The New York state dental journal
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Angiotensin-converting enzyme (ACE) inhibitors are commonly used in the treatment of hypertension. Angioedema is a known side effect of ACE inhibitors. Awareness of the clinical presentation of angioedema can allow for appropriate medical referral. ⋯ A diagnosis of lisinopril-induced angioedema was made. Her physician was consulted and her medications were discontinued. The lip swelling resolved without incident.
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The dental management of a liver transplant patient requires an awareness of the problems associated with controlling infection, bleeding and pain. Consultation with the patient's physician is most important. Laboratory tests to determine liver function, complete blood count (CBC)-including white blood cells and platelets-and clotting ability (international normalized ratio [INR]) are a necessity. In the case report presented here, the dentist, in consultation with the patient's physician, outlines a dental management plan that includes the need for antibiotic prophylaxis and delineates the types of antibiotics, analgesics and local anesthetics that may be used.
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Although not an uncommon occurrence from displaced zygomaticomaxillary complex fractures, localized air emphysema tends to resolve without consequence. Nevertheless, when accentuated by nose blowing or other forms of positive pressure soon after trauma, local air emphysema can spread via fascial planes into distant sites.