
A.whether they are taking anticoagulants(blood- thinning drugs)
B.Inadequate saliva artificial saliva
C.  stroke has affected your face, tongue, or dominant hand and arm  fluoride gels, modified brushing or flossing techniques

13. What Should Dentists Do? 4. High Blood Pressure (Hypertension)
Drugs can cause dry mouth or alter patient’s sense of taste. Calcium channel blockers in particular can cause the gum tissue to swell and overgrow,
A. If patient do experience gum overgrowth:
1.detailed oral hygiene instructions more frequent dental visits for cleanings remove excess gum tissue(gingivectomy)
B. If require the use of anesthesia,notice whether the anesthesia contains epinephrine.

14. Points to Remember About Dental Care and Heart Disease
A. Ask the patient to give a complete list of the names and
dosages of all the drugs the are taking for their heart
condition (as well as any other prescription or
nonprescription drugs that they may be taking)
B. Ask the patient the name and phone number of their
doctor in case we need to speak to him or her about
their care.
C. If patient are particularly nervous about undergoing a dental
procedure because of their heart condition,tell them that
they can talk with their dentists and heart doctors.

15. Thanks for your attention !