Table Of ContentThe Dentist’s Quick Guide to Medical Conditions
The Dentist’s Quick Guide
to Medical Conditions
Mea A. Weinberg, DMD, MSD, RPh
Diplomate, American Board of Periodontology
Clinical Professor
Department of Periodontology and Implant Dentistry
New York University College of Dentistry
New York, NY, USA
Stuart L. Segelnick, DDS, MS
Diplomate, American Board of Periodontology
Diplomate, International Congress of Oral Implantologists
Clinical Associate Professor
Department of Periodontology and Implant Dentistry
New York University College of Dentistry
New York, NY, USA
Section Chief of Periodontics
Brookdale University Hospital and Medical Center
Brooklyn, NY, USA
Joseph S. Insler, MD
Fellow, Addiction Psychiatry
Department of Psychiatry
Boston University
Boston, MA, USA
with Samuel Kramer, DDS
Clinical Assistant Professor
Department of Endodontics
New York University College of Dentistry
New York, NY, USA
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Library of Congress Cataloging-in-Publication Data
Weinberg, Mea A., author.
The dentist’s quick guide to medical conditions / Mea A. Weinberg, Stuart L. Segelnick, Joseph S. Insler.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-71011-1 (pbk.)
I. Segelnick, Stuart L., author. II. Insler, Joseph S., author. III. Title.
[DNLM: 1. Signs and Symptoms. 2. Dental Care. 3. Therapeutics. WB 143]
RK61
617.6–dc23
2014027086
A catalogue record for this book is available from the British Library.
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1 2015
Dedication
We would like to dedicate this book to our family
Dr. Mea Weinberg: Adam, Nina, & Nigel
Dr. Stuart Segelnick: Tina & Noah
Dr. Joseph Insler: Suzanne & Jacob
Dr. Samuel Kramer: Cynthia & Harry
for without their love and support this wonderful work would not be possible.
Contents
Contributors x
Foreword xi
Preface xii
1 Gastrointestinal disorders 1
A. Peptic ulcer disease 1
B. Gastroesophageal reflux disease 4
C. Irritable bowel syndrome 6
D. Inflammatory bowel disease 7
a. Crohn’s disease 7
b. Ulcerative colitis 10
E. Diverticular disease 11
F. Acute pancreatitis 12
G. Celiac sprue 13
H. Pseudomembranous colitis 13
2 Medical conditions of the respiratory system 17
A. Respiratory diseases 17
a. Asthma 17
b. Chronic obstructive pulmonary diseases 23
c. Pulmonary tuberculosis 24
d. Obstructive sleep apnea 27
3 Disorders of the urinary system 30
A. Acute renal injury and chronic kidney disease 30
B. Kidney dialysis 37
C. Kidney transplant 39
D. Polycystic kidney disease 42
E. Benign prostatic hypertrophy 42
4 Diseases of the endocrine system 46
A. Diabetes 46
B. Thyroid diseases 50
C. Adrenal gland disorders 53
vii
viii Contents
5 Disorders of the cardiovascular system 59
A. Hypertension 59
B. Angina Pectoris 68
Clinic 68
C. Myocardial infarction 70
D. Heart failure 73
E. Arrhythmias 75
F. Valvular heart disease 78
G. Epinephrine in cardiac patients 79
6 Pregnancy, lactation, and oral contraceptives 82
A. Pregnancy and lactation 82
B. Oral contraceptives 89
7 Disorders of the liver and gallbladder 93
A. Liver disease 93
a. Alcoholic liver disease and cirrhosis 98
b. Hepatitis 99
c. Liver transplant 103
B. Gallstones 105
8 Diseases of the neurological system 109
A. Parkinson’s disease 109
B. Multiple sclerosis 113
C. Seizures 116
9 Psychiatric disorders 125
Introduction 125
A. Antipsychotics 126
a. Typical antipsychotics 127
b. Atypical antipsychotics 128
c. Anticholinergic medications 128
B. Antidepressants 132
a. Monoamine oxidase inhibitors 133
b. Tricyclics and tetracyclics 134
c. Selective serotonin reuptake inhibitors 135
d. Selective serotonin norepinephrine reuptake
inhibitors (SNRIs) 136
e. Others 136
f. Summary: Dental interactions and
side effects 136
C. Mood stabilizers 138
a. Lithium 139
b. Valproic acid (Depakote) 140
c. Lamotrigine (Lamictal) 140
d. Carbamazepine (Tegretol) 141
e. Oxcarbazepine (Trileptal) 141