Patients with heart failure including those presenting palpitations,asthenia or dispense can get emergency dental care in hospital setting. Oral manifestations from some of the Medications used in heart conditions treatment: Are you taking any anticoagulants like Warfarin,Coumadin – if so tell your dentist. These medications cause excessive bleeding during oral surgery procedures. Are you taking any antiplatelet medications like Clopidogrel (Plavix) – if so let your dentist know about it. Never stop taking anticoagulants without talking to your cardiologist.
Are you taking any beta blockers or ACE inhibitors like captopril or Enlapril. They have oral manifestations like Lichenoid reactions,burning mouth syndrome,loss of taste sensation etc. Are you taking any calcium channel blockers ?
These are known to cause gum overgrowth and bleeding . Are you using any diuretics like Furosemide? This has a side effect of xerostomia or also know as dry mouth.
Are you taking Digitalis if so anesthesia with vasoconstrictor like epinephrine should be limited to around 2 carpules.