| Orthodontic care for medically compromised patients: possibilities and limitations. | |
| | |
MedLine Citation:
|
PMID: 2931466 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Medically compromised children and adults are increasingly likely to seek orthodontic care as improved medical management creates more long-term survivors. For the majority, treatment of orthodontic problems is feasible, but special precautions usually are required. These include medical consultation to establish the patient's prognosis, maintaining a current knowledge of drug therapy, and modifications in office procedures. Patients with a history of multiple transfusions should be presumed to be hepatitis carriers until proved not to be, and special precautions to protect office staff members and other patients should be taken. Decreased resistance to infection is a common complicating factor in medically compromised patients. Dentists must therefore avoid mucosal irritation and carefully monitor periodontal health. The practitioner should be alert to side effects of drug treatment such as xerostomia and depressed immune response, and be aware of the particular features of the underlying disease. Bleeding disorders, which can be managed by replacement of missing clotting factors, do not contraindicate orthognathic surgery. The major contraindication is poor anesthetic risk, which almost always is true for patients having sickle cell anemia because of poor blood oxygen saturation. Because orthodontic treatment can provide positive benefits, it should not be withheld solely because of the presence of a serious medical problem. With appropriate management, successful orthodontic treatment can be done for most patients. |
| | |
Authors:
|
J R van Venrooy; W R Proffit |
Related Documents
:
|
18653816 - Effectiveness of a medication discharge plan for transitions of care from hospital to o... 6316716 - Subacute myelo-optico-neuropathy (smon) in japan. with special reference to the autopsy... 17537096 - Medication review: patient selection and general practitioner's report of drug-related ... 1804076 - Patterns of use of chest physiotherapy in a teaching hospital. 19507406 - Paruresis or shy bladder syndrome: an unknown urologic malady? 22907996 - Parkinson's disease progression: implicit acquisition, cognitive and motor impairments,... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the American Dental Association (1939) Volume: 111 ISSN: 0002-8177 ISO Abbreviation: J Am Dent Assoc Publication Date: 1985 Aug |
Date Detail:
|
Created Date: 1985-10-29 Completed Date: 1985-10-29 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 262-6 Citation Subset: D; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Anemia, Sickle Cell / physiopathology Arthritis / physiopathology Blood Coagulation Disorders / physiopathology Cardiovascular Diseases / physiopathology Child Cystic Fibrosis / physiopathology Dental Care for Disabled* Diabetes Mellitus / physiopathology Hematologic Diseases / physiopathology Humans Leukemia / physiopathology Orthodontics, Corrective* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acquired immune deficiency syndrome (AIDS): disease characteristics and oral manifestations.
Next Document: Alzheimer's disease: an emerging affliction of the aging population.