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Invasive Dental Treatment and Risk for Vascular Events: Have We Bitten Off More Than We Can Chew?

Howard Weitz, MD; and Geno Merli, MD
[+] Article, Author, and Disclosure Information

From Jefferson Heart Institute, Thomas Jefferson University, Philadelphia, PA 19107, and Jefferson Vascular Center, Thomas Jefferson University Hospital, Philadelphia, PA 19107.

Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2000.

Requests for Single Reprints: Howard Weitz, MD, Jefferson Heart Institute, 925 Chestnut Street, Suite 200, Philadelphia, PA 19107; e-mail, howard.weitz@jefferson.edu.

Current Author Addresses: Dr. Weitz: Jefferson Heart Institute, 925 Chestnut Street, Suite 200, Philadelphia, PA 19107.

Dr. Merli: Thomas Jefferson University Hospital, Suite 2210 Gibbon, 111 South 11th Street, Philadelphia, PA 19107.

Ann Intern Med. 2010;153(8):542-543. doi:10.7326/0003-4819-153-8-201010190-00013
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In this issue, Minassian and colleagues report an association between invasive dental treatment and vascular events. This editorial reviews the advances in our understanding of perioperative risk and notes the limited ability of the study to determine the mechanism that explains the transient increase in vascular risk after invasive dental procedures. The study is an important reminder to continue cardioprotective antiplatelet agents if at all possible before dental procedures in patients who are receiving these agents.

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