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Unstable Angina
Dental RX should be limited to that which is
absolutely necessary, such as for infection or pain.
Stable Angina
Any desired dental treatment may be provided
taking into consideration appropriate management
considerations.
ANGINA IN DENTAL OFFICE
• If a patient experiences chest pain, dental RX must be
stopped.
• If there is history of angina, the patient should be
given glyceryl trinitrate 0.5 mg. sublingually and
oxygen, and be kept sitting upright.
• Vital signs should be monitored.
• The pain should be relieved in 2-3 minutes, the
patient should then rest and be accompanied home.
• If chest pain is not relieved within about 5 minutes,
myocardial infarction is the probable cause and
medical help should be summoned
ADVICE TO PATIENTS WITH ANGINA
To be Done Not to be Done