Updating your health history at every appoinment lets us know of any changes going on with your general health. When we know that you are now taking blood thinners we understand to expect the possibility of slightly more bleeding during your cleaning appointment. If you have recently had an artificial heart valve or joint placed, we know that you will need to premedicate with antibiotics before any dental treatment can be done. If you happen to be taking any of the oral osteoporosis medications we know that it is imperative that your periodontal is carefully monitored as these medications have been known to disrupt the healing potential of the bone that holds the teeth in place. There are all sorts of medical conditions that help us understand your dental health and to treat you in the most appropriate way.