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Letters |15 March 2011

Invasive Dental Treatment and Risk for Vascular Events

Joseph D. Matthews, DDS, MSc

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Author, Article, and Disclosure Information
Potential Conflicts of Interest: None disclosed.
  • From Advanced Education in General Dentistry Residency Program, University of New Mexico School of Medicine, Albuquerque, NM 87131.
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Potential Conflicts of Interest: None disclosed.
TO THE EDITOR:
Minassian and colleagues' study (1) highlighted the difficulty of applying results from retrospective studies of claims data to clinical practice. The most important confounder that was not discussed by the authors is the proximity of tooth extraction to an odontogenic infection or other acute condition that would necessitate invasive dental treatment.
Because the analysis was restricted to dental extractions, ascertaining the reason for the extraction in each case would have been important. Extraction is rarely elective and, in fact, is often delayed until an acute condition makes successful alternatives unlikely. One...
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Matthews JD. Invasive Dental Treatment and Risk for Vascular Events. Ann Intern Med. 2011;154:441. doi: 10.7326/0003-4819-154-6-201103150-00015

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Published: Ann Intern Med. 2011;154(6):441.

DOI: 10.7326/0003-4819-154-6-201103150-00015

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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