Tag Archives : Medical clearance in dentistry


How is an asthma attack induced?

Does this scenario sound familiar? Your patient checks the appropriate box on your medical history that says “asthma”. Now what to do with the information. The most important information you will need to extract from this positive response is the level of the patient’s knowledge about their asthma, the degree of control of asthma attacks […]

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A few days ago, I was watching my favorite network, “The Food Network” and I saw an amazing commercial that was both educational and frightening. What I observed was a commercial for a drug called Xarelto. The drug is purported to be a suitable pharmaceutical treatment  used to reduce the risk of stroke and blood clots in patients with atrial fibrillation that is not caused by a heart valve problem. My concern is the commercial sounded more like an infomercial, designed to entice those patients that are currently taking Warfarin. The reality is that there is a limited amount of information on how Xarelto compares to warfarin in reducing the risk of stroke. Xarelto is also used to treat deep vein thrombosis and pulmonary embolism. It has been found helpful in the prevention of future occurrences of deep vein thrombosis and pulmonary embolism. An additional indication for its use is a reduction of  the risk of clot formation in the legs and lungs of patients that have recently had hip or knee replacement surgery.

After having seen the commercial a few times, I realized that commercial advertisement of this drug is designed for two purposes: the first is to educate consumers that are currently taking Warfarin that a suitable replacement may be suitable for them. A second purpose is begin the grass-roots level of education that must occur as a new drug is being introduced and prescribed.

My concern is that as dental providers we must remain abreast of introduction of new medications that may affect our dental treatment. It remains our responsibility to be knowledgable in the uses, indications and contra-indications of this drug. It should also be understood that new drugs are continuously introduced that will affect our dental treatment.

Please take a look at the prescribing information for Xarelto. To stay abreast of constantly changing medications, consider the addition of an app like Micro-Medix or Medscape. They are both free and can be downloaded to your smart phone, iPad, tablet and P.C. I consider both of these as wonderful resources, each has benefits and disadvantages, but they are wonderful adjuncts.


What do you think about your Medical History Form?

When you think about your Medical History form what comes to mind? Are the questions on your intake questionnaire designed to extract information about the presence of chronic illnesses, allergies and unusual reactions or negative dental experiences? How much credence do you actually give to that information? Do you use the information as a reason […]


Can you communicate with physicians?

When I am asked by my colleagues to assist them in designing a “Medical Clearance Form”, the first thing I want to help them understand is that it is an impossibility to request a health care provider to “release” us from making the most sound, informed decisions for our patients. As Dentists, we alone are […]