Just like any other doctor, dentists use prescriptions to treat oral health problems and keep you healthy. A wide variety of drugs are used in dentistry for many reasons - and there is a lot to know about them. Just knowing the common medicines you might encounter and how they interact with your body can be daunting. So, we have gathered all the basics you need to know – read on to learn everything about dental medications and be prepared for your next visit to the dentist!
Dentists prescribe medication for use during and after procedures. There are lots of reasons prescriptions are necessary for patients, but the most common are:
Pain, anxiety, and infection are just a few reasons dentists prescribe medication. However, there are a lot of prescriptions used to treat those symptoms. Here are a few of the most commonly used drugs in dentistry:
For more information on commonly used drugs in dentistry, check out Cleveland Clinic’s article on Medications Used in Dentistry.
If you’ve filled out paperwork in your dental office, you have seen forms asking you to list any medical conditions you have and what drugs you’re taking. These forms can be a drag – but they help your dentist know what might be affecting your oral health and what treatments will be effective. Make sure to take these forms seriously and inform your dentist of any changes at your next appointment.
If you’re curious about how common drugs can affect your oral health, here are a few common examples:
If you have pre-existing medical conditions, you might be asking yourself, “are any dental medications going to make my condition worse?” It’s especially important to ask your dentist or Primary Care Physician (PCP) this question. Here are a few common conditions with treatments that can negatively interact with dental prescriptions:
Heart Conditions: Heart conditions, like heart blocks or sinoatrial blocks, that are not treated can put you at risk to adverse effects from lidocaine -- the most common local anesthetic used in dentistry. Consult with your dentist to make sure they pick the right anesthetic for you. If you think you might be at risk for a heart condition, talk to your doctor. And check out our blog on heart medication and your oral health!
High Blood Pressure: If you have acute or chronic high blood pressure, it is advised to avoid NSAID pain relievers such as ibuprofen and Aleve. These medications can increase your blood pressure – and even put you at risk for heart attack or stroke.
Allergies: If you have a corn allergy, local anesthetics such as lidocaine and Novocain can trigger an allergic reaction. These anesthetics often have corn-based dextrose (sugar) mixed into the solution. If you think you might have a corn allergy, check with your doctor and dentist before your next dental procedure.
Pregnancy: Dental care during pregnancy is safe and recommended. However, make sure to tell your dentist if you are pregnant - they might recommend you avoid certain prescriptions during this time. For example, many dentists recommend avoiding nitrous oxide during the first two trimesters of pregnancy due to the medicine’s potential to effect DNA production.
Oral Contraceptives: Certain oral contraceptives, or birth control pills, can reduce the effectiveness of certain medications. For example, many types of birth control pills can reduce how much diazepam/valium helps anxiety during your dental visit. If you are taking birth control, check with your dentist to make sure they are prescribing the medication that will be the most effective for you.
Gastrointestinal Diseases: Gastrointestinal problems such as Gastroesophageal Reflux Disease (GERD), Crohn’s disease, and ulcerative colitis can create problems with anti-inflammatory drugs – particularly NSAID pain relievers. NSAID’s like ibuprofen can worsen gastrointestinal symptoms including stomach pain, nausea, and diarrhea – and even increase risks for ulcers. If you have GI problems, consult with your dentist about which medications you should avoid in your dental treatment and potential alternatives.
Keep in mind these are only some issues that can interfere with your dental treatment. If you have concerns about any prescriptions or have any pre-existing medical conditions, make sure to speak up and let your dentist know. There are alternatives for almost every dental medication and treatment - so there is something out there that will work for you!
Now that you know what’s common in dental medicine, you might be wondering what is new. Like every medical field, dentistry makes and finds new innovations every year. Here are a few trends surrounding dental medications.
A reduction in Antibiotics: Infection is one of the greatest risks in dentistry, and precautionary antibiotics have been often gone hand-in-hand with dental procedures. But, recent studies are showing over 80.9% of antibiotic prescriptions prior to surgical procedures are unnecessary. As a result of studies like this one, dentists have been pushing back on prescribing antibiotics and only prescribing them if a patient shows signs of infection or has a pre-existing condition that makes them a considerable risk for infection.
NSAIDs vs. Opioids: Opioid addiction continues to be a problem in the U.S. and a major point of discussion for Dentists, Physicians, and Lawmakers. Studies show that U.S Dentists prescribe more than 37 times more opioid-based painkillers than England. With studies like this, more and more dentists are promoting the use of NSAID pain relievers for pain treatment. NSAIDs have proven to be just as effective for treating dental pain as opioids– without the risk for addiction. NSAIDs also have fewer side effects and are generally considered to be safer than the opioid based pain relievers. You can read more about the argument for NSAIDs over opioids in study results here.
Whether you want to learn more about dental prescriptions or are concerned about how other medical conditions and treatments might affect your dental care, the best course of action is always talk to your dentist. Your dentist is the expert on your individualized treatment plan and is meant to be a resource for you. Keep in mind - medication is just one part of your treatment plan and overall oral health. If you’d like to learn more about improving your oral health, check out our Dental Treatment Tip Sheet.
For more information on bettering your oral health, check out these helpful guides and articles:
What does Medically Necessary Mean?
How Diabetes Affects Your Teeth
How Can Intermittent Fasting Help Bad Breath?