Q: I am about to start some major dental work, including implants,
bone grafts and crown treatment. I already use NSAID pain medications for my arthritis pain, but I’m concerned that if I now use more of them during these weeks and months of dental surgery that I may increase my risk of heart attack or stroke. Is there a less risky drug for me? Stan in JupiterA: Firstly, let me wish you a comfortable and successful few months that is “tsoris” free. (For those who understand Mandarin.) Don’t worry about implants. Almost all of my patients tell me they take one Tylenol the day I place the implant, and that’s it for pain meds. A single dental implant can be placed in 5 min. with the newer flapless/incision less techniques, followed by the attachment of permanent teeth in as little as 12 weeks.A recent study suggests that naproxen (Aleve and Naprosyn) is the safest nonsteroidal anti-inflammatory drug (NSAID) in terms of heart attack risk. Ibuprofen (Advil, Motrin) was at an intermediate level in terms of heart attack risk. The riskiest drugs appear to be Cataflam, Volteren and Celebrex. One should also know that ibuprofen (Advil, Motrin) interferes with the ability of noncoated, low dose aspirin to prevent heart attack or stroke. If you take both, take the ibuprofen at least 30 minutes after or eight hours before taking aspirin.
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Dr. Mitchell Josephs practices Cosmetic, Implant and General Dentistry in Palm Beach and hosts the “Tooth Talk” radio show live on Fridays at 11am and Tuesdays at 8:30am on WBZT AM1230. (www.radiotoothtalk.com) On staff at Good Samaritan Medical Center, Dr. Mitchell Josephs is on the Faculty Advisory Board at McGill University’s Faculty of Dentistry. Send questions to firstname.lastname@example.org or call 888-DRTOOTH (888-378-6684) or visit www.palmbeachdentist.com
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