Pharmacology · single question

Same case, patient with hypertension. How could you retract gingival tissue, EXCEPT:

  1. Ferric sulfate
  2. Aluminum chloride
  3. Retraction cord
  4. Epinephrine 1:15,000
Show answer and explanation

Correct answer: D. Epinephrine 1:15,000

  • A. Ferric sulfate is an acceptable hemostatic/retraction agent in hypertensive patients.
  • B. Aluminum chloride is a commonly used astringent for retraction and is safe in hypertension.
  • C. Plain retraction cord (mechanical) is acceptable.
  • D. Correct (EXCEPT). Epinephrine-impregnated cord should be avoided in hypertensive/cardiac patients because of systemic cardiovascular effects — so it is the option that should NOT be used.

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