The patient is a 33 year old female in good health under the care of a physician for her general health. However, auscultation and further examination have revealed that the patient suffers from a heart murmur that does not need to be pre-medicated, although her pulse and blood pressure are both normal at 68 beats per minute and 112/64mmHg respectively. Further, the patient is taking tapazole 5 mg due to hyperthyroidism, as well as over the counter medication such as vitamin D 2000, vitamin b complex and flaxseed for her own general health. The patient reports that she is not allergic to any drug or chemical known to her, with a pregnancy test revealing that she is not pregnant.
According to the ASA code, the patient is a II mainly due to the use of the prescription drug Tamazole and knowledge of the fact that the patient suffers from a well controlled thyroid disorder. Both the patient’s report and records reveal that her last visit was 3 months ago, in November of last year, a visit in which she also had her last bite wing (3 months ago). The patient had an FMX done before her dental appointment, with no contraindication found for dental treatment.
Tapazole, which is also at times referred to as Methimazole is an antithyroid medication that works through inhibiting the thyroid hormone production. Tapazole therefore, helps regulate the production of T3 and T4 (Thyroid hormones) which play key roles in the body’s metabolism. Some of the side effects of Methimazole include: salivary gland swelling and abnormal taste. At times individuals usually experience joint pains, drowsiness, lightheadedness, headaches, muscle pains, vomiting, stomach upsets, numbing and tingling sensations and nausea. Further, and perhaps of quite great import within a clinical setting, is the fact that Tapazople usually produces drug reactions with the following drugs: Propanolol, metoprolol, warfarin, theophylline and digoxin. Tapazole does not however, react with local anaesthesia, which is quite relevant when it comes to dental treatment.
Flaxseed oil improves general health, digestion, and also reduces the level of water retention. According to the patient, her doctor advised her to take flaxseed as a remedy for the weight gain occurring due to her taking tapazole. In terms of dental treatment, flaxseed is not usually a local anaesthesia concern, and is therefore, by extension not a concern when it comes to dental treatment.
Vitamin is being used by the patient as a dietary supplement that usually has no adverse reaction with dental treatment or local anaesthesia. The supplement also promotes the mineralization of bone by not only reducing calcium excretion, but also stimulating intestinal absorption.
Similar to the vitamin D, vitamin B is also a supplement that improves general health and essentially has no adverse reaction with anaesthesia and dental treatment. Essentially, vitamin B complex contains B1, B2, B3, B5, B6 and B12, a number of important nutrients when it comes to CNS conditions. B1 and B2 particularly, are essential in the functioning of the muscles, the heart and the nerves, while B3 is important in the regulation of the digestive system and the nervous system. b5 and b12 are particularly important for normal growth and development. B6 aids the nervous system, the digestive system and is also essential when it comes to normal growth. B7 is essential in hormone production while B9 is essential in the making and maintenance of DNA. As such, although the client was taking the medication in order to develop thicker and smoother skin, the benefits are numerous.