Medical and Dental Implications of the Most Prescribed Medications
Harold L. Crossley, DDS, PhD
Many physician-prescribed medications used by your patients have dental implications and side effects affecting your treatment plan. Many of these medications are the drugs of choice of “doctor shoppers”. And one of these medications is the most prescribed medication abused by adolescents.
Some medications are more likely to cause violent behavior and others can cause a “burning mouth syndrome”. Sixty percent of the most popular drugs have lost or are losing their patents. Are the generic forms as effective therapeutically? Who sets the standard for healthy blood pressure, pap smears, and cholesterol? And lastly, have there been any changes to the antibiotic prophylaxis recommendations for heart problems or orthopedic prosthesis patients?
This presentation includes the indications, contraindications, and side effects of the most commonly prescribed medications. Many of these medications were not approved when you took your pharmacology course in dental school. These medications represent 30% of all prescriptions taken by your dental patients and familiarity with these drugs will provide the dental practitioner with a better appreciation for the health profile of your dental patient.
As a result of attending this course, you should be able to:
- Discuss which drugs can cause “burning mouth syndrome”.
- List the most abused prescription medication by adolescents today.
- Describe the differences between generic and prescription medications.
- Explain how to combine and use analgesics more effectively.
- Recognize which medications can cause problems with dental treatment.
HAROLD L. CROSSLEY is Professor Emeritus at the University of Maryland Dental School. A native of Rhode Island, Dr. Crossley received a Bachelor of Science degree in Pharmacy from the University of Rhode Island in 1964. He later was awarded the Master of Science (1970) and Doctorate degrees (1972) in Pharmacology. The University of Maryland Dental School in Baltimore awarded Dr. Crossley the DDS degree in 1980. The liaison between the classroom and his dental practice, which he mentored on a part-time basis in the Dental School Intramural Faculty Practice, produced a practical approach to understanding the pharmacology of drugs used in the dental office.
Dr. Crossley has co-authored a number of articles and four books dealing with a variety of topics within the field of pharmacology. Other areas of expertise include the pharmacology of street drugs and chemical dependency. He serves on the Maryland State Dental Association’s Well-Being Committee. He is an active member of Phi Kappa Phi, Omicron Kappa Upsilon Honorary Dental Society, the American College of Dentists, and International College of Dentists. He was the recipient of the 2008 Gordon Christensen Lecturer Recognition award presented by the Chicago Dental Society. He has been a consultant for the United States Drug Enforcement Administration and other law enforcement agencies since 1974. Drawing on this unique background, Dr. Crossley has become nationally and internationally recognized as an expert on street drugs and chemical dependency as well as the clinical pharmacology of dental drugs.
The University of Washington is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The University of Washington is a member of the Association for Continuing Dental Education.
University of Washington designates this activity for 7 continuing education credits.