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Health Begins in the Mouth | Dr. Mark Burhenne

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Pain After Dental Work: Types, Recovery Time, & Pain Relief

medicine after dentist visit

Get Dr. B’s Dental Health Tips

1. jaw muscle fatigue, 2. pulpitis, 3. referred myofacial pain, 4. dry socket pain, 5. soft tissue injury pain, 6. dental implant pain, 7. gum graft surgery pain, 9. tooth sensitivity, how to prevent pain after a dental visit, how to relieve pain after dental work.

The number one reason people put off going to the dentist is a fear of pain . This can greatly damage your oral health and lead to many more problems down the road.

Some pain after a dental visit is to be expected, while other types of pain after dental work may require follow-up care.

You may wonder if your jaw pain or referred pain in your ears, eyes, or other areas of the face is normal, rare, or cause for alarm.

The most common types of pain after a dental visit include:

Common causes of pain after dental work are poor procedure, pre-existing inflammation, very large cavities, and irritation of TMD (TMJ pain).

People who struggle with teeth grinding/clenching are generally at the highest risk for postoperative pain.


How long does pain after dental work last.

The majority of pain after dental treatment should go away in 1-2 days. For wisdom tooth surgery, pain may last closer to 1-2 weeks. If you have TMJ pain after dental work, it may take months for the pain to go away.

Typically, I recommend asking the dentist who will perform your procedure what kind of pain you should expect afterwards.

In addition, understanding what kind of pain to expect helps you know when your dental problems are cause for a follow-up visit.

Questions to ask your dentist include:

  • Will I feel stabbing pain? 
  • Should I expect a sore mouth? 
  • Will my teeth be sensitive to hot or cold? 
  • Should my recovery pain make it hard to perform daily tasks, or is it more likely to simply be annoying or minor?

If you experience pain outside of what your dentist describes as expected, call him or her to find out the next steps. If procedures have been performed poorly or if you have additional issues that must be corrected professionally, you may end up having to get a follow-up procedure.

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medicine after dentist visit

What it is: Jaw muscle pain after dental work, like a filling or root canal, is muscle soreness caused by having the mouth open for a long time. People that grind their teeth a lot are more susceptible to this condition because their temporomandibular joint is already strained.

What it feels like: The jaw muscles give out, much like your leg muscles when running until you can hardly stand. Your muscles may feel tired, exhausted, and shaking, which produces pain.

How it happens: The mouth stays open for an extended period of time, exhausting the muscles of the jaw.

Your dentist may notice when this is happening during a procedure because you won’t be able to keep your mouth open and have accompanying muscle spasms. You may believe you’re holding your mouth open, even when you aren’t.

How to fix it: If you know you have TMJ problems, ask your dentist for a bite block. A bite block is a small rubber block that does not force your jaw open but allows it to stay open without jaw muscle exhaustion. The block does the work for you. 

How long should jaw muscle fatigue last? Jaw muscle pain after dental work is most common for longer procedures, like root canals, and can last for several days.

What it is: Pulpitis is inflammation of the sensitive inner layer, or pulp, of the tooth.

What it feels like: Pulpitis causes sensitive teeth , painful when exposed to hot or cold. It can also cause generalized toothache and may eventually lead to an abscess if left untreated. This painful condition will usually be concentrated to the tooth your dentist worked on during the procedure.

The pain of pulpitis after dental work is similar to the pain you develop from extensive tooth decay.

There are two types of pulpitis: reversible pulpitis and irreversible pulpitis. If you have reversible pulpitis, you probably don’t feel pain unless something actually touches your affected tooth. Irreversible pulpitis feels more consistent and hurts worse.

How it happens: Even a simple filling can cause pulpitis. Aggressively prepping and drilling of the tooth can cause pulpitis. Your dentist also may have used a lot of air after drilling in the tooth, which can cause tooth pain to be generated from the filled area of the tooth. 

Rarely, a careless dentist may actually nick the nerve, leading to greater sensitivity and pain.

However, your dentist may find that a cavity is deeper and more extensive than originally thought, requiring the tooth be drilled into the nerve area. This would require a root canal.

Working on a cracked or chipped tooth may also cause pulpitis.

How to fix it: Reversible pulpitis can go away if the inflammation goes down, but your dentist will probably need to examine and correct the damage if possible. Irreversible pulpitis, once the inflammation reaches a certain point, requires a root canal or tooth extraction .

How long should pulpitis last? Pulpitis pain in a specific tooth several days after a dental procedure necessitates another visit to the dentist. Neither type of pulpitis is likely to go away on its own.

What it is : Any dental procedure may result in referred facial pain. This is pain that may affect the eye socket, ears, or other facial areas.

What it feels like: Referred myofacial pain may feel like an earache or other persistent pain in areas associated with the teeth, but outside of the mouth.

How it happens: This happens when nerves are inflamed or irritated by dental work but send pain throughout other nerves nearby. It can feel like a knotted muscle and will probably interfere with your sleep.

There’s no way to predict or prevent referred pain after a dental visit.

How to fix it : While this type of pain is very common, it’s also one that will require intervention from your dentist or oral surgeon.

Common ways to treat referred myofascial pain include trigger point injections and physical therapy.

How long should referred myofacial pain last? Referred myofacial pain after dental work probably won’t go away without further treatment.

What it is: Dry socket is bone pain that results from loss of the blood clot in a tooth socket after tooth extraction. This pain after dental visits is usually associated with more extensive oral surgery (like after wisdom teeth removal ).

What it feels like: Dry socket pain is deep, sore pain that radiates from your tooth socket up and down the same side of your face.

The pain receptors in bone are very sensitive, which is why this condition hurts so much. 

Dry socket pain sometimes radiates up to the ear and may also cause worsened breath or unpleasant taste in the mouth. Other symptoms include headache and, on occasion, fever from a resulting infection.

How it happens: If the blood clot from your tooth extraction falls out before the 4-day mark after tooth extraction, you will probably develop dry socket. It’s most likely 2-3 days after your tooth is removed.

Any sucking motion in the mouth, like drinking through a straw or aggressive mouthwash swishing increases your chances of losing the blood clot over your exposed bone.

How to fix it: Dry socket that happens in the first 1-2 days after extraction will probably need to be corrected by your dentist or oral surgeon. Most of the time, he or she can use dry socket paste to relieve your pain and protect the exposed area so it has time to heal.

In severe cases, you may need bone graft material or surgical foam to support the healing process. This is most necessary for people with thinning bone (like those with advanced periodontal disease).

If your clot falls out between day 3-4, the pain is likely to clear up on its own without intervention. However, it’s always a good idea to contact your dentist/oral surgeon to find out what s/he would suggest.

Home remedies for dry socket pain may include over-the-counter anti-inflammatory medications, cold compress, salt water rinse, clove oil, and/or honey.

How long should dry socket pain last? Dry socket is typically painful for 7-10 days after tooth extraction. Patients with advancing gum disease may experience pain for several weeks.

What it is: Nicking the gums or tongue during a dental procedure will likely cause trauma in the mouth, resulting in soft tissue pain.

What it feels like: Injury of soft tissue typically results in throbbing pain that’s sensitive to touch, like when you chew food. It will probably also cause pain when you eat hot foods.

Anytime the tongue is harmed at all can be very painful. It’s one of the reasons your dentist discourages eating food that requires a lot of chewing following a procedure that requires anesthetic.

How it happens: Some people may inadvertently bite their tongues during a dental procedure, which will produce pain in the days following the procedure as the tongue heals. The gums may be nicked by dental instruments. 

Gums will also feel pain after procedures where they are purposefully incised, such as removal of an impacted wisdom tooth.

Burning your mouth with hot foods shortly after a procedure can also cause pain.

A biopsy usually does not cause a lot of pain, but there is the possibility of soft tissue involvement, which can cause pain as it heals.

How to fix it: Be very cautious eating after dental work where your mouth and tongue are numbed. Use a salt water rinse, clove oil, benzocaine, or another toothache home remedy to correct the pain.

How long should soft tissue injury pain last? Soft tissue pain should last 3 days or fewer, although it can open your body up to infection. The tongue is very sensitive and takes a while to heal, which can take 2-3 weeks.

If you develop an infection from this type of injury, your dentist will probably prescribe an antibiotic.

Numbness in the tongue, lips, and jaw (known as paresthesia) is normal for a few hours after many types of dental procedures. However, if it lasts much longer, it may be permanent. If this happens, talk to your dentist right away.

What it is: When you get a dental implant , you’ll have soreness in the days following the procedure.

What it feels like: Implant pain is inflammation in the bone, like dry socket, and bone pain is very generalized. It can refer, run up and down the jaw, and is very achy, which is the nature of bone pain.

The pain receptors in bone are one of the most sensitive types of pain receptors in the body.

How it happens: Some post-op pain should be expected after an implant, but it’s usually less than the pain of having a tooth pulled.

How to fix it: This type of pain after a dental visit should go away without any sort of intervention. Just be aware of this before your implant, and call your dentist if the pain persists for more than a few days.

How long should dental implant pain last? Dental implant pain usually lasts about 2-3 days.

What it is: If you have receding gums that have progressed to exposing sensitive dentin (or bone), your dentist may suggest you have gum graft surgery.

What it feels like: Pain after gum graft surgery can be significant, with a combination of bone pain and gum pain in two different parts of the mouth. Expect the pain to be generalized and somewhat severe for several days.

How it happens: In gum graft surgery, your gums are purposefully “injured” in the process of correcting gum recession. Because dentin was exposed, you’ll also have bone pain as a result of increased contact between dental instruments and bone.

How to fix it: This pain should be expected after gum graft surgery. Your oral surgeon should recommend pain relievers or give you a prescription for one. Let him or her know if the pain lasts longer than a week and doesn’t subside.

How long should gum graft surgery pain last? Gum graft surgery pain typically lasts a week or less.

What it is: Trismus is a spasm of the jaw muscles, causing the mouth to remain tightly closed.

Trismus is sometimes called lockjaw, although it’s not the same “lockjaw” as a tetanus infection.

What it feels like: With trismus, your jaw muscles will spasm and close the mouth tightly. You can expect pain from the tensed muscles and possibly some tooth sensitivity from grinding.

Soreness and tenderness in the lower jaw are also symptoms of trismus.

How it happens: The needle used to inject local anesthetic may go through the muscle when a dentist is working on your lower teeth.

This doesn’t usually produce pain immediately following the procedure. But in 2-3 days following the procedure or injection, the muscle may stiffen, making it hard to open your mouth.

The condition will always be on the same side as the injection site, but it is fairly rare. You could also have it on both sides if you’re having your wisdom teeth out, though that’s even more rare.

How to fix it: Trismus is a condition your dentist should help you treat. He or she may prescribe a soft foods diet, physical therapy or massage, a jaw-stretching device, and/or muscle relaxers and pain relieving medication.

How long should trismus last? Trismus should last 2 weeks or less.

What it is: Tooth sensitivity may happen after dental procedures like a teeth cleaning or even a dental crown . Anytime tooth enamel or gums are worked on, sensitivity can result.

What it feels like: Tooth sensitivity is generalized soreness when teeth are exposed to very hot or very cold foods or drinks.

How it happens: Tooth sensitivity is a normal pain to expect after any dental procedure. It happens because the sensitive tissues of the teeth and gums have been agitated during normal dental care.

This is more likely during a root planing and scaling , a deep teeth cleaning performed during gum disease treatment.

In some cases, a dental filling is too high and can cause sensitivity (usually on just one side of the mouth).

How to fix it: Tooth sensitivity from a dental procedure should go away on its own, but you can try a salt rinse or benzocaine for relief. If you know you struggle with sensitivity after normal procedures like cleanings at your check-ups, try tips for making your cleanings less painful .

If you got a dental filling that is too high and interferes with your bite, you’ll need to go back to the dentist to resolve the sensitivity.

How long should tooth sensitivity last? Tooth sensitivity caused by dental work should go away in 2-3 days.

While some pain is to be expected after most dental procedures, there are a few steps you can take to prevent it before it starts.

To prevent pain after dental work:

  • Eat an anti-inflammatory diet. Eating anti-inflammatory foods before you go to the dentist can be helpful in reducing how much pain you experience afterwards.
  • Treat your TMD/TMJ before any procedure. If you’re more susceptible to jaw pain, try giving your muscles some light stretching and more rest before you go into a dental procedure.
  • Ask for a bite block. To give your jaw muscles a break, you can request a bite block be used during your procedure to minimize muscle pain afterwards.
  • Deal with bruxism (grinding) issues before your procedure. Grinding your teeth is likely to trigger pain after dental work. Treating that ahead of time will go a long way in helping you have a quick recovery.
  • Deal with infection before having a cavity restored. Your doctor may give you antibiotics before having a root canal or dental filling . The less infection and smaller the abscess near a cavity, the less pain you’re likely to experience after having it fixed.
  • Ask for a break in the middle of a long procedure. If your mouth has to be opened wide for several hours, asking ahead of time for a break in the middle is one way to prevent extra jaw muscle pain.
  • Relax! Stress can cause a number of pain-inducing conditions like dental anxiety, muscle aches, and even some extra tooth grinding. Practice mindfulness and rest in the days leading up to your procedure. You might even try some CBD for dental anxiety if you know you’re nervous before your dental work. Using weighted blankets, noise-canceling headphones, or working with a therapy dog helps to provide some calm from the anxiety that many people feel before dental work.

Prevention is always your best tool for preventing tooth pain. In general, a large majority of dental work can be avoided by addressing dental health on a regular basis. 

To prevent dental problems that require restorative procedures:

  • Practice good oral hygiene. Use an electric toothbrush , a remineralizing toothpaste , and scrape your tongue at least twice every day. Never skip flossing. Good oral care is key to good oral health!
  • Eat a tooth-friendly diet . Foods can cause or prevent/reverse cavities . Focus on nutrient-dense foods with minimal processing, sugar, and acid content.
  • Don’t ignore signs of periodontal disease. Gum disease is incredibly common, especially after the age of 60. It’s associated with dozens of comorbid health conditions — don’t ignore it. Talk to your dentist about bleeding gums .
  • See your dentist every 6 months. Dental health care is a huge part of your overall health. Bi-yearly dental appointments are important because teeth cleanings and regular exams can prevent small problems before they become big.
  • Address sleep-disordered breathing . Sleep-disordered breathing (SDB), like that seen in sleep apnea, is a problem for countless reasons — one of which is poor oral health. SDB is associated with bad breath , TMJ, and weakened tooth enamel, among other issues.

For pain relief after dental work:

  • Eat an anti-inflammatory diet. A diet high in plant-based foods , essential fatty acids, high-antioxidant foods, and foods with plenty of trace minerals reduce all-body inflammation . Inflammation is the root cause of most pain. Popular anti-inflammatory diets include the keto diet , Paleo diet, Mediterranean diet, or Whole30.
  • Try a turmeric supplement. Turmeric is one of nature’s most potent natural pain relievers . Turmeric even outperforms some non-steroidal anti-inflammatory drugs used for pain and may treat postoperative pain. 
  • Rest and ice your jaw. If TMJ pain is your biggest issue, do what you can to relax your jaw before and after the procedure. Use an ice pack to reduce swelling and calm muscle inflammation. Avoid having dental work performed at a dental school , as the procedures done there usually take longer.
  • Try THC or CBD. Both major compounds in marijuana, THC and CBD, are powerful pain relieving agents . 
  • Drink ice-cold coconut water. Coconut water can help to replenish electrolytes that you may lose during wisdom teeth removal recovery . Drinking it ice cold may reduce inflammation and soft tissue pain.
  • Take an over-the-counter painkiller like ibuprofen. Ibuprofen is generally considered the best pain reliever for tooth pain . You may also try acetaminophen (Tylenol). I recommend patients follow the 3-3-3 method: 3 ibuprofen, 3 times a day, for 3 days after dental work.
  • Take pain medications prescribed by your dentist. Opioids like Tylenol-3, Vicodin (Lortab; acetaminophen with hydrocodone), and Percocet (acetaminophen with oxycodone) may be used for dental pain. These are not prescribed as often as they used to be due to the opioid epidemic. Your dentist is unlikely to prescribe these pain medications except in extreme cases.

Should my teeth hurt after a cleaning?

Your teeth may be sore or sensitive after a cleaning. The longer it’s been since your last cleaning, the more likely it is you’ll have soreness.

If you’ve waited years to get a cleaning, your hygienist might need to do a full scaling and root planing to clear your teeth of plaque.

After that, your roots will be very clean — but they’ll be sensitive to cold for 1-2 weeks.

Very healthy teeth and gums that are regularly cleaned probably won’t hurt after a cleaning, although a bit of gum soreness for a day or two is normal.

Is it normal to have tooth pain after a filling?

After a filling, some pain is normal. Usually, you’ll notice soreness around the tooth for 1-2 days. 

Metal fillings tend to cause pain more easily than plastic fillings, but plastics can cause pain in their own way, too.

There are two types of pain from a filling that would send you back to the dentist, though.

Aching and cold sensitivity around a filled tooth that lasts more than 3 days may be a sign of pulpitis. Pulpitis can be reversible or irreversible. The latter would, unfortunately, require a root canal or tooth extraction.

That’s why you should always get cavities filled once they’re small but have passed the point of reversal. The larger the cavity, the bigger your chance to develop pulpitis.

The second reason a filling could cause pain longer than a couple of days is a filling that’s too high. A tall filling may mess with your bite.

How do you know this has happened? You’d notice cold sensitivity and some aching about 2-3 days after getting the filling, and the pain would not get better over time.

Both of these reasons for tooth pain after a filling will send you back to the dentist for some type of correction.

How do you know if you have an infection after dental work?

Infections after dental work may cause:

  • Bad taste in the mouth
  • Toothache or new hot/cold tooth sensitivity
  • Gum swelling
  • Swollen jaw
  • Swelling of the lymph nodes or neck

If you think you have developed an infection after dental work, talk to your dentist immediately.

  • Watzl, B. (2008). Anti-inflammatory effects of plant-based foods and of their constituents. International journal for vitamin and nutrition research, 78 (6), 293-298. Abstract: https://pubmed.ncbi.nlm.nih.gov/19685439/  
  • Chrysohoou, C., Panagiotakos, D. B., Pitsavos, C., Das, U. N., & Stefanadis, C. (2004). Adherence to the Mediterranean diet attenuates inflammation and coagulation process in healthy adults: The ATTICA Study. Journal of the American College of Cardiology, 44 (1), 152-158. Abstract: https://pubmed.ncbi.nlm.nih.gov/21139128/  
  • Sun, J., Chen, F., Braun, C., Zhou, Y. Q., Rittner, H., Tian, Y. K., … & Ye, D. W. (2018). Role of curcumin in the management of pathological pain. Phytomedicine, 48 , 129-140. Abstract: https://pubmed.ncbi.nlm.nih.gov/30195871/  
  • Takada, Y., Bhardwaj, A., Potdar, P., & Aggarwal, B. B. (2004). Nonsteroidal anti-inflammatory agents differ in their ability to suppress NF-κB activation, inhibition of expression of cyclooxygenase-2 and cyclin D1, and abrogation of tumor cell proliferation. Oncogene, 23 (57), 9247. Abstract: https://pubmed.ncbi.nlm.nih.gov/15489888/  
  • Agarwal, K. A., Tripathi, C. D., Agarwal, B. B., & Saluja, S. (2011). Efficacy of turmeric (curcumin) in pain and postoperative fatigue after laparoscopic cholecystectomy: a double-blind, randomized placebo-controlled study. Surgical endoscopy, 25 (12), 3805-3810. Abstract: https://pubmed.ncbi.nlm.nih.gov/21671126/
  • Mack, A., & Joy, J. (2000). MARIJUANA AND PAIN . Full text: https://www.ncbi.nlm.nih.gov/books/NBK224384/  
  • Bailey, E., Worthington, H. V., van Wijk, A., Yates, J. M., Coulthard, P., & Afzal, Z. (2013). Ibuprofen and/or paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth. Cochrane Database of Systematic Review s, (12). Full text: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004624.pub2/full

medicine after dentist visit

About Mark Burhenne, DDS

I’m on a mission to empower people everywhere with the same evidence-based, easy-to-understand dental health advice that my patients get. You can read my story here. I have been a dentist in private practice for 35 years. I graduated from the Dugoni School of Dentistry in San Francisco, CA in 1987 and am a member of the American Academy of Dental Sleep Medicine (AADSM), Academy of General Dentistry (Chicago, IL), American Academy for Oral Systemic Health (AAOSH), and Dental Board of California.

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Dr. Mark is the author of the best-selling book 8-Hour Sleep Paradox

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Am Fam Physician. 2021;104(5):476-483

Author disclosure: No relevant financial affiliations.

Medical consultations before dental procedures present opportunities to integrate cross-disciplinary preventive care and improve patient health. This article presents recommendations related to patients with certain medical conditions who are planning to undergo common dental procedures, such as cleanings, extractions, restorations, endodontic procedures, abscess drainage, and mucosal biopsies. Specifically, prophylactic antibiotics are not recommended for preventing prosthetic joint infections or infectious endocarditis except in certain circumstances. Anticoagulation and antiplatelet therapies typically should not be suspended for common dental treatments. Elective dental care should be avoided for six weeks after myocardial infarction or bare-metal stent placement or for six months after drug-eluting stent placement. It is important that any history of antiresorptive or antiangiogenic therapies be communicated to the dentist. Ascites is not an indication for initiating prophylactic antibiotics before dental treatment, and acetaminophen is the analgesic of choice for patients with liver dysfunction or cirrhosis who abstain from alcohol. Nephrotoxic medications should be avoided in patients with chronic kidney disease, and the consultation should include the patient's glomerular filtration rate. Although patients undergoing chemotherapy may receive routine dental care, it should be postponed when possible in those currently undergoing head and neck radiation therapy. A detailed history of head and neck radiation therapy should be provided to the dentist. Multimodal, nonnarcotic analgesia is recommended for managing acute dental pain.

Integrating patients' medical and dental health care is important because there are correlations between periodontal disease and some medical conditions, such as diabetes mellitus, coronary artery disease, hypertension, kidney disease, and rheumatoid arthritis. 1 – 7 Medical consultations before dental procedures present opportunities to integrate cross-disciplinary preventive care and provide recommendations for treatment considerations before, during, and after a dental visit. Although dentists are ultimately responsible for the treatments they provide, they need the patient's complete medical information and often consult physicians when planning common dental procedures, such as cleanings, extractions, restorations (e.g., fillings, crowns, bridges, implants), endodontic procedures, abscess drainage, or mucosal biopsies. 8

A medical consultation in preparation for a dental procedure should detail the patient's medical conditions, treatment plans, and current levels of management. 7 A medical history, including allergies and use of herbal remedies and prescribed and over-the-counter medications, should be provided. It is essential to include any history of bisphosphonate use or cancer treatments. 9 A relevant psychiatric history, including special needs, and the patient's resuscitation wishes or advance directive may be helpful. 10

eFigure A is a sample consultation report form to assist physicians when evaluating patients before dental procedures (see template ). Table 1 summarizes key concepts discussed in this article. 1 , 5 , 9 , 11 – 39

medicine after dentist visit

Antibiotic Prophylaxis

Infectious endocarditis.

For decades, the American Heart Association recommended prophylactic antibiotics for patients with cardiac conditions that might increase the risk of contracting infectious endocarditis during dental procedures. However, because studies have found that bacteremia occurs routinely with common activities such as chewing, brushing, and flossing and there is a lack of evidence that procedural prophylaxis is effective, 40 the American Heart Association now recommends considering it only when dentogingival manipulations are planned for selected patients at highest risk of complications ( Table 2 ) . 11


A high-quality prospective, case-control study found that antibiotic prophylaxis does not affect the incidence of prosthetic knee or hip infections. 12 A 2013 joint guideline from the American Dental Association (ADA) and the American Academy of Orthopaedic Surgeons suggests that physicians consider discontinuing routine procedural antibiotic prophylaxis after discussing risks and benefits of antibiotic prophylaxis with patients. 41 Since 2015, the ADA has recommended against routine prophylaxis for patients with prosthetic joints. 13 Because dentists usually follow ADA guidelines, they often do not provide an antibiotic prescription; patients electing to use prophylaxis may need to obtain the prescription from their physician. 13

Cardiovascular Conditions

Anticoagulation and antiplatelet therapies.

For simple cleanings or single tooth extractions, evidence supports continuing antiplatelet and anticoagulation medications at a therapeutic international normalized ratio (INR) because the indications for these medications usually outweigh the risks of dental complications. 14 Studies have demonstrated that patients taking a vitamin K antagonist at a therapeutic INR, direct oral anticoagulants, or daily aspirin are not at increased risk of uncontrollable bleeding after outpatient oral surgeries. 15 – 19 Another study of patients on nonaspirin antiplatelet therapy, alone or in combination with aspirin, demonstrated a negligible increased risk of bleeding after invasive dental treatments. 20 Dentists routinely manage such perioperative bleeding using simple topical treatments, pressure packs, or sutures. 19 , 20


Elective dental treatments have traditionally been deferred for patients with unstable angina and postponed for six weeks after myocardial infarction or bare-metal stent placement or for six months after drug-eluting stent placement. 14 , 21 , 22 However, evidence suggests that, when necessary, invasive procedures (e.g., extractions) may be safely performed shortly after myocardial infarction or in patients with unstable angina, particularly if dentists provide effective anesthesia, control postoperative pain, and take measures to reduce perioperative anxiety. 22 Patients are considered at low cardiac risk when undergoing dental procedures if they have no active cardiac conditions and can perform at least 4 metabolic equivalents. 23


Dental treatments are rarely contraindicated in patients with hypertension who have no other significant symptoms or comorbidities. 23 Many dentists routinely measure blood pressure before dental procedures, but it is unclear whether a high preprocedural office-based blood pressure measurement should postpone treatment. 23 With a lack of evidence-based guidance, many dentists postpone elective dental procedures when the patient's blood pressure exceeds 160/100 mm Hg to avoid the possibility of a hypertensive crisis. 23 By documenting a history of adequate blood pressure control, physicians can help patients avoid the setback of canceled dental appointments. 23

Metabolic Conditions

People with type 1 or 2 diabetes have an increased risk of periodontal disease, increasing their need for preventive dental care. 1 Although people with diabetes have a well-documented increased risk of infection in general, research suggests that this does not extend to tooth extractions, regardless of the level of glycemic control. 24 Thus, diabetes alone is not an indication for using antibiotics in patients undergoing routine extractions. 24 Studies are not as clear about dental implant procedures, and research is ongoing to investigate whether the success of implants is influenced by glycemic control. 42 It may be helpful for physicians to include a recent A1C level in the medical consultation.


Cirrhosis is associated with coagulopathy, thrombocytopenia, renal failure, anemia, ascites, and spontaneous bacterial peritonitis. A dental assessment and treatment are critical in preparing patients with cirrhosis for liver transplantation by optimizing oral health and minimizing the risk of oral infections. 25 , 29

The traditional practice of performing a perioperative platelet transfusion for patients with platelet counts below 50 × 10 3 per μL (50 × 10 9 per L) has been challenged by studies showing that dental extractions are safe when platelet counts are as low as 10 × 10 3 per μL (10 × 10 9 per L). 25 , 26 Studies also show that the risk of hemorrhage during dental extraction in patients with cirrhosis is not predicted by laboratory values. 25 Given the lack of consensus, it may be reasonable for physicians to include a recent complete blood count, prothrombin time, and INR in the medical consultation for a dental extraction. 25 , 29

The preferred analgesic for patients with dental pain and compensated hepatic dysfunction or cirrhosis who abstain from alcohol is acetaminophen, sometimes limited to 2 g per day. 27 , 28 Nonsteroidal anti-inflammatory drugs (NSAIDs), except aspirin when prescribed for cardiovascular disease, are usually avoided because of platelet, kidney, and gastric risks. 28 , 29

Certain patients with ascites and a history of spontaneous bacterial peritonitis are given long-term daily prophylactic antibiotics. 28 , 29 However, dental procedures are not an indication to initiate procedural prophylaxis in patients with ascites. 28


Medication-related osteonecrosis of the jaw is a serious complication associated with the use of bisphosphonates and other antiresorptive agents or antiangiogenic cancer treatments ( Table 3 ) . 9 , 30 A history of exposure to these drugs can increase the patient's lifetime risk of osteonecrosis of the jaw by up to 100-fold, depending on the treatment regimen and indication for which it was prescribed. 9 Dental extraction and implant procedures are known to trigger osteonecrosis; therefore, the dentist may need to modify the care plan in these patients. 30

For patients with a history of treatment with the drugs listed in Table 3 , details such as drug name, dosage, route of administration, indication, and treatment duration should be communicated to the dentist. 9 , 30 Patients should optimize their oral health before initiating bisphosphonates if possible. 30 For those already taking bisphosphonates, current literature has not shown a benefit to discontinuing the treatment perioperatively. 31


Chronic renal disease is associated with poor oral health. 33 Daily oral care and semiannual dental checkups have been shown to reduce mortality in patients receiving dialysis. 5 It is good practice to evaluate for and address oral infections before renal transplantation. 43

Patients who have stage I to IV chronic renal failure with or without peritoneal dialysis usually do not need special accommodations for dental procedures other than the avoidance of nephrotoxic medications, such as NSAIDs, and consideration of renal dosage adjustments. 32 It is helpful to provide the dentist with a recent glomerular filtration rate to determine the severity of renal disease. 5 , 33 For patients receiving extracorporeal dialysis, scheduling dental procedures between dialysis days can prevent patient fatigue and complications of heparin. Providing a current INR (if taking warfarin), hemoglobin level, and platelet count may help the dentist assess the risk of bleeding. 33

Other Situations

When considering cancer treatment, it is recommended to involve the patient's dentist early to provide timely preventive or proactive dental care and avoid sequelae. 9 , 30 , 34 , 44 Patients currently undergoing chemotherapy without radiation may receive routine dental care. The dentist should be provided with a current medication list, and a complete blood count should be performed on the day of the planned treatment to ensure the absolute neutrophil count is greater than 1,000 per μL (1 × 10 9 per L) and platelet count is greater than 50 × 10 3 per μL. 34 Any history of antiangiogenic treatments ( Table 3 9 , 30 ) should be disclosed.

Routine dental care should be postponed in patients currently undergoing head and neck radiation therapy. 34 A history of head and neck radiation is associated with numerous oral complications, such as increased dental caries, xerostomia, and osteoradionecrosis of the jaw, and dentists should be provided with a detailed oncology history (i.e., type of radiation treatment, dose, and specific anatomic site). This information is important because most cases of osteoradionecrosis of the jaw occur at sites exposed to greater than 60 Gy of radiation, and perioperative hyperbaric oxygen or other precautions may be indicated. 34 , 45


Studies show that multimodal analgesia is more effective than monomodal analgesia in the management of acute dental pain; combining acetaminophen with NSAIDs is highly effective. 35 , 36 Despite a declining trend, opioids are often prescribed for dental pain. 46 Long-term opioid use often begins with treatment of acute pain; therefore, the risks of opioid addiction, including death, should be discussed with patients considering opioids. 37 – 39

Absent compelling study data, expert opinion and the Centers for Disease Control and Prevention recommend that dentists consider adding the minimal effective doses of immediate-release opioids, for less than three to seven days, when multimodal and nonpharmacologic therapies fail. 37 , 38

Accessing the state prescription drug monitoring program, required in some jurisdictions, can help verify medication histories and help ensure that benzodiazepines are not being used concurrently. 37 Physicians should consider prescribing a naloxone antidote for patients at risk of an opioid overdose. 37 Communicating any history of addiction or contraindications to NSAIDs or acetaminophen can help the dentist select an appropriate analgesic regimen.

Data Sources: PubMed literature searches were completed using combinations of the following terms: analgesia, anemia, antibiotic prophylaxis, anticoagulation, antiplatelet, antithrombotic, ascites, atrial fibrillation, cancer, chemotherapy, cirrhosis, clearance, consult, coronary artery disease, dental care, dental clearance, dental procedure, diabetes, dialysis, end stage renal disease, epilepsy, guidelines, heart valve, hemoglobin A1C, hepatic disease, hypertension, infective endocarditis, joint prosthesis, joint replacement, myocardial infarction, narcotic, nitrous oxide, osteonecrosis of the jaw, pain, periodontitis, periprocedural management, prostheses, radiation therapy, recommendations, renal insufficiency, seizure, spontaneous bacterial peritonitis, thrombocytopenia, and venous thromboembolism. References therein were also reviewed. Literature searches included clinical trials, UpToDate, Cochrane reviews, randomized controlled trials, clinical trials, and systematic reviews. Search dates: March 1, 2020, to July 19, 2020, and May 15, 2021.

The authors thank Frank Perez for his editorial contribution.

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  • Sanz M, Del Castillo AM, Jepsen S, et al. Periodontitis and cardiovascular diseases. Consensus report. Glob Heart. 2020;15(1):1.
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Stephens MB, Wiedemer JP, Kushner GM. Dental problems in primary care. Am Fam Physician. 2018;98(11):654-660. Accessed March 17, 2021. https://www.aafp.org/afp/2018/1201/p654.html

  • Glurich I, Schwei KM, Lindberg S, et al. Integrating medical-dental care for diabetic patients: qualitative assessment of provider perspectives. Health Promot Pract. 2018;19(4):531-541.

Gary CJ, Glick M. Medical clearance: an issue of professional autonomy, not a crutch. J Am Dent Assoc. 2012;143(11):1180-1181.

  • Ruggiero SL, Dodson TB, Fantasia J, et al. American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw—2014 update [published corrections appear in J Oral Maxillofac Surg . 2015;73(7):1440, and J Oral Maxillofac Surg . 2015; 73(9):1879]. J Oral Maxillofac Surg. 2014;72(10):1938-1956.
  • Wang YC, Lin IH, Huang CH, et al. Dental anesthesia for patients with special needs. Acta Anaesthesiol Taiwan. 2012;50(3):122-125.
  • Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135(25):e1159-e1195.
  • Berbari EF, Osmon DR, Carr A, et al. Dental procedures as risk factors for prosthetic hip or knee infection: a hospital-based prospective case-control study [published correction appears in Clin Infect Dis . 2010;50(6):944]. Clin Infect Dis. 2010;50(1):8-16.
  • Sollecito TP, Abt E, Lockhart PB, et al. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: evidence-based clinical practice guideline for dental practitioners—a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2015;146(1):11-16.e8.
  • Guyatt GH, Akl EA, Crowther M, et al. Executive summary: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines [published corrections appear in Chest . 2012;141(4):1129 and Chest . 2012;142(6):1698]. Chest. 2012;141(2 suppl):7S-47S.
  • Nematullah A, Alabousi A, Blanas N, et al. Dental surgery for patients on anticoagulant therapy with warfarin: a systematic review and meta-analysis. J Can Dent Assoc. 2009;75(1):41.
  • Al-Mubarak S, Al-Ali N, Abou-Rass M, et al. Evaluation of dental extractions, suturing and INR on postoperative bleeding of patients maintained on oral anticoagulant therapy. Br Dent J. 2007;203(7):E15.

Ahmed I, Younis M, Shah AA. Extraction in patients on oral anticoagulant therapy with and without stopping the drug: a comparative study. J Maxillofac Oral Surg. 2019;18(4):555-558.

  • Berton F, Costantinides F, Rizzo R, et al. Should we fear direct oral anticoagulants more than vitamin K antagonists in simple single tooth extraction? A prospective comparative study. Clin Oral Investig. 2019;23(8):3183-3192.
  • Madan GA, Madan SG, Madan G, et al. Minor oral surgery without stopping daily low-dose aspirin therapy: a study of 51 patients. J Oral Maxillofac Surg. 2005;63(9):1262-1265.
  • Napeñas JJ, Hong CHL, Brennan MT, et al. The frequency of bleeding complications after invasive dental treatment in patients receiving single and dual antiplatelet therapy. J Am Dent Assoc. 2009;140(6):690-695.

Roberts HW, Mitnitsky EF. Cardiac risk stratification for postmyocardial infarction dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(6):676-681.

Niwa H, Sato Y, Matsuura H. Safety of dental treatment in patients with previously diagnosed acute myocardial infarction or unstable angina pectoris. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(1):35-41.

  • Yarows SA, Vornovitsky O, Eber RM, et al. Canceling dental procedures due to elevated blood pressure: is it appropriate?  J Am Dent Assoc. 2020;151(4):239-244.
  • Fernandes KS, Glick M, de Souza MS, et al. Association between immunologic parameters, glycemic control, and postextraction complications in patients with type 2 diabetes. J Am Dent Assoc. 2015;146(8):592-599.
  • Medina JB, Andrade NS, de Paula Eduardo F, et al. Bleeding during and after dental extractions in patients with liver cirrhosis. Int J Oral Maxillofac Surg. 2018;47(12):1543-1549.
  • Cocero N, Bezzi M, Martini S, et al. Oral surgical treatment of patients with chronic liver disease: assessments of bleeding and its relationship with thrombocytopenia and blood coagulation parameters. J Oral Maxillofac Surg. 2017;75(1):28-34.

Benson GD, Koff RS, Tolman KG. The therapeutic use of acetaminophen in patients with liver disease. Am J Ther. 2005;12(2):133-141.

Ge PS, Runyon BA. Treatment of patients with cirrhosis. N Engl J Med. 2016;375(8):767-777.

  • Radmand R, Schilsky M, Jakab S, et al. Pre-liver transplant protocols in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(4):426-430.
  • Vahtsevanos K, Kyrgidis A, Verrou E, et al. Longitudinal cohort study of risk factors in cancer patients of bisphosphonate-related osteonecrosis of the jaw. J Clin Oncol. 2009;27(32):5356-5362.

Glick A, Sista V, Johnson C. Oral manifestations of commonly prescribed drugs. Am Fam Physician. 2020;102(10):613-621. Accessed March 17, 2021. https://www.aafp.org/afp/2020/1115/p613.html

Munar MY, Singh H. Drug dosing adjustments in patients with chronic kidney disease. Am Fam Physician. 2007;75(10):1487-1496. Accessed March 17, 2021. https://www.aafp.org/afp/2007/0515/p1487.html

  • Costantinides F, Castronovo G, Vettori E, et al. Dental care for patients with end-stage renal disease and undergoing hemodialysis. Int J Dent. 2018;2018:9610892.

Levi LE, Lalla RV. Dental treatment planning for the patient with oral cancer. Dent Clin North Am. 2018;62(1):121-130.

  • Ong CKS, Seymour RA, Lirk P, et al. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010;110(4):1170-1179.

Mehlisch DR. Double-blind, single-dose comparison of bromfenac sodium, tramadol, and placebo after oral surgery. J Clin Pharmacol. 1998;38(5):455-462.

Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain - United States, 2016 [published correction appears in MMWR Recomm Rep . 2016;65(11):295]. MMWR Recomm Rep. 2016;65(1):1-49.

  • Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Int J Oral Maxillofac Surg. 2020;49(3):397-402.
  • Alam A, Gomes T, Zheng H, et al. Long-term analgesic use after low-risk surgery: a retrospective cohort study. Arch Intern Med. 2012;172(5):425-430.
  • Tubiana S, Blotière PO, Hoen B, et al. Dental procedures, antibiotic prophylaxis, and endocarditis among people with prosthetic heart valves: nationwide population based cohort and a case crossover study. BMJ. 2017;358:j3776.
  • Watters W, Rethman MP, Hanson NB, et al.; American Academy of Orthopaedic Surgeons; American Dental Association. Prevention of orthopaedic implant infection in patients undergoing dental procedures. J Am Acad Orthop Surg. 2013;21(3):180-189.
  • Shi Q, Xu J, Huo N, et al. Does a higher glycemic level lead to a higher rate of dental implant failure?: A meta-analysis. J Am Dent Assoc. 2016;147(11):875-881.

Vasanthan A, Dallal N. Periodontal treatment considerations for cell transplant and organ transplant patients. Periodontol 2000. 2007;44:82-102.

National Cancer Institute. Oral complications of chemotherapy and head/neck radiation. Updated December 16, 2016. Accessed May 30, 2020. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-hp-pdq

Nabil S, Samman N. Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review. Int J Oral Maxillofac Surg. 2011;40(3):229-243.

  • Cooper SA, Precheur H, Rauch D, et al. Evaluation of oxycodone and acetaminophen in treatment of postoperative dental pain. Oral Surg Oral Med Oral Pathol. 1980;50(6):496-501.

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What to Expect If It’s Been Several Years Since Your Last Dental Visit

medicine after dentist visit

Has it been awhile since your last dental visit? Perhaps, even several years? Is the apprehension about what to expect after such a long lapse between visits making you reluctant to schedule one at all? If so, you’re not alone. And first things first, take a deep breath—it’s going to be fine!

There are many reasons that cause people to put off their regular appointments—lapses in insurance, having your regular dentist retire or go out of business, obligations, extensive travel, or long-term medical care are just a few. We know it can feel a bit embarrassing to admit to a dental team that it’s been years since your last visit, and we know that the anxiety about what to expect can make it difficult to make an appointment, but we assure you, you’re not the first person to put off a dental appointment for a long period of time, and it’s likely not even close to as big a deal as you’re making it out to be in your mind. However, it is important to get in to see a dentist for a cleaning and an exam as soon as possible. Sometimes just knowing what to expect after a long break between visits can help ease worry and make it easier to take action, so let’s break down what will likely happen when you come in.

Make sure to arrive early to your appointment, because you’ll probably need to update your paperwork. The last thing you want to deal with when you’re already feeling anxious is to arrive stressed because you are running late. You’ll want plenty of time to thoroughly complete your paperwork so that the dentist will understand your dental history. Be sure to bring important information along with you—insurance information, lists of medications you are on, allergies, etc. And if you have any pressing questions or concerns for the dentist, be prepared to share them at the appropriate time.

Schedule plenty of cushion in the time after your appointment. Because it’s been awhile, your appointment may take longer than a typical visit, and you don’t want to feel stressed because you have to cut the appointment short or rush back to work.

Long lapses between cleanings typically lead to excessive build-up of plaque that will need to be addressed during the cleaning, which may contribute to the longer appointment time. But it’s definitely worth it—your teeth will feel much better and your gums will be much happier once it’s gone! Expect some slight discomfort during the cleaning, and possibly some bleeding of the gums, especially if you haven’t been diligent with flossing.

Be prepared to be told you may have acquired a cavity or two since your last visit. In this day and age, it’s difficult to avoid if you’re not keeping those regular appointments. Decay is an opportunist and is quick to get into action when given the chance. You may need to have fillings done, either at the same appointment or shortly thereafter. This is absolutely nothing to stress about. Other than a little discomfort, there isn’t much to it. Getting a filling is often a much bigger deal in your imagination than it is in real life. Be sure to tell your dentist if you are feeling particularly worried about it—they can talk you through the process and help to quell your fears.

Once you’re finished with your appointment, you’ll want to schedule a follow-up within six months. Now that you’ve taken the first step and gotten back in the dentist’s chair, you won’t want another lapse to pass. Keeping regular appointments is the easiest way to ensure ongoing oral health, catch problems while they are still very small and easily managed, and ensure a healthy, confident smile.

To learn more about, visit https://kyedentistry.com/ . Dr. Keith A. Kye helps patients in Huntersville, North Carolina every day to keep happy, healthy smiles!

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Do you need antibiotics before your dental visit?


It had been common for most people with heart problems, and for people with prosthetic joint replacements to be prescribed a short course of antibiotics before their dental appointment (antibiotic prophylaxis). This was to prevent potential infection of the heart lining and valves (infective endocarditis) or replacement prosthetic joints (e.g., knee, hip) from the large number of bacteria that can potentially be released from the mouth into the bloodstream (bacteremia) after many common dental procedures, even cleanings. The immune system normally kills these bacteria, but antibiotic prophylaxis was given to persons with heart problems or prosthetic joints to provide extra protection against the risk of acquiring serious heart or joint infections after a dental appointment.

Medical experts have provided guidance over the years on appropriate use of antibiotics for certain patients before bacteremia-causing dental procedures. In recent years, this guidance has been updated.

In 2007 the American Heart Association guidance on administration of antibiotic prophylaxis changed to providing antibiotics only to those patients with cardiac conditions considered at “highest risk” of an adverse outcome from infective endocarditis. In 2015, the American Dental Association (ADA) provided new guidance on when it may be appropriate to consider antibiotic administration prior to dental procedures in patients with replacement joint implants. And, in 2016 the American Academy of Orthopaedic Surgeons (AAOS) also provided appropriate use criteria on when it may be appropriate to consider antibiotic administration prior to dental procedures in patients with replacement joint implants. And here’s why:

First, research experts in medicine and dentistry have found  that the collective published evidence suggests that of the total number of cases of infective endocarditis (IE) that occur annually from any cause, the number of  IE or prosthetic joint infections that occur after bacteremia-producing dental procedures are exceedingly small.  Accordingly, only an extremely small number of cases of IE might be prevented by antibiotic prophylaxis before dental procedures even if it were 100% effective. And one would not expect antibiotic prophylaxis to be near 100% effective, however, because of the nature of the microorganisms and choice of antibiotics. The recommendation is that antibiotic prophylaxis is not necessary for most people, other than for certain cardiac or prosthetic joint patients who may be at the “highest-risk” for developing heart or joint infection (as listed below). Second, there can be considerable side effects from antibiotics including upset stomach, rash, diarrhea and, more importantly, allergic reactions, some of which can be life-threatening. The new guidelines acknowledge that the risk of antibiotic-associated adverse events exceeds the benefit, if any, from prophylactic antibiotic therapy. In addition, antibiotic overuse has led to a growing, worldwide problem from infections caused by bacteria that have become resistant to most common antibiotics. Bacteria develop resistance when they are prescribed too often or used inappropriately. Therefore, it is important to use antibiotic prophylaxis only in the right situations and with those people most at risk for infection. Third, studies suggest that of the exceedingly small number of cases of IE that are linked to oral bacteria, the vast majority of those cases result from random bacteremias caused by routine daily activities, such as chewing food, tooth brushing, flossing, use of toothpicks, use of water irrigation devices, and other activities.

The link between dental procedures, everyday oral activities, and bacteremia 

Although studies do show a strong association between certain dental procedures and short-lasting (transient) bacteremia, they do not prove a direct link between dental procedure-associated bacteremia and infections in the heart or prosthetic joints. Numerous studies have also pointed out that transient  bacteremia is common during normal oral daily activities, such as chewing, clenching, tooth brushing, and flossing. Given that the average person living in the United States has fewer than two dental visits per year, the frequency of bacteremia from routine daily activities is far greater than from dental appointments. Available evidence also supports that good oral hygiene and gingival health are associated with a reduced risk of developing bacteremia from these everyday oral activities.   

Heart problems that call for antibiotics before dental procedures

Today, the American Heart Association (AHA) only recommends antibiotics before dental procedures for patients with the highest risk of infection, those who have:

  • A prosthetic heart valve or who have had a heart valve repaired with prosthetic material
  • A history of endocarditis
  • A heart transplant with abnormal heart valve function
  • Cyanotic congenital heart disease (birth defects with oxygen levels lower than normal), which has not been fully repaired, including in children who have had surgical shunts and conduits
  • A congenital heart defect that has been completely repaired with prosthetic material or a device for the first six months after the repair procedure
  • Repaired congenital heart disease with residual defects, such as persisting leaks or abnormal flow at, or adjacent to, a prosthetic patch or prosthetic device

If you’re not sure about the guidelines for your heart condition, check with your heart specialist. If you have one of these conditions, always tell your dentist. Also, alert your dentist if - you (or your child) are allergic to any antibiotics or other medications.

Antibiotic prophylaxis and joint surgery

In the past, people who have had a joint replacement, such as a hip or a knee replacement, were often prescribed antibiotic prophylaxis before dental procedures. While this still may be necessary for some individuals, in general, for patients with prosthetic joints, prophylactic antibiotics are not routinely recommended prior to dental procedures to prevent prosthetic joint infection.

The ADA and the AAOS have provided guidance on when it may be appropriate to consider antibiotic administration prior to dental procedures in patients with replacement joint implants. The AAOS guidance advises that most patients with replacement joints are not at risk for infection following dental procedures and do not require antibiotic administration. Prophylactic antibiotic therapy, however, should be considered for certain subsets of patients—primarily those with severely compromised immune systems related to AIDS/HIV, uncontrolled diabetes, chemotherapy, or a recent history of joint infection, along with those taking certain drugs for rheumatoid arthritis or to prevent organ transplant complications. The ADA recommends that prophylactic antibiotics should only be considered after consultation with the patient and orthopedic surgeon; in cases where antibiotics are deemed necessary, it is most appropriate that the orthopedic surgeon recommend the appropriate antibiotic regimen and, when reasonable, write the prescription. 

If you have any questions about your situation, particularly if you have a significant immunodeficiency or a current or previously infected prosthetic joint, make sure to discuss your situation with your dentist and orthopedic surgeon or physician to determine the need for antibiotic prophylaxis.

Other uses for antibiotics in dentistry

If your dentist detects signs of an acute or chronic infection in your mouth, particularly when accompanied by fever, swelling or other signs, you may be prescribed antibiotics. Tooth infections occur when bacteria enter a tooth’s root, causing pain, tissue death, and buildup of pus. Called an abscess or abscessed tooth, this kind of infection can spread to other areas of the head and neck. Periodontal disease, also called gum disease, can lead to serious gum abscesses. Treatments for abscesses can include antibiotics, root canals , and tooth extractions.

Antibiotic prophylaxis before typical periodontal, third molar, implant or other surgeries is usually not necessary. But depending on your personal medical history, you may still be a candidate for premedication. For example, antibiotic prophylaxis might be useful for patients undergoing invasive dental procedures, who also have compromised immune systems, due to, for instance, diabetes, rheumatoid arthritis, cancer, chemotherapy and chronic steroid use.

Finally, always provide your dentist or physician with a complete medical history and discuss whether antibiotic prophylaxis before dental treatment is right for you. Also, remember that brushing, flossing, eating a good diet, and visiting your dentist will help maintain good oral health, prevent tooth and gum disease , and potentially avert the need for more aggressive dental procedures and medications.

Final thoughts

The overuse of antibiotics has led to widespread antimicrobial resistance and the emergence of multi drug-resistant strains of bacteria. Although medical/dental guidelines have greatly reduced the overuse of prophylactic antibiotics before dental appointments for those with heart conditions or prosthetic joints, there are some people in these groups, including those with certain underlying heart conditions, severely immune-compromised systems, history of previous joint infections, and others where antibiotic prophylaxis is recommended. Additionally, antibiotics may be recommended to those with certain acute or chronic infections of the mouth. If you have any questions or concerns about whether or not you’ll need antibiotics for an upcoming dental procedure, then make sure you speak with your physician or dentist before your appointment

  • Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al.  Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee . Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group .  2008;116:1736-54. From  https://jada.ada.org/article/S0002-8177(14)62745-8/pdf 
  • Antibiotics for Pain and Swelling . (n.d.) from  https://www.mouthhealthy.org/all-topics-a-z/antibiotics-for-pain-and-swelling
  • Antibiotic Prophylaxis: Prosthetic Joints and Orthopedic Implants.  Mouth Healthy, American Dental Association
  • What is antibiotic prophylaxis?  American Dental Association. J Amer Dent Assoc. 2016. Vol. 147(6) p. 526.
  • Nishimura RA, Otto CM, Bonow RO, Carabello BA, et.al.  2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.  J Am Coll Cardiol. 2017 July 11. 70(2):252-289.
  • Infective Endocarditis . (n.d.) from  https://www.heart.org/en/health-topics/infective-endocarditis
  • Sollecito TP, Abt E, Lockhart PB, et.al.  The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints.  2015 January from  https://jada.ada.org/article/S0002-8177(14)00019-1/fulltext

Additional resources


Choosing the right dentist for you


Using teledentistry to manage oral health


What are the different types of dentists?


Root canal overview


Ouch! My tooth!


Why bacteria aren’t always bad for your mouth

medicine after dentist visit

What It Means When You Get A Headache After A Dentist Appointment

Y ou've been having a problem with your tooth that's been bothering you for a few weeks now. So, you made an appointment with your dentist and now the problem with your tooth is fixed, but your head throbs. Getting a headache from dental work is common and shouldn't cause any concern. However, you might want to let your dentist know next time so they can take the proper precautions to help you come out pain-free.

But why does your head hurt after a dental visit? The answer isn't as clear as it might seem. The reason behind your headache might be due to the visit itself. For example, a simple teeth cleaning can cause anxiety and lead to a tension headache. Your headache might also be due to the medications used by your dentist when filling a cavity or extracting a tooth. The pain in your temples can also come from the position of your jaw being open for an extended period of time. Additionally, getting your teeth cleaned or worked on might affect your sinuses causing a sinus headache.

We'll help you learn what each headache feels like and the root causes behind them. We'll also provide a few tried and tested methods to help relieve your pain now.

Read more: Scary Symptoms That Aren't As Serious As You Think

Dental Anxiety Can Cause A Headache

Fear of the dentist is common, according to WebMD . They note that between 9% and 20% of Americans avoid the dentist due to the fear and anxiety associated with it. Additionally, Better Health Channel reports that dental phobia could leave you stressed and anxious when sitting in the waiting room. Symptoms of dental anxiety include sweating, racing heart, low blood pressure, tense muscles, and feelings of panic. These overwhelming triggers can cause a stress headache during and after your dental appointment.

A stress or tension headache doesn't have one specific cause but is typically related to the muscle contractions in the head and neck, states  Johns Hopkins Medicine . These headaches are usually felt on both sides of the head and include a dull ache. You might also feel pain in your neck and shoulders. The onset of a tension headache is slow, and the pain is typically mild.

To avoid the headache, it's essential to try to calm your anxiety and fears. This might require taking medication before your visit. It can also be helpful to try deep breathing and calming techniques when waiting for your appointment. A 2022 study in Acta Biomedica found that music can help with cortisol, blood pressure, heart rate, and body temperature if you listen to it while in the dentist's chair.

Jaw Strain Can Also Cause A Headache

Whether you're getting your teeth cleaned or a cavity filled, an appointment with your dentist requires you to keep your mouth open for an extended period. Since your jaw isn't used to this, it can put pressure on the temporomandibular joint (TMJ) and create muscle spasms, explains the Oral Health Foundation . This muscle pain could cause a headache after the visit is over.

TMJ headaches are felt on the tops of the cheeks and along the sides of the head, per Healthline . You can also feel tight facial or jaw muscles and facial pain, especially when moving your jaw. Dental Implant Specialist Centre also notes that pain around your eyes and temples is common. The headache is quite similar to a tension headache in that it comes on slowly and feels more like a dull ache rather than a stabbing pain.

Since the headache is coming from the muscles in your jaw, this is the area that you'll want to treat. Applying a warm compress or ice to your jaw can help relieve the swelling and inflammation in the TMJ. It can also be beneficial to take anti-inflammatory medication, like NSAIDs. Thankfully, as your jaw soreness eases, so will your headache.

A Dental Visit Could Lead To A Sinus Headache

All the areas in your face are connected in one way or another, so your teeth can play a significant role in facial pain and headaches. There is a reason for the saying "throbs like a toothache." Therefore, getting dental work done or having a dental infection can affect your sinuses and lead to a sinus headache and even a sinus infection (odontogenic sinusitis), per Enamel Dental Center .

A sinus headache typically includes pressure around your eyes, cheeks, and forehead. It will be worse when you move your head down, creating a throbbing pressure in the front of your face. Some people also feel a throbbing pain in their teeth. If the headache progresses into a full-blown sinus infection, you might also experience fatigue and fever. The American Rhinologic Society also notes that pain can be on one side of the face.

For a sinus headache, try using a saline solution to help to flush out your sinuses. Steam can also open up the sinus cavity to let everything move its way out. Relieve inflammation by applying warm compresses to the face, according to Mayo Clinic . When it progresses into odontogenic sinusitis, visit your healthcare provider to get a prescription for antibiotics.

Local Anesthesia Can Sometimes Give You A Headache

Depending on what you're getting done at the dental office, it may require local anesthesia to numb the area for an extraction, cavity treatment, or even a crown. Local anesthesia works by stopping the signals to nerves in that area, meaning you don't feel any pain when a dentist is working on your teeth, according to NHS . It's great during your procedure because it makes it easy to sit calmly rather than go under general anesthesia. However, these medications may have a few side effects, including a headache.

A study in the Journal of Dental Anesthesia and Pain Medicine found that 2.7% of people experienced headaches after using local anesthesia. The severity of the headache correlated with the specific medication used and the amount. Higher concentrations could produce more adverse effects like headaches.

A headache associated with medication will be short-lived and wear off with time. Taking over-the-counter pain meds and relaxing can help to dull the pain. It can also be beneficial to drink lots of fluids to help move the anesthesia out of your system. 

Read the original article on Health Digest .

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by Mary Beth Versaci

February 05, 2024

Original Article

New ADA guideline recommends NSAIDs to manage dental pain in adults, adolescents

Association previously published guidance on pediatric pain management.


A new clinical practice guideline from the American Dental Association recommends nonsteroidal anti-inflammatory drugs taken with or without acetaminophen as first-line treatments for managing acute dental pain in adults and adolescents 12 and older.

The guideline, developed by the ADA with the University of Pittsburgh School of Dental Medicine and the Center for Integrative Global Oral Health at the University of Pennsylvania School of Dental Medicine, is the cover story of the February issue of The Journal of the American Dental Association.

When used as directed, NSAIDs, such as ibuprofen and naproxen, on their own or in combination with acetaminophen can effectively manage pain after a tooth extraction or during a toothache when dental care is not immediately available, according to the guideline.

The guideline also offers recommendations for prescribing opioid medications in the limited circumstances in which they may be appropriate. These include avoiding “just in case” prescriptions, engaging patients in shared decision-making and exercising extreme caution when prescribing opioids to adolescents and young adults. The guideline also suggests clinicians advise patients on proper storage and disposal and consider any risk factors for opioid misuse and serious adverse events when prescribing opioids.

“It’s important to take special consideration when prescribing any type of pain reliever, and now, dentists have a set of evidence-based recommendations to determine the best care for their patients,” said Paul A. Moore, D.M.D., Ph.D., guideline senior author, chair of the guideline panel and professor emeritus at the University of Pittsburgh School of Dental Medicine. “Patients are encouraged to discuss pain management expectations and strategies with their dentist so they can feel confident that they are receiving the safest, most effective treatment for their symptoms.”

In 2020, the U.S. Food and Drug Administration awarded the ADA Science & Research Institute — now the ADA Forsyth Institute — and the University of Pittsburgh a three-year, $1.5 million grant to develop a clinical practice guideline for the management of acute dental pain in children, adolescents and adults. This guideline for adolescents and adults is the second of two guidelines. A previous set of recommendations for pediatric patients was published in the September 2023 issue of JADA . Both guidelines are available at ADA.org/painmanagement .

“Providing prescribing guidelines for acute dental pain management is an important step towards improving patient treatment and outcomes,” said Marta Sokolowska, deputy center director for substance use and behavioral health at the FDA’s Center for Drug Evaluation and Research. “We hope this clinical practice guideline will reduce the risk of opioid addiction, overdose and diversion.”

The ADA adopted a policy on opioids in 2018 that supports prescription limits and mandatory continuing education for dentists and builds on an earlier policy recommending dentists consider NSAIDs as the first-line therapy for acute pain. For more information on how the ADA is working to combat opioid abuse while continuing to help patients manage dental pain, visit ADA.org/opioids .

Other articles in the February issue of JADA discuss women in dental leadership positions , quality of dental care during pregnancy and postoperative pain after single-visit endodontic treatment .

Every month, JADA articles are published online at JADA.ADA.org in addition to appearing in the print publication. ADA members can access JADA content with their ADA username and password.

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  • Second Opinion

A Child's First Dental Visit Fact Sheet

When should your child first see a dentist? You can take your child at a younger age, but experts recommend taking him or her within 6 months of the first tooth coming in (erupting), or by about 12 months at the latest.

At this time, the dentist can give you information on:

Baby bottle tooth decay

Infant feeding practices

Mouth cleaning

Pacifier habits

Finger-sucking habits

Prepare your child

If possible, schedule morning appointments so young children are alert and fresh.

Prepare a preschooler or older child for the visit by giving him or her a general idea of what to expect. Explain why it is important to go to the dentist. Build excitement and understanding.

Prepare yourself

Discuss your questions and concerns with the dentist. Remember that your feeling toward dental visits can be quite different from your child's. Be honest with your view of the dentist. If you have dental anxieties, be careful not to relate those fears or dislikes to your child. Parents need to give moral support by staying calm while in the dental exam room. Children can pick up parents' anxieties and become anxious themselves.

Prepare the dentist

At the first visit, give the dentist your child's complete health history. For a restoration visit, such as getting a cavity filled, tell the dentist if your child tends to be stubborn, defiant, anxious, or fearful in other situations.

Watch how your child reacts. Many parents are able to guess how their child will respond and should tell the dentist. Certain behaviors may be linked to your child's age:

10 to 24 months. Some securely attached children may get upset when taken from their parents for an exam.

2 to 3 years. A securely attached child may be able to cope with a brief separation from parents. In a 2-year-old, "no" may be a common response.

3 years. Three-year-olds may not be OK being apart from a parent when having a dental procedure such as getting a cavity filled. This is because most 3-year-olds are not socially mature enough to separate from parents.

4 years. Most children should be able to sit in another room from parents for exams and treatment procedures.

The first visit

Your child's first dental visit is to help your child feel comfortable with the dentist. The first dental visit is recommended by 12 months of age, or within 6 months of the first tooth coming in. The first visit often lasts 30 to 45 minutes. Depending on your child's age, the visit may include a full exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development. If needed, your child may also have a gentle cleaning. This includes polishing teeth and removing any plaque, tartar, and stains. The dentist may show you and your child proper home cleaning such as flossing, and advise you on the need for fluoride. Baby teeth fall out, so X-rays aren’t often done. But your child's dentist may recommend X-rays to diagnose decay, depending on your child's age. X-rays are also used to see if the root of a jammed baby tooth may be affecting an adult tooth. In general, it is best that young children not have dental X-rays unless absolutely needed.

The second visit

Just like adults, children should see the dentist every 6 months. Some dentists may schedule visits more often, such as every 3 months. This can build comfort and confidence in the child. More frequent visits can also help keep an eye on a development problem.

Protect your children's teeth at home

 Here are some tips to protect your children's teeth:

Before teeth come in, clean gums with a clean, damp cloth.

Start brushing with a small, soft-bristled toothbrush and a very small amount of toothpaste (the size of a grain of rice) when your child's first tooth appears. Use a pea-sized dab of fluoridated toothpaste after 3 years of age. This is when the child is old enough to spit out the toothpaste after brushing.

Prevent baby bottle tooth decay. Don't give children a bottle of milk, juice, or sweetened liquid at bedtime or when put down to nap.

Limit the time your child has a bottle. Your child should empty a bottle in 5 to 6 minutes or less.

Help your child brush his or her own teeth until age 7 or 8. Have the child watch you brush, and follow the same brushing pattern to reduce missed spots.

Limit foods and treats that increase tooth decay. This includes hard or sticky candies, fruit leather, and sweetened drinks and juice. Offer fruit rather than juice. The fiber in fruit tends to scrape the teeth clean. Juice just exposes the teeth to sugar.

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Antibiotics for Dental Work Following Joint Replacement

  • Implant Infection Risk
  • Dental Recommendations

Special Circumstances

Recommended antibiotics.

People who have undergone joint replacement surgery are at risk for developing infections of their implanted joints.

In severe cases of infection, a person may require surgery to repair the joint or develop septicemia (a systemic infection).

Preventing an infection is crucial. Deep infection is a severe problem, affecting between 4% of primary and 15% of revision knee replacements.

There have been changing recommendations regarding whether antibiotics should be mandatory for joint replacement recipients undergoing dental work.

In 2012, the recommendations were modified to say that most people would not require antibiotics for routine dental work but that treatment may be given to people at the highest risk of infection.

How Implant Infection Occurs

The most common route of a bacterial infection into the body is through broken skin.

While normal tissue can typically defend itself against the invading bacteria, the inorganic materials of a prosthesis (artificial body part) cannot.

It is there that an infection can seed and cause damage to surrounding bone and tissue.

Another possible route involves oral infections and certain types of dental work. During a dental procedure (or any invasive medical procedure, for that matter), bacteria can often enter the bloodstream if the tissue is broken.

With little immune protection, any infection of a knee replacement and hip replacement can quickly turn serious, increasing the risk of complications and disability.

To avoid this, healthcare providers will often recommend a course of antibiotics before any invasive procedure.

This way, the natural bacteria on the skin or mouth will be dramatically suppressed.

While this would certainly be recommended before major surgery, persons undergoing specific dental procedures may also be asked to take antibiotics before a procedure.

Always seek the advice of both your dentist and your physician about your need for antibiotics during dental care and make sure that they are communicating with each other.

Current Dental Recommendations

There is often confusion (not only among patients but healthcare providers, as well) as to who should receive antibiotics before dental work.

In the past, antibiotics were commonly administered for all dental procedures for the first two years following implant surgery.

That recommendation was then extended in 2009 from two years to a lifetime.

However, there was a complete turnaround in policy only three years later.

In its updated 2016 guidelines, the American Academy of Orthopedic Surgeons (AAOS) in association with the American Dental Association (ADA) stated that antibiotics are not recommended for persons undergoing routine dental work.  

In defending the decision, the AAOS and ADA stated that there was no evidence to suggest that the routine administration of antibiotics reduced the risk of joint implant infection.

Similarly, the governing bodies could not endorse oral antimicrobials before dental work and only reached a consensus in recommending "healthy oral hygiene" as a means of ample protection.

This is not to suggest that antibiotics should be avoided or that there aren’t circumstances for which antibiotics may be appropriate.

This includes significant extractions (the pulling of teeth).

Specific individuals are inherently at higher risk of infection due to a severely weakened or abnormal immune response.

Often, these individuals cannot fight and control infection once it occurs.

According to the AAOS/ADA guidelines, antibiotics may need to be administered before dental work for persons with the following conditions:

  • Rheumatoid arthritis , lupus, and other autoimmune disorders for which infection can trigger sometimes severe inflammation of the joints
  • People with hemophilia (a bleeding disorder) or insulin-dependent (type 1) diabetes who are at increased risk of blood-borne infections
  • Immune-compromised individuals, including organ transplant recipients, persons undergoing cancer radiation therapy, and people with advanced HIV (human immunodeficiency virus) infection
  • Persons who have had a past infection of a joint implant

When antibiotics are recommended, healthcare providers will typically prescribe oral amoxicillin (a form of penicillin) to be taken one hour before the dental work.

If you cannot tolerate oral antibiotics, your healthcare provider may recommend injectable cefazolin or ampicillin, injected within an hour of the procedure.

Clindamycin (oral or injected) may be used if you are allergic to these drugs.

Lenguerrand E, Whitehouse MR, Beswick AD, et al. Risk factors associated with revision for prosthetic joint infection following knee replacement: an observational cohort study from England and Wales . Lancet Infect Dis. 2019 Apr;19(6):589-600. doi:10.1016/S1473-3099(18)30755-2

Hamedani S. A clinical practice update on the Latest AAOS/ADA guideline (December 2012) on prevention of orthopaedic implant infection in dental patients . J Dentistry. 2013;14(1):49-52.

American Academy of Orthopaedic Surgeons. Appropriate use criteria for the management of patients with orthopaedic implants undergoing dental procedures . October 24, 2016.

By Jonathan Cluett, MD Jonathan Cluett, MD, is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams.

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medicine after dentist visit


Taking Antibiotics Before Dental Visits May Cause Serious Side Effects 80% Prescribed Unnecessarily, Study Shows

WASHINGTON, D.C. – Not only are antibiotics vastly overprescribed before most dental visits, using them for even a day or two increases the risk of serious side effects such as  an allergic reaction or Clostridioides difficile (C. diff) infection, according to a large national study  being presented at  ID Week 2019.

Antibiotics are often prescribed for a day or two before dental visits to prevent infections in certain people, such as those who have had hip or knee replacements, but current American Dental Association and American Heart Association guidelines no longer recommend this in most cases. The study of nearly 170,000 dental visits determined 80% of antibiotics prescribed before dental visits to prevent infection are unnecessary.

“While antibiotics can be life-saving, they can cause significant adverse events even after being taken for only a day or two,” said Alan E. Gross, PharmD, clinical associate professor at the University of Illinois at Chicago College of Pharmacy. “Also, misuse can lead to antibiotic resistance. Antibiotics should only be prescribed when necessary and people should talk with their dentist or physician to ask if they truly need antibiotics prior to a dental visit.”

Researchers analyzed a national claims database from 2011-2015 and determined preventive antibiotics were prescribed before 168,420 dental visits. Based on current ADA and AHA recommendations, they were prescribed unnecessarily for 136,177 (80%) visits and of those, 5,260 (3.8%) were associated with an adverse event within 14 days, including 3,912 allergic reactions (from simple rashes to potentially more severe reactions requiring hospitalization), 1,568 emergency room visits (potentially due to other adverse reactions) and 9 C. diff infections. They also determined clindamycin was associated with more adverse events than amoxicillin.

Outside of the hospital, clindamycin is more likely to be prescribed by dentists than any other health care providers. Even a single dose of clindamycin can cause C. diff, or an allergic reaction. Amoxicillin is the antibiotic most commonly prescribed by dentists and it can cause severe allergic reactions even after a single dose.

“While the vast majority of dental patients who take preventive antibiotics will not have a severe reaction, this is a reminder that antibiotics are not innocuous, even if taken for only a day or two,” said Katie J. Suda, PharmD, MS, associate professor at the University of Illinois at Chicago College of Pharmacy. “Ultimately, if an antibiotic is not indicated we should try to avoid exposure to them to lessen the likelihood of patient harm.”

In addition to Drs. Gross and Suda, co-authors of the study are: Jifang Zhou, MD, MPH, Gregory Calip, PharmD, MPH, PhD, Susan A. Rowan, DDS, Ronald Hershow, MD, Rose Perez, Charlesnika T. Evans, PhD, MPH, Jessina C. McGregor, PhD, FSHEA.

About IDWeek

ID Week 2019 TM is the annual meeting of the Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA), the HIV Medicine Association (HIVMA) and the Pediatric Infectious Diseases Society (PIDS). With the theme “Advancing Science, Improving Care,” IDWeek features the latest science and bench-to-bedside approaches in prevention, diagnosis, treatment, and epidemiology of infectious diseases, including HIV, across the lifespan. IDWeek 2019 takes place Oct. 2-6 at the Walter E. Washington Convention Center in Washington, D.C. For more information, visit www.idweek.org .

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April Fools' Day pranks: Apps to translate baby stoner sayings, a ghostbuster at Tinder

Every april 1, brands and companies want to get some laughs – and attention – with goofy new 'product' launches. here are some ideas from companies such as sweetgreen, welch's and omaha steaks..

If you don't like Mondays, this one may especially be grating. It's April Fool's Day , when you should trust no one and question everything.

The roots of April Fools' Day may date back before to before the 15th century. But the modern-day April Fools' Day has become a day to prank a friend, family member, co-worker − or your customers.

Even though some companies have had April Fools' pranks backfire , marketers continue to issue spoof products in attempts to get some laughs and attention.

Already ahead of April Fools' Day, 7-Eleven has hinted at a possible prank product: In addition to new Lemon Lime, Green Apple and Sweet Orange flavored 7-Select sparkling waters, out now with partner Miracle Seltzer, there's a fourth flavor coming April 1: Big Bite Hot Dog.

The hot dog-flavored water "combines the mouthwatering experience of 7-Eleven’s iconic Big Bite Hot Dog into one refreshing beverage – ketchup and mustard included," the convenience chain says in a press release . "Say goodbye to the days of alternating bites of a hot dog with sips of a beverage, now those on the go can swap the bun for bubbles."

Krispy Kreme: A special doughnut deal for April Fools' Day

Will Big Bite Hot Dog sparkling water be sold? Its availability will be announced April 1. However, some reporters were sent a can of the drink. USA TODAY can confirm that it definitely smells like hot dog water and has a smoky aftertaste.

If you are interested in trying it, both 7-Eleven and Miracle Seltzer have hinted at having some to give away on their Instagram pages. (If you get a can, share with a friend as it's 16 ounces.)

Here's a roundup of many of the brand-related April Fools’ gag announcements. You've been warned.

Sour cream & onion flavored soda

Despite the proliferation of crazy-flavored products including Peeps-flavored Pepsi , Frank's RedHot sauce-flavored Vlasic pickles and Doritos Nacho Cheese-flavored liquor , healthy soda brand OLIPOP and Pringles are not really teaming up to bring to market a Sour Cream & Onion soda.

The product would have been "a match made in heaven … to bring the delicious, tangy flavor of Pringles’ Sour Cream & Onion flavor to life in liquid form with prebiotic benefits," the companies said.

Stoner lingo translation app

Another dream team prank product: Rosetta Stoned, a mobile app from Rosetta Stone and medical marijuana company Fluent , that "bridges the conversational gap between novice users and seasoned stoners in any social setting."

Da da decoder

Infant equipment site BabyQuip has its own language-bridging lark: the “Baby Translator” app, to decode your baby's secret language.

"Say 'goodbye' to restless nights as you decode your baby's coos and cries instantly, providing you with the understanding you need as a parent, all in one convenient app," it promises.

An AI-powered plush doll

Custom stuffed animal maker Budsies already makes selfie plush dolls with a built-in voice recorder. Its April Fools' spoof: Artificial intelligence-enabled dolls that "come programmed to learn everything about you and to become your new best friend."

A 50-pound Bearabuddy

Sorry to the 3,500 or so who have already signed up to buy Bearaby's Jumbo Benji plush toy, which is four times the size of its regular weighted plush toys and twice as heavy as its heaviest weighted blanket . This isn't actually going to be sold. But it is real and will be making its home in the lobby at The Child Mind Institute in Harlem to welcome children and their families. More weighted plushies are due the day after April Fools' Day, the company says.

A sleeping bag to go bananas over

The Dole Banana Peel Sleeping Bag, conveniently promoted as being available on April Fools' Day only, is made from actual banana fiber and "allows parents to escape into their own cocoon of sensory deprivation."

A full-body cleaning suit

Outrageous clothing company Tipsy Elves has a special product for April Fools' Day: The Mopsie. You don't need paper towels anymore, you can use your body to clean up those messes, with this "innovative, wearable microfiber towel jumpsuit" for "effortlessly soaking up spills and messes with ease." There's also a Baby Mopsie for "hard to reach places."

Korean BBQ deodorant

Kevin's Natural Foods , which has paleo- and keto-certified ready-to-cook and easy-prep entrées, is touting a new line of personal care products inspired by its food dishes including Korean BBQ Deodorant, Cilantro Lime Toothpaste, Lemongrass Basil Shampoo and Tikka Masala Sunscreen.

"These new face, body and hair care essentials will help fans prioritize self-care inside and out," the company says. 

Omaha Steaks' meaty sprays

Omaha Steaks has its own personal care prank product: Meaty Spritz sprays with flavors such as Omaha Fog, Hog Haze, and Cock-a-Doodle-Dew.

"The world’s first protein-infused, flavor-packed, portable pump spray … (to) enjoy all the mouthwatering flavors of your Omaha Steaks gourmet favorites no matter how far away from the kitchen you are!" the company says.

Sriracha toothpaste

Asian sauce maker Lee Kum Kee , which makes Sriracha Chili Sauce and Sriracha Mayo Dressing, is introducing – not – its Siracha Mayo Toothpaste. It's "fiery and creamy goodness … is sure to spice up your morning dental routine."

Post-salad dental kit

Need some less powerful toothpaste? Sweetgreen offered these fanciful personal hygiene products as part of its Sweetgreen After Salad Kit, which is "designed with your pearly whites in mind … offering everything you need to freshen up post-meal."

Choose from Miso Ginger Toothpaste, Spicy Cashew Mints, Lime Cilantro Dental Floss, and Sweetgreen Toothbrush and Floss Picks.

Fruit juice lip gloss

More personal care prank products: Welch’s Juicyfuls Juicy Fruit Lip Gloss – now available in five flavors: grape, orange, peach, strawberry and raspberry – made with real juice from Juicefuls fruit snacks so "you get that irresistible sweet flavor you love, all in a lip gloss that's as fun as it is nourishing."

Protein-powered seasonings

Quest Nutrition , maker of protein powder, snacks and other products, has a prank product line of seasonings including All Purpose, Lemon Pepper, and Garlic Herb, each of which deliver "21g of protein, 2g of net carbs and less than 1g of sugar."

If you want to try Quest's real products, you can use code NOJOKE for free shipping on online orders over $49 April 1-3.

Superpowered Superfeet?

These would certainly come in hand on a run, but – sorry – it's a jogging joke. Superfeet SuperBoost Power E-Soles gives you 8 hours of continuous battery-powered boost, for almost Iron Man-like propulsion. "All the comfort and support of Superfeet , now with electrifying performance," the company says in a video about the prank product. "It's like having a powerful electric motor in your shoes."

Scotch tape-branded Scotch?

This shenanigan seems like a blend that could stick: Scotch Whisky by Scotch Brand. The whisky "features a nose of cherry wood and a delightfully smooth finish that hits like a well-wrapped gift."

Who you gonna call when ghosted? This new title at Tinder

Dating app Tinder announced a new April Fools' Day hiring quest for a Vice President of Ghost Hunting to help combat "one of dating culture’s most prevalent vices – ghosting," a practice inflicted on 78% of singles already in 2024 (an untrue fact from Tinder).

Patrón's bringing back a beloved liqueur. No kidding.

Patrón patrons get some good news today. The premium tequila maker chose April Fools' Day to announce the return of its Patrón XO Cafe tequila-based coffee liqueur, which was discontinued in 2021. Since production ceased, devotees took to social media and signed a petition asking parent company Bacardi to bring it back.

Made with Patrón Silver tequila and Arabica bean coffee – the dry liqueur can be sipped straight, in cocktails and as dessert topping – Patrón XO Cafe will begin arriving in stores again later this month.

Say it with dead flowers

Don't forget to put roses on your April Fools' Day list. UrbanStems has this "special" delivery, The Dead Inside Collection, "an assortment of dead flower bouquets, dead plants, half empty vases, and more for the pessimist in your life." But, for real, check UrbanStems' social media accounts including Instagram for how to get 20% off an order of real flowers.

Cheesecake Factory's real deals

The Cheesecake Factory  also has a deal that's no joke: Sign up for the chain's Cheesecake Rewards loyalty program on April 1 to get an Any Slice, Half Price reward, redeemable for 50% off any slice of cheesecake or layer cake, with any food or beverage purchase (no gift cards).

Those who were members before April 1 will find something special in their account on Monday, too: either a free slice of cheesecake each month for a year, a free whole cheesecake, a free slice of cheesecake, $5 off $25 purchases, or $10 off $40 purchases. (All rewards redeemable by April 16; can be redeemed for dine-in, to-go and DoorDash.)

New merch from Dunkin', bonus points in app

Dunkin' announced it is going back to its roots and rebranding to just "Donuts'" on Monday, April 1. To celebrate the rebrand, the company is selling "Donuts'" merch, including sweatshirts that read "DONUTS," on ShopDunkin.com .

Additionally, Dunkin' Rewards members will receive 3x bonus points on any donut order through the mobile app on April 1.

Urban Outfitters launches 'Name Three Shirts' movement

Urban Outfitters said it is launching a global movement to "stand in solidarity against band-tee-shaming" by launching a new collection called "Name Three Shirts."

The t-shirt line "playfully mocks the gatekeeping attitudes of older generations who insist that band-shirt wearers should be required to name songs by those artists," the company said in a news release.

The line, which features revamped logos from bands such as The Grateful Dead, Joy Division and Led Zeppelin, is a "playful jab at the attitudes of older generations, and fights back against the misogynistic undertones of the infamous ‘name three songs’ line of questioning," Urban Outfitters said in the news release.

The collection of shirts is available online and in select Urban Outfitters stores starting April 1. You can shop the collection online here .

Auntie Anne's, Frontier Airlines collaborate on Pretzel Plane

Auntie Anne's pretzels and Frontier Airlines announced they have collaborated on the newest addition to Frontier's fleet: the Pretzel Plane.

According to a news release, the plane includes new in-flight entertainment featuring Auntie Anne's pretzels rolled seat-side, the "luxurious" smell of hot, fresh pretzels throughout the cabin and airplane-shaped pretzels if you're feeling hungry.

Moe's Southwest Grill, Sonic team up to introduce a Queso Slush

Two popular fast food chains announced a collaboration that is sure to be polarizing.

Moe's and Sonic announced a new beverage, the Queso Slush, a queso-flavored slushie. "The frozen goodness of a Sonic Slush meets the delicious flavor of Moe's queso."

Follow Mike Snider on X and Threads:  @mikesnider  & mikegsnider .

Gabe Hauari is a national trending news reporter at USA TODAY. You can follow him on X  @GabeHauari  or email him at [email protected].

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A woman has her teeth checked during a dental appointment.

Vulnerable Britons may be dying due to watchdog not approving dental antibiotics

Exclusive: Refusal to approve antibiotic prophylaxis for those at risk of infective endocarditis may have increased deaths

  • How infective endocarditis deaths among UK dental patients can be avoided

Patients are dying needlessly every year due to vulnerable Britons with heart problems not being given antibiotics when they visit the dentist, doctors have said.

Almost 400,000 people in the UK are at high risk of developing life-threatening infective endocarditis any time they have dental treatment, the medics say. The condition kills 30% of sufferers within a year.

A refusal to approve antibiotic prophylaxis (AP) in such cases means that up to 261 people a year are getting the disease and up to 78 dying from it, they add. That policy may have caused up to 2,010 deaths over the last 16 years, it is claimed.

That danger has arisen because the National Institute for Health and Care Excellence (Nice) does not follow international good medical practice and tell dentists to give at-risk patients antibiotics before they have a tooth extracted, root canal treatment or even have scale removed, the experts claim.

The doctors – who include a professor of dentistry, two leading cardiologists and a professor of infectious diseases – have outlined their concerns in The Lancet medical journal . In it, they urge Nice to rethink its approach in order to save lives, citing pivotal evidence that has emerged since the regulator last examined the issue in 2015, which shows that antibiotics are “safe, cost-effective and efficacious”.

Infective endocarditis (IE) is an infection of the heart’s inner lining and the valves that separate each of the heart’s four chambers. In about 30%-40% of cases it is caused by bacteria in the mouth getting into the bloodstream as a result of poor oral hygiene or invasive dental treatment. The bacteria can then inflame damaged heart valves and also artificial heart valves.

An estimated 397,000 Britons are at risk of developing the condition as a direct result of undergoing dental treatment because they have had a congenital heart condition or have previously been treated for a cardiac condition, for example by having a pacemaker or ventricular assist device implanted.

Patients are being put in danger because Nice’s position is at odds with the European Society of Cardiology and the American Heart Association, both of which say high-risk patients should receive antibiotics before dental treatment, the doctors allege.

The medicines regulator used to support that approach. But in 2008 it changed its position and said that that should stop because there was too little evidence and it had concerns about possible side-effects, such as the risk of fatal anaphylaxis , outweighed the potential benefits.

In the joint opinion piece in the Lancet Regional Health – Europe, the doctors say that switch led to “a significant increase in IE incidence”. An extra 35 people a month get IE as a result of it, according to evidence the Lancet published in 2015.

Data showing the number of dental procedures in which antibiotics would need to be given in order to prevent one case of IE “suggest that 41-261 cases (including 12-78 deaths) could be prevented annually in the UK”.

Switching to dentists routinely administering antibiotics to high-risk patients when they treat them would be cost-effective for the NHS even if it prevented just 1.4 cases of IE a year, they state.

The doctors say: “Therefore, the reintroduction of AP for high-risk individuals undergoing invasive dental procedures would not only prevent serious disease and save lives, it would also result in significant savings for the UK National Health Service.”

Nice’s switch in 2008 to opposing antibiotics may have led to as many as 6,700 extra cases of IE and 2,010 deaths from it during the 16 subsequent years, according to Martin Thornhill, a co-author of the paper and professor of translational research in dentistry at Sheffield University.

His co-authors include Prof Bernard Prendergast, a consultant cardiologist at Guy’s and St Thomas’ NHS trust in London, Ireland-based consultant cardiologist Mark Dayer, and Larry Baddour, a professor on infectious diseases at the Mayo Clinic hospital in the US.

Unusually, the paper was also co-written by a patient advocate, Ash Frisby. Her husband, Myles, was at high risk of IE because he had had a prosthetic heart valve fitted, when he underwent dental scaling – without receiving antibiotics – in October 2014. He developed IE soon after and died two months later, in December 2014. His symptoms were initially mistaken for flu.

Thornhill said: “By the time the diagnosis was made, the damage to the heart valves was so severe that he died soon after admission to hospital and diagnosis of IE.

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“In most other countries, where antibiotic prophylaxis is recommended for high-risk patients undergoing invasive dental procedures, Myles would likely have been prescribed AP cover for the dental scaling and this would likely have prevented him from developing IE.”

Baddour said: “We have concerns that there are high-risk individuals in the UK who are at risk of infective endocarditis related to invasive dental procedures without antibiotic prophylaxis.

“We believe a re-evaluation of [Nice’s] position is needed in high-risk individuals undergoing invasive dental procedures, who should receive antibiotic prophylaxis.”

Prendergast said that, although Nice had softened its guidance slightly in 2015, it had “failed to react to accumulating evidence supporting the use of antibiotic prophylaxis in patients at high risk of IE undergoing specific high-risk procedures, including invasive dental procedures”.

Nice’s position has “created significant confusion” among both doctors and dentists treating high-risk patients as to whether to administer antibiotics or not, he added.

The drugs watchdog dismissed the doctors’ concerns.

“Nice rejects the claim that patients are being harmed as a result of our guideline”, a spokesperson said.

“ The guideline says that antibiotic prophylaxis against infective endocarditis is not routinely recommended for people undergoing dental procedures. However, healthcare professionals should use their clinical judgment when implementing recommendations, taking into account the individual’s circumstances, needs and preferences.

“Our surveillance team is due to review the current evidence relating to prophylaxis against infective endocarditis this year and will determine whether any new information, studies or research would support the case for a further update of existing Nice guidance.”

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Ronna McDaniel, TV News and the Trump Problem

The former republican national committee chairwoman was hired by nbc and then let go after an outcry..

This transcript was created using speech recognition software. While it has been reviewed by human transcribers, it may contain errors. Please review the episode audio before quoting from this transcript and email [email protected] with any questions.

From “The New York Times,” I’m Michael Barbaro. This is “The Daily.”


Today, the saga of Ronna McDaniel and NBC and what it reveals about the state of television news headed into the 2024 presidential race. Jim Rutenberg, a “Times” writer at large, is our guest.

It’s Monday, April 1.

Jim, NBC News just went through a very public, a very searing drama over the past week, that we wanted you to make sense of in your unique capacity as a longtime media and political reporter at “The Times.” This is your sweet spot. You were, I believe, born to dissect this story for us.

Oh, brother.

Well, on the one hand, this is a very small moment for a major network like NBC. They hire, as a contributor, not an anchor, not a correspondent, as a contributor, Ronna McDaniel, the former RNC chairwoman. It blows up in a mini scandal at the network.

But to me, it represents a much larger issue that’s been there since that moment Donald J. Trump took his shiny gold escalator down to announce his presidential run in 2015. This struggle by the news media to figure out, especially on television, how do we capture him, cover him for all of his lies, all the challenges he poses to Democratic norms, yet not alienate some 74, 75 million American voters who still follow him, still believe in him, and still want to hear his reality reflected in the news that they’re listening to?

Right. Which is about as gnarly a conundrum as anyone has ever dealt with in the news media.

Well, it’s proven so far unsolvable.

Well, let’s use the story of what actually happened with Ronna McDaniel and NBC to illustrate your point. And I think that means describing precisely what happened in this situation.

The story starts out so simply. It’s such a basic thing that television networks do. As elections get underway, they want people who will reflect the two parties.

They want talking heads. They want insiders. They want them on their payroll so they can rely on them whenever they need them. And they want them to be high level so they can speak with great knowledge about the two major candidates.

Right. And rather than needing to beg these people to come on their show at 6 o’clock, when they might be busy and it’s not their full-time job, they go off and they basically put them on retainer for a bunch of money.

Yeah. And in this case, here’s this perfect scenario because quite recently, Ronna McDaniel, the chairwoman of the Republican National Committee through the Trump era, most of it, is now out on the market. She’s actually recently been forced out of the party. And all the networks are interested because here’s the consummate insider from Trump world ready to get snatched up under contract for the next election and can really represent this movement that they’ve been trying to capture.

So NBC’S key news executives move pretty aggressively, pretty swiftly, and they sign her up for a $300,000 a year contributor’s contract.

Nice money if you can get it.

Not at millions of dollars that they pay their anchors, but a very nice contract. I’ll take it. You’ll take it. In the eyes of NBC execs she was perfect because she can be on “Meet the Press” as a panelist. She can help as they figure out some of their coverage. They have 24 hours a day to fill and here’s an official from the RNC. You can almost imagine the question that would be asked to her. It’s 10:00 PM on election night. Ronna, what are the Trump people thinking right now? They’re looking at the same numbers you are.

That was good, but that’s exactly it. And we all know it, right? This is television in our current era.

So last Friday, NBC makes what should be a routine announcement, but one they’re very proud of, that they’ve hired Ronna McDaniel. And in a statement, they say it couldn’t be a more important moment to have a voice like Ronna’s on the team. So all’s good, right? Except for there’s a fly in the ointment.

Because it turns out that Ronna McDaniel has been slated to appear on “Meet the Press,” not as a paid NBC contributor, but as a former recently ousted RNC chair with the “Meet The Press” host, Kristen Welker, who’s preparing to have a real tough interview with Ronna McDaniel. Because of course, Ronna McDaniel was chair of the party and at Trump’s side as he tried to refuse his election loss. So this was supposed to be a showdown interview.

From NBC News in Washington, the longest-running show in television history. This is “Meet The Press” with Kristen Welker.

And here, all of a sudden, Kristin Welker is thrown for a loop.

In full disclosure to our viewers, this interview was scheduled weeks before it was announced that McDaniel would become a paid NBC News contributor.

Because now, she’s actually interviewing a member of the family who’s on the same payroll.

Right. Suddenly, she’s interviewing a colleague.

This will be a news interview, and I was not involved in her hiring.

So what happens during the interview?

So Welker is prepared for a tough interview, and that’s exactly what she does.

Can you say, as you sit here today, did Joe Biden win the election fair and square?

He won. He’s the legitimate president.

Did he win fair and square?

Fair and square, he won. It’s certified. It’s done.

She presses her on the key question that a lot of Republicans get asked these days — do you accept Joe Biden was the winner of the election?

But, I do think, Kristen —

Ronna, why has it taken you until now to say that? Why has it taken you until now to be able to say that?

I’m going to push back a little.

McDaniel gets defensive at times.

Because I do think it’s fair to say there were problems in 2020. And to say that does not mean he’s not the legitimate president.

But, Ronna, when you say that, it suggests that there was something wrong with the election. And you know that the election was the most heavily scrutinized. Chris Krebs —

It’s a really combative interview.

I want to turn now to your actions in the aftermath of the 2020 election.

And Welker actually really does go deeply into McDaniel’s record in those weeks before January 6.

On November 17, you and Donald Trump were recorded pushing two Republican Michigan election officials not to certify the results of the election. And on the call —

For instance, she presses McDaniel on McDaniel’s role in an attempt to convince a couple county commissioner level canvassers in Michigan to not certify Biden’s victory.

Our call that night was to say, are you OK? Vote your conscience. Not pushing them to do anything.

McDaniel says, look, I was just telling them to vote their conscience. They should do whatever they think is right.

But you said, do not sign it. If you can go home tonight, do not sign it. How can people read that as anything other than a pressure campaign?

And Welker’s not going to just let her off the hook. Welker presses her on Trump’s own comments about January 6 and Trump’s efforts recently to gloss over some of the violence, and to say that those who have been arrested, he’ll free them.

Do you support that?

I want to be very clear. The violence that happened on January 6 is unacceptable.

And this is a frankly fascinating moment because you can hear McDaniel starting to, if not quite reverse some of her positions, though in some cases she does that, at least really soften her language. It’s almost as if she’s switching uniforms from the RNC one to an NBC one or almost like breaking from a role she was playing.

Ronna, why not speak out earlier? Why just speak out about that now?

When you’re the RNC chair, you kind of take one for the whole team, right? Now, I get to be a little bit more myself.

She says, hey, you know what? Sometimes as RNC chair, you just have to take it for the team sometimes.

Right. What she’s really saying is I did things as chairwoman of the Republican National committee that now that I no longer have that job, I can candidly say, I wished I hadn’t done, which is very honest. But it’s also another way of saying I’m two faced, or I was playing a part.

Ronna McDaniel, thank you very much for being here this morning.

Then something extraordinary happens. And I have to say, I’ve never seen a moment like this in decades of watching television news and covering television news.

Welcome back. The panel is here. Chuck Todd, NBC News chief political analyst.

Welker brings her regular panel on, including Chuck Todd, now the senior NBC political analyst.

Chuck, let’s dive right in. What were your takeaways?

And he launches right into what he calls —

Look, let me deal with the elephant in the room.

The elephant being this hiring of McDaniel.

I think our bosses owe you an apology for putting you in this situation.

And he proceeds, on NBC’S air, to lace into management for, as he describes it, putting Welker in this crazy awkward position.

Because I don’t know what to believe. She is now a paid contributor by NBC News. I have no idea whether any answer she gave to you was because she didn’t want to mess up her contract.

And Todd is very hung up on this idea that when she was speaking for the party, she would say one thing. And now that she’s on the payroll at NBC, she’s saying another thing.

She has credibility issues that she still has to deal with. Is she speaking for herself, or is she speaking on behalf of who’s paying her?

Todd is basically saying, how are we supposed to know which one to believe.

What can we believe?

It is important for this network and for always to have a wide aperture. Having ideological diversity on this panel is something I prided myself on.

And what he’s effectively saying is that his bosses should have never hired her in this capacity.

I understand the motivation, but this execution, I think, was poor.

Someone said to me last night we live in complicated times. Thank you guys for being here. I really appreciate it.

Now, let’s just note here, this isn’t just any player at NBC. Chuck Todd is obviously a major news name at the network. And him doing this appears to just open the floodgates across the entire NBC News brand, especially on its sister cable network, MSNBC.

And where I said I’d never seen anything like what I saw on “Meet the Press” that morning, I’d never seen anything like this either. Because now, the entire MSNBC lineup is in open rebellion. I mean, from the minute that the sun comes up. There is Joe Scarborough and Mika Brzezinski.

We weren’t asked our opinion of the hiring. But if we were, we would have strongly objected to it.

They’re on fire over this.

believe NBC News should seek out conservative Republican voices, but it should be conservative Republicans, not a person who used her position of power to be an anti-democracy election denier.

But it rolls out across the entire schedule.

Because Ronna McDaniel has been a major peddler of the big lie.

The fact that Ms. McDaniel is on the payroll at NBC News, to me that is inexplicable. I mean, you wouldn’t hire a mobster to work at a DA’s office.

Rachel Maddow devotes an entire half hour.

It’s not about just being associated with Donald Trump and his time in the Republican Party. It’s not even about lying or not lying. It’s about our system of government.

Thumbing their noses at our bosses and basically accusing them of abetting a traitorous figure in American history. I mean, just extraordinary stuff. It’s television history.

And let’s face it, we journalists, our bosses, we can be seen as crybabies, and we’re paid complaining. Yeah, that’s what we’re paid to do. But in this case, the NBC executives cannot ignore this, because in the outcry, there’s a very clear point that they’re all making. Ronna McDaniel is not just a voice from the other side. She was a fundamental part of Trump’s efforts to deny his election loss.

This is not inviting the other side. This is someone who’s on the wrong side —

Of history.

Of history, of these moments that we’ve covered and are still covering.

And I think it’s fair to say that at this point, everyone understands that Ronna McDaniel’s time at NBC News is going to be very short lived. Yeah, basically, after all this, the executives at NBC have to face facts it’s over. And on Tuesday night, they release a statement to the staff saying as much.

They don’t cite the questions about red lines or what Ronna McDaniel represented or didn’t represent. They just say we need to have a unified newsroom. We want cohesion. This isn’t working.

I think in the end, she was a paid contributor for four days.

Yeah, one of the shortest tenures in television news history. And look, in one respect, by their standards, this is kind of a pretty small contract, a few hundred thousand dollars they may have to pay out. But it was way more costly because they hired her. They brought her on board because they wanted to appeal to these tens of millions of Americans who still love Donald J. Trump.

And what happens now is that this entire thing is blown up in their face, and those very same people now see a network that, in their view, in the view of Republicans across the country, this network will not accept any Republicans. So it becomes more about that. And Fox News, NBC’S longtime rival, goes wall to wall with this.

Now, NBC News just caved to the breathless demands from their far left, frankly, emotionally unhinged host.

I mean, I had it on my desk all day. And every minute I looked at that screen, it was pounding on these liberals at NBC News driving this Republican out.

It’s the shortest tenure in TV history, I think. But why? Well, because she supports Donald Trump, period.

So in a way, this leaves NBC worse off with that Trump Republican audience they had wanted to court than maybe even they were before. It’s like a boomerang with a grenade on it.

Yeah, it completely explodes in their face. And that’s why to me, the whole episode is so representative of this eight-year conundrum for the news media, especially on television. They still haven’t been able to crack the code for how to handle the Trump movement, the Trump candidacy, and what it has wrought on the American political system and American journalism.

We’ll be right back.

Jim, put into context this painful episode of NBC into that larger conundrum you just diagnosed that the media has faced when it comes to Trump.

Well, Michael, it’s been there from the very beginning, from the very beginning of his political rise. The media was on this kind of seesaw. They go back and forth over how to cover him. Sometimes they want to cover him quite aggressively because he’s such a challenging candidate. He was bursting so many norms.

But at other times, there was this instinct to understand his appeal, for the same reason. He’s such an unusual candidate. So there was a great desire to really understand his voters. And frankly, to speak to his voters, because they’re part of the audience. And we all lived it, right?

But just let me take you back anyway because everything’s fresh again with perspective. And so if you go back, let’s look at when he first ran. The networks, if you recall, saw him as almost like a novelty candidate.

He was going to spice up what was expected to be a boring campaign between the usual suspects. And he was a ratings magnet. And the networks, they just couldn’t get enough of it. And they allowed him, at times, to really shatter their own norms.

Welcome back to “Meet the Press,” sir.

Good morning, Chuck.

Good morning. Let me start —

He was able to just call into the studio and riff with the likes of George Stephanopoulos and Chuck Todd.

What does it have to do with Hillary?

She can’t talk about me because nobody respects women more than Donald Trump.

And CNN gave him a lot of unmitigated airtime, if you recall during the campaign. They would run the press conferences.

It’s the largest winery on the East Coast. I own it 100 percent.

And let him promote his Trump steaks and his Trump wine.

Trump steaks. Where are the steaks? Do we have steaks?

I mean, it got that crazy. But again, the ratings were huge. And then he wins. And because they had previously given him all that airtime, they’ve, in retrospect, sort of given him a political gift, and more than that now have a journalistic imperative to really address him in a different way, to cover him as they would have covered any other candidate, which, let’s face it, they weren’t doing initially. So there’s this extra motivation to make up for lost ground and maybe for some journalistic omissions.

Right. Kind of correct for the lack of a rigorous journalistic filter in the campaign.

Exactly. And the big thing that this will be remembered for is we’re going to call a lie a lie.

I don’t want to sugarcoat this because facts matter, and the fact is President Trump lies.

Trump lies. We’re going to say it’s a lie.

And I think we can’t just mince around it because they are lies. And so we need to call them what they are.

We’re no longer going to use euphemisms or looser language we’re. Going to call it for what it is.

Trump lies in tweets. He spreads false information at rallies. He lies when he doesn’t need to. He lies when the truth is more than enough for him.

CNN was running chyrons. They would fact check Trump and call lies lies on the screen while Trump is talking. They were challenging Trump to his face —

One of the statements that you made in the tail end of the campaign in the midterms that —

Here we go.

That — well, if you don’t mind, Mr. President, that this caravan was an invasion.

— in these crazy press conferences —

They’re are hundreds of miles away, though. They’re hundreds and hundreds of miles away. That’s not an invasion.

Honestly, I think you should let me run the country. You run CNN. And if you did it well, your ratings —

Well, let me ask — if I may ask one other question. Mr. President, if I may ask another question. Are you worried —

That’s enough. That’s enough.

And Trump is giving it right back.

I tell you what, CNN should be ashamed of itself having you working for them. You are a rude, terrible person. You shouldn’t be working for CNN.

Very combative.

So this was this incredibly fraught moment for the American press. You’ve got tens of millions of Trump supporters seeing what’s really basic fact checking. These look like attacks to Trump supporters. Trump, in turn, is calling the press, the reporters are enemies of the people. So it’s a terrible dynamic.

And when January 6 happens, it’s so obviously out of control. And what the traditional press that follows, traditional journalistic rules has to do is make it clear that the claims that Trump is making about a stolen election are just so abjectly false that they don’t warrant a single minute of real consideration once the reporting has been done to show how false they are. And I think that American journalism really emerged from that feeling strongly about its own values and its own place in society.

But then there’s still tens of millions of Trump voters, and they don’t feel so good about the coverage. And they don’t agree that January 6 was an insurrection. And so we enter yet another period, where the press is going to have to now maybe rethink some things.

In what way?

Well, there’s a kind of quiet period after January 6. Trump is off of social media. The smoke is literally dissipating from the air in Washington. And news executives are kind of standing there on the proverbial battlefield, taking a new look at their situation.

And they’re seeing that in this clearer light, they’ve got some new problems, perhaps none more important for their entire business models than that their ratings are quickly crashing. And part of that diminishment is that a huge part of the country, that Trump-loving part of the audience, is really now severed from him from their coverage.

They see the press as actually, in some cases, being complicit in stealing an election. And so these news executives, again, especially on television, which is so ratings dependent, they’ve got a problem. So after presumably learning all these lessons about journalism and how to confront power, there’s a first subtle and then much less subtle rethinking.

Maybe we need to pull back from that approach. And maybe we need to take some new lessons and switch it up a little bit and reverse some of what we did. And one of the best examples of this is none other than CNN.

It had come under new management, was being led by a guy named Chris Licht, a veteran of cable news, but also Stephen Colbert’s late night show in his last job. And his new job under this new management is we’re going to recalibrate a little bit. So Chris Licht proceeds to try to bring the network back to the center.

And how does he do that?

Well, we see some key personalities who represented the Trump combat era start losing air time and some of them lose their jobs. There’s talk of, we want more Republicans on the air. There was a famous magazine article about Chris Licht’s balancing act here.

And Chris Licht says to a reporter, Tim Alberta of the “Atlantic” magazine, look, a lot in the media, including at his own network, quote unquote, “put on a jersey, took a side.” They took a side. And he says, I think we understand that jersey cannot go back on him. Because he says in the end of the day, by the way, it didn’t even work. We didn’t change anyone’s mind.

He’s saying that confrontational approach that defined the four years Trump was in office, that was a reaction to the feeling that TV news had failed to properly treat Trump with sufficient skepticism, that that actually was a failure both of journalism and of the TV news business. Is that what he’s saying?

Yeah. On the business side, it’s easier call, right? You want a bigger audience, and you’re not getting the bigger audience. But he’s making a journalistic argument as well that if the job is to convey the truth and take it to the people, and they take that into account as they make their own voting decisions and formulate their own opinions about American politics, if tens of millions of people who do believe that election was stolen are completely tuning you out because now they see you as a political combatant, you’re not achieving your ultimate goal as a journalist.

And what does Licht’s “don’t put a jersey back on” approach look like on CNN for its viewers?

Well, It didn’t look good. People might remember this, but the most glaring example —

Please welcome, the front runner for the Republican nomination for president, Donald Trump.

— was when he held a town hall meeting featuring Donald J. Trump, now candidate Trump, before an audience packed with Trump’s fans.

You look at what happened during that election. Unless you’re a very stupid person, you see what happens. A lot of the people —

Trump let loose a string of falsehoods.

Most people understand what happened. It was a rigged election.

The audience is pro-Trump audience, was cheering him on.

Are you ready? Are you ready? Can I talk?

Yeah, what’s your answer?

Can I? Do you mind?

I would like for you to answer the question.

OK. It’s very simple to answer.

That’s why I asked it.

It’s very simple. You’re a nasty person, I’ll tell you that.

And during, the CNN anchor hosting this, Kaitlan Collins, on CNN’s own air, it was a disaster.

It felt like a callback to the unlearned lessons of 2016.

Yeah. And in this case, CNN’s staff was up in arms.

Big shakeup in the cable news industry as CNN makes another change at the top.

Chris Licht is officially out at CNN after a chaotic run as chairman and CEO.

And Chris Licht didn’t survive it.

The chief executive’s departure comes as he faced criticism in recent weeks after the network hosted a town hall with Donald Trump and the network’s ratings started to drop.

But I want to say that the CNN leadership still, even after that, as they brought new leadership in, said, this is still the path we’re going to go on. Maybe that didn’t work out, but we’re still here. This is still what we have to do.

Right. And this idea is very much in the water of TV news, that this is the right overall direction.

Yeah. This is, by no means, isolated to CNN. This is throughout the traditional news business. These conversations are happening everywhere. But CNN was living it at that point.

And this, of course, is how we get to NBC deciding to hire Ronna McDaniel.

Right. Because they’re picking up — right where that conversation leaves off, they’re having the same conversation. But for NBC, you could argue this tension between journalistic values and audience. It’s even more pressing. Because even though MSNBC is a niche cable network, NBC News is part of an old-fashioned broadcast network. It’s on television stations throughout the country.

And in fact, those networks, they still have 6:30 newscasts. And believe it or not, millions of people still watch those every night. Maybe not as many as they used to, but there’s still some six or seven million people tuning in to nightly news. That’s important.

Right. We should say that kind of number is sometimes double or triple that of the cable news prime time shows that get all the attention.

On their best nights. So this is big business still. And that business is based on broad — it’s called broadcast for a reason. That’s based on broad audiences. So NBC had a business imperative, and they argue they had a journalistic imperative.

So given all of that, Jim, I think the big messy question here is, when it comes to NBC, did they make a tactical error around hiring the wrong Republican which blew up? Or did they make an even larger error in thinking that the way you handle Trump and his supporters is to work this hard to reach them, when they might not even be reachable?

The best way to answer that question is to tell you what they’re saying right now, NBC management. What the management saying is, yes, this was a tactical error. This was clearly the wrong Republican. We get it.

But they’re saying, we are going to — and they said this in their statement, announcing that they were severing ties with McDaniel. They said, we’re going to redouble our efforts to represent a broad spectrum of the American votership. And that’s what they meant was that we’re going to still try to reach these Trump voters with people who can relate to them and they can relate to.

But the question is, how do you even do that when so many of his supporters believe a lie? How is NBC, how is CNN, how are any of these TV networks, if they have decided that this is their mission, how are they supposed to speak to people who believe something fundamentally untrue as a core part of their political identity?

That’s the catch-22. How do you get that Trump movement person who’s also an insider, when the litmus test to be an insider in the Trump movement is to believe in the denialism or at least say you do? So that’s a real journalistic problem. And the thing that we haven’t really touched here is, what are these networks doing day in and day out?

They’re not producing reported pieces, which I think it’s a little easier. You just report the news. You go out into the world. You talk to people, and then you present it to the world as a nuanced portrait of the country. This thing is true. This thing is false. Again, in many cases, pretty straightforward. But their bread and butter is talking heads. It’s live. It’s not edited. It’s not that much reported.

So their whole business model especially, again, on cable, which has 24 hours to fill, is talking heads. And if you want the perspective from the Trump movement, journalistically, especially when it comes to denialism, but when it comes to some other major subjects in American life, you’re walking into a place where they’re going to say things that aren’t true, that don’t pass your journalistic standards, the most basic standards of journalism.

Right. So you’re saying if TV sticks with this model, the kind of low cost, lots of talk approach to news, then they are going to have to solve the riddle of who to bring on, who represents Trump’s America if they want that audience. And now they’ve got this red line that they’ve established, that that person can’t be someone who denies the 2020 election reality. But like you just said, that’s the litmus test for being in Trump’s orbit.

So this doesn’t really look like a conundrum. This looks like a bit of a crisis for TV news because it may end up meaning that they can’t hire that person that they need for this model, which means that perhaps a network like NBC does need to wave goodbye to a big segment of these viewers and these eyeballs who support Trump.

I mean, on the one hand, they are not ready to do that, and they would never concede that that’s something they’re ready to do. The problem is barring some kind of change in their news model, there’s no solution to this.

But why bar changes to their news model, I guess, is the question. Because over the years, it’s gotten more and more expensive to produce news, the news that I’m talking about, like recorded packages and what we refer to as reporting. Just go out and report the news.

Don’t gab about it. Just what’s going on, what’s true, what’s false. That’s actually very expensive in television. And they don’t have the kind of money they used to have. So the talking heads is their way to do programming at a level where they can afford it.

They do some packages. “60 Minutes” still does incredible work. NBC does packages, but the lion’s share of what they do is what we’re talking about. And that’s not going to change because the economics aren’t there.

So then a final option, of course, to borrow something Chris Licht said, is that a network like NBC perhaps doesn’t put a jersey on, but accepts the reality that a lot of the world sees them wearing a jersey.

Yeah. I mean, nobody wants to be seen as wearing a jersey in our business. No one wants to be wearing a jersey on our business. But maybe what they really have to accept is that we’re just sticking to the true facts, and that may look like we’re wearing a jersey, but we’re not. And that may, at times, look like it’s lining up more with the Democrats, but we’re not.

If Trump is lying about a stolen election, that’s not siding against him. That’s siding for the truth, and that’s what we’re doing. Easier said than done. And I don’t think any of these concepts are new.

I think there have been attempts to do that, but it’s the world they’re in. And it’s the only option they really have. We’re going to tell you the truth, even if it means that we’re going to lose a big part of the country.

Well, Jim, thank you very much.

Thank you, Michael.

Here’s what else you need to know today.


Over the weekend, thousands of protesters took to the streets of Tel Aviv and Jerusalem in some of the largest domestic demonstrations against the government of Prime Minister Benjamin Netanyahu since Israel invaded Gaza in the fall.


Some of the protesters called on Netanyahu to reach a cease fire deal that would free the hostages taken by Hamas on October 7. Others called for early elections that would remove Netanyahu from office.

During a news conference on Sunday, Netanyahu rejected calls for early elections, saying they would paralyze his government at a crucial moment in the war.

Today’s episode was produced by Rob Szypko, Rikki Novetsky, and Alex Stern, with help from Stella Tan.

It was edited by Brendan Klinkenberg with help from Rachel Quester and Paige Cowett. Contains original music by Marion Lozano, Dan Powell, and Rowan Niemisto and was engineered by Chris Wood. Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly.

That’s it for “The Daily.” I’m Michael Barbaro. See you tomorrow.

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  • April 2, 2024   •   29:32 Kids Are Missing School at an Alarming Rate
  • April 1, 2024   •   36:14 Ronna McDaniel, TV News and the Trump Problem
  • March 29, 2024   •   48:42 Hamas Took Her, and Still Has Her Husband
  • March 28, 2024   •   33:40 The Newest Tech Start-Up Billionaire? Donald Trump.
  • March 27, 2024   •   28:06 Democrats’ Plan to Save the Republican House Speaker
  • March 26, 2024   •   29:13 The United States vs. the iPhone
  • March 25, 2024   •   25:59 A Terrorist Attack in Russia
  • March 24, 2024   •   21:39 The Sunday Read: ‘My Goldendoodle Spent a Week at Some Luxury Dog ‘Hotels.’ I Tagged Along.’
  • March 22, 2024   •   35:30 Chuck Schumer on His Campaign to Oust Israel’s Leader
  • March 21, 2024   •   27:18 The Caitlin Clark Phenomenon
  • March 20, 2024   •   25:58 The Bombshell Case That Will Transform the Housing Market
  • March 19, 2024   •   27:29 Trump’s Plan to Take Away Biden’s Biggest Advantage

Hosted by Michael Barbaro

Featuring Jim Rutenberg

Produced by Rob Szypko ,  Rikki Novetsky and Alex Stern

With Stella Tan

Edited by Brendan Klinkenberg ,  Rachel Quester and Paige Cowett

Original music by Marion Lozano ,  Dan Powell and Rowan Niemisto

Engineered by Chris Wood

Listen and follow The Daily Apple Podcasts | Spotify | Amazon Music

Ronna McDaniel’s time at NBC was short. The former Republican National Committee chairwoman was hired as an on-air political commentator but released just days later after an on-air revolt by the network’s leading stars.

Jim Rutenberg, a writer at large for The Times, discusses the saga and what it might reveal about the state of television news heading into the 2024 presidential race.

On today’s episode

medicine after dentist visit

Jim Rutenberg , a writer at large for The New York Times.

Ronna McDaniel is talking, with a coffee cup sitting on the table in front of her. In the background is footage of Donald Trump speaking behind a lecture.

Background reading

Ms. McDaniel’s appointment had been immediately criticized by reporters at the network and by viewers on social media.

The former Republican Party leader tried to downplay her role in efforts to overturn the 2020 election. A review of the record shows she was involved in some key episodes .

There are a lot of ways to listen to The Daily. Here’s how.

We aim to make transcripts available the next workday after an episode’s publication. You can find them at the top of the page.

The Daily is made by Rachel Quester, Lynsea Garrison, Clare Toeniskoetter, Paige Cowett, Michael Simon Johnson, Brad Fisher, Chris Wood, Jessica Cheung, Stella Tan, Alexandra Leigh Young, Lisa Chow, Eric Krupke, Marc Georges, Luke Vander Ploeg, M.J. Davis Lin, Dan Powell, Sydney Harper, Mike Benoist, Liz O. Baylen, Asthaa Chaturvedi, Rachelle Bonja, Diana Nguyen, Marion Lozano, Corey Schreppel, Rob Szypko, Elisheba Ittoop, Mooj Zadie, Patricia Willens, Rowan Niemisto, Jody Becker, Rikki Novetsky, John Ketchum, Nina Feldman, Will Reid, Carlos Prieto, Ben Calhoun, Susan Lee, Lexie Diao, Mary Wilson, Alex Stern, Dan Farrell, Sophia Lanman, Shannon Lin, Diane Wong, Devon Taylor, Alyssa Moxley, Summer Thomad, Olivia Natt, Daniel Ramirez and Brendan Klinkenberg.

Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly. Special thanks to Sam Dolnick, Paula Szuchman, Lisa Tobin, Larissa Anderson, Julia Simon, Sofia Milan, Mahima Chablani, Elizabeth Davis-Moorer, Jeffrey Miranda, Renan Borelli, Maddy Masiello, Isabella Anderson and Nina Lassam.

Jim Rutenberg is a writer at large for The Times and The New York Times Magazine and writes most often about media and politics. More about Jim Rutenberg


Things to Do in Elektrostal, Russia - Elektrostal Attractions

Things to do in elektrostal.

  • 5.0 of 5 bubbles
  • 4.0 of 5 bubbles & up
  • Good for a Rainy Day
  • Good for Kids
  • Good for Big Groups
  • Adventurous
  • Budget-friendly
  • Hidden Gems
  • Good for Couples
  • Honeymoon spot
  • Good for Adrenaline Seekers
  • Things to do ranked using Tripadvisor data including reviews, ratings, photos, and popularity.

medicine after dentist visit

1. Electrostal History and Art Museum

medicine after dentist visit

2. Statue of Lenin

medicine after dentist visit

3. Park of Culture and Leisure

4. museum and exhibition center.

medicine after dentist visit

5. Museum of Labor Glory

medicine after dentist visit

7. Galereya Kino

8. viki cinema, 9. smokygrove.

medicine after dentist visit

10. Gandikap

11. papa lounge bar, 12. karaoke bar.

  • Statue of Lenin
  • Electrostal History and Art Museum
  • Park of Culture and Leisure
  • Museum and Exhibition Center
  • Museum of Labor Glory

medicine after dentist visit

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40 facts about elektrostal.

Lanette Mayes

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Jessica Corbett

Reviewed by Jessica Corbett


Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

  • Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
  • With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

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Our commitment to delivering trustworthy and engaging content is at the heart of what we do. Each fact on our site is contributed by real users like you, bringing a wealth of diverse insights and information. To ensure the highest standards of accuracy and reliability, our dedicated editors meticulously review each submission. This process guarantees that the facts we share are not only fascinating but also credible. Trust in our commitment to quality and authenticity as you explore and learn with us.

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Medication abortions rose in year after Dobbs decision, report finds

Medication abortions rose in the year after the Supreme Court overturned Roe v. Wade , according to a report published Tuesday by the Guttmacher Institute, a research group that supports access to abortion.

In 2023, the first full calendar year since the 2022 Dobbs v. Jackson ruling , there were about 642,700 medication abortions, accounting for about 63% of all abortions in the country, up from 492,210 medication abortions, or 53%, in 2020, according to the report.

“This increase is indicative of the fact that people are overcoming barriers to get the care they need,” said Amy Friedrich-Karnik, the director of federal policy at the Guttmacher Institute. "Abortion is health care."

New RU-486 Pill Now Available

Following the Dobbs decision, 14 states completely ban abortion , which includes medication abortion. Another handful of states require patients to see doctors in person before they can get prescriptions for the drugs needed for medication abortion or ban shipping the medication by mail.  

Medication abortion became available in the U.S. in 2000 when the Food and Drug Administration approved mifepristone, one the drugs used in the regime, for use in early abortions. A second drug, misoprostol, is taken one to two days later.

Since 2020, medication abortion has been the most common method for ending early pregnancies in the U.S., according to the Guttmacher report.

It’s also once again on the judicial chopping block. 

Next week, the Supreme Court will hear oral arguments in a case that could decide whether mifepristone will remain easily accessible.

The numbers in the Guttmacher report account only for people who got medication abortions through the U.S. health care system, such as through in-person visits with health care providers. People can also get the pills outside the health care system, such as through community networks or in the mail via online pharmacies.

Dr. Michael Belmonte, a fellow at the American College of Obstetricians and Gynecologists, said many of his patients prefer medication abortion because it provides them with a level of privacy.

“I’m not surprised to see that medication abortion continues to play a growing role,” he said.

Even with the Supreme Court case imminent, the drugs appear to be more available. Earlier this month, CVS and Walgreens announced that they would start dispensing mifepristone .

The report also looked at abortions overall and found that there were an estimated 1,026,690 last year — either through medication or surgery — a 10% increase from 2020 and the first time since 2012 that the number of abortions surpassed 1 million.

States without complete bans on abortions recorded a 25% increase in abortions last year compared with 2020. 

The sharpest increases, however, were in states that border those with complete bans, such as New Mexico, which borders Texas and Oklahoma; and Illinois, which borders Missouri and Kentucky. 

Other states, like South Carolina, had huge increases in out-of-state abortions because of their proximity to states with complete abortion bans, including many states in the South. (For much of 2023, South Carolina allowed abortions up to 20 weeks. A law banning abortion after six weeks went into effect in May but was blocked just days later ; it was reinstated in August .)

Friedrich-Karnik said almost 1 in 5 people are traveling to other states to get abortion care. “All of that impacts the type of care that they’ll be able to receive,” she said. 

Arthur Caplan, the head of the Division of Medical Ethics at NYU Langone Medical Center in New York City, said he expected the number of medication abortions would have increased last year, even without the challenge to the FDA’s approval of mifepristone. Medication abortions have been on a steady upswing since it was approved in 2000, according to the Guttmacher report.

“Nothing surprises me about this shift,” Caplan said of the Guttmacher findings. “It’s less burdensome to use a pharmaceutical agent than surgery, and it’s cheaper.”

A Supreme Court decision to restrict access to mifepristone would have huge ramifications for women, he said.

It would be “absolute utter nonsense,” he said. “Were the court to buy into it, it would clearly bring abortion by pill to an end around the country, which would lead immediately to an enormous black market.”

Dr. Kristyn Brandi, an OB-GYN in New Jersey and the former board chair for Physicians of Reproductive Health, an advocacy group for reproductive rights, said medication abortion is often the only option for marginalized communities, including people with disabilities who can’t travel. The medications will become even more common, she said, unless the Supreme Court makes them less accessible.

“That will affect the vast majority of people seeking abortion,” she said.

Belmonte said he is worried about his patients.

“Every patient should be able to choose which abortion option is right for them, without bans, restrictions or burdens,” he said.

medicine after dentist visit

Berkeley Lovelace Jr. is a health and medical reporter for NBC News. He covers the Food and Drug Administration, with a special focus on Covid vaccines, prescription drug pricing and health care. He previously covered the biotech and pharmaceutical industry with CNBC.


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    A study in the Journal of Dental Anesthesia and Pain Medicine found that 2.7% of people experienced headaches after using local anesthesia. The severity of the headache correlated with the ...

  8. New ADA guideline recommends NSAIDs to manage dental pain in adults

    A new clinical practice guideline from the American Dental Association recommends nonsteroidal anti-inflammatory drugs taken with or without acetaminophen as first-line treatments for managing acute dental pain in adults and adolescents 12 and older.. The guideline, developed by the ADA with the University of Pittsburgh School of Dental Medicine and the Center for Integrative Global Oral ...

  9. Costs & Insurance

    Patients can find significant savings by using our services. Treatment at UB Dental is provided as part of the UB School of Dental Medicine's educational program. UB Dental is not free, but it is affordable. Fees in the student dentist (pre-doctoral) program are typically 65% less than the fees charged in private practice. Fees for dental ...

  10. CARES Program

    The CARES Program (Counseling, Advocacy, Referral, Education and Service), a nationally recognized collaboration between the University at Buffalo Schools of Dental Medicine and Social Work, was created in 2001 as an innovative solution to reduce barriers to accessing oral health care for patients in Western New York.

  11. A Child's First Dental Visit Fact Sheet

    The first dental visit is recommended by 12 months of age, or within 6 months of the first tooth coming in. The first visit often lasts 30 to 45 minutes. Depending on your child's age, the visit may include a full exam of the teeth, jaws, bite, gums, and oral tissues to check growth and development. If needed, your child may also have a gentle ...

  12. Antibiotics for Dental Work Following Joint Replacement

    Recommended Antibiotics. When antibiotics are recommended, healthcare providers will typically prescribe oral amoxicillin (a form of penicillin) to be taken one hour before the dental work. If you cannot tolerate oral antibiotics, your healthcare provider may recommend injectable cefazolin or ampicillin, injected within an hour of the procedure.

  13. After Joint Replacement, Why Do I Need Antibiotics to See the Dentist

    For the first 2 years after joint replacement surgery, if you are having major dental work (drilling, removing a tooth), where there is pulp exposed to your saliva, then I tell you to take amoxicillin (2 grams) before your dental procedure. If you need a prescription, you can call your Orthopedic Specialist to write it.

  14. Taking Antibiotics Before Dental Visits May Cause Serious Side ...

    Most antibiotics prescribed before dental visits are unnecessary and can lead to serious side effects such as an allergic reaction or diff infection, according to a study presented at ID Week. Antibiotics often are prescribed before dental visits to prevent infection, but 80% are unnecessary. Antibiotics can save lives when truly needed, but ...

  15. April Fools' Day 2024: Big brands and companies unveil pranks, jokes

    April Fools' Day pranks: Apps to translate baby stoner sayings, a ghostbuster at Tinder Every April 1, brands and companies want to get some laughs - and attention - with goofy new 'product ...

  16. Payments and Billing

    Pre-payment is also required for your first screening visit. In most cases, you are expected to provide payment in full at the time service is rendered. Occasionally, procedures require out-of-school laboratory involvement. ... If you are unable to meet your financial obligations with the UB Dental/School of Dental Medicine, or if you have a ...

  17. Vulnerable Britons may be dying due to watchdog not approving dental

    Data showing the number of dental procedures in which antibiotics would need to be given in order to prevent one case of IE "suggest that 41-261 cases (including 12-78 deaths) could be prevented ...

  18. Elektrostal' Travel Guide 2024

    何游天下. The Red Square is located in the center of Moscow, Russia, is a famous square in Russia. It is also the venue for major events in Moscow and is one of the famous landmarks in Moscow. There is also Vasili Ascension Cathedral nearby. . St. Basil's Cathedral. เด็กน้อยในมอสโก. Very beautiful, give full marks.

  19. Ronna McDaniel, TV News and the Trump Problem

    The former Republican National Committee chairwoman was hired by NBC and then let go after an outcry. April 1, 2024. Share full article. 20. Hosted by Michael Barbaro. Featuring Jim Rutenberg.

  20. Chick-fil-A will stop using its 'no antibiotics ever' label on chicken

    The change comes after Tyson, America's biggest poultry company, last summer ended its eight-year-pledge to keep antibiotics out of its chicken. Like Chick-fil-A, Tyson said it will ensure the ...

  21. THE 10 BEST Things to Do in Elektrostal

    Things to Do in Elektrostal. 1. Electrostal History and Art Museum. 2. Statue of Lenin. 3. Park of Culture and Leisure. 4. Museum and Exhibition Center.

  22. Double-blind, Placebo-controlled, Randomized Study of the Tolerability

    Information from the National Library of Medicine. Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below.

  23. Elektrostal

    Elektrostal, city, Moscow oblast (province), western Russia.It lies 36 miles (58 km) east of Moscow city. The name, meaning "electric steel," derives from the high-quality-steel industry established there soon after the October Revolution in 1917. During World War II, parts of the heavy-machine-building industry were relocated there from Ukraine, and Elektrostal is now a centre for the ...

  24. An Open Comparative Study of the Effectiveness and Incomparable Study

    Information from the National Library of Medicine. Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below.

  25. 40 Facts About Elektrostal

    40 Facts About Elektrostal. Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to ...

  26. Elektrostal Map

    Elektrostal is a city in Moscow Oblast, Russia, located 58 kilometers east of Moscow. Elektrostal has about 158,000 residents. Mapcarta, the open map.

  27. Elektrostal

    Indoor practice ice rink named after A. Ionov. Pool «Kristall» - school of the Olympic reserve: diving, synchronized swimming, swimming. Home arena hockey team Kristall Elektrostal - Ledovyi Dvorets Sporta «Kristall» in 1995 year. The city ice hockey team Kristall Elektrostal was established in 1949 and plays in the Junior Hockey League ...

  28. California doctor gets life-saving lung transplant after NBC ...

    After NBC News reported on a new transplant technique for lung cancer, a California man with advanced cancer reached out to Northwestern Medicine and received a double lung and liver transplant.

  29. Medication abortions rose in year after Dobbs decision, report finds

    The report also looked at abortions overall and found that there were an estimated 1,026,690 last year — either through medication or surgery — a 10% increase from 2020 and the first time ...

  30. BETA GIDA, OOO Company Profile

    Find company research, competitor information, contact details & financial data for BETA GIDA, OOO of Elektrostal, Moscow region. Get the latest business insights from Dun & Bradstreet.