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Explore›Medical Conditions in Dentistry›Acute hepatitis / markedly abnormal LFTs

Acute hepatitis / markedly abnormal LFTs

Dental riskhigh

Acute hepatitis = new hepatic inflammation/injury (viral, drug-induced [DILI], ischemic, alcoholic) with markedly elevated ALT/AST, sometimes jaundice and impaired synthetic function. The safest dental approach: treat as TEMPORARY HEPATIC FAILURE RISK until medically assessed/controlled. BNF: keep prescribing to a MINIMUM in severe liver disease, especially with jaundice, ascites, or encephalopathy. Key dental principle: defer elective care; urgent care only with liver-safe prescribing, lowest effective LA dose, and definitive source control.

The full condition entry includes

  • Safe vs avoid lists: antibiotics, analgesics, local anesthetics
  • Vasoconstrictor limits and treatment modifications
  • Pre/intra/post-op monitoring and deferral criteria
  • Emergency management, explained for study
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More medical conditions in dentistry

Hypertension (uncontrolled / hypertensive urgency)Ischemic heart disease (stable angina, recent/old MI)Heart failure (compensated vs decompensated)Valvular heart disease / Prosthetic heart valvesPatients on anticoagulants/antiplateletsCongenital heart disease (high-risk lesions/repairs)Pulmonary hypertensionCOPD (moderate-severe; oxygen dependence)Active upper respiratory infection (URI)Chronic hypoxemia / home oxygen patientsInterstitial lung disease / pulmonary fibrosisStroke / TIA history

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