Orthodontic management in medically compromised patients

Authors

  • Tanushree Sharma Department of Orthodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India http://orcid.org/0000-0003-3705-2210
  • Aseem Sharma Department of Orthodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India
  • Akshat Sharma Department of Oral Surgery, A. S. Thakur Multispeciality Hospital, Hamirpur, Himachal Pradesh, India
  • Chinki Bansal Department of Orthodontics, M. M. Hospital, Shivpuri, Madhya Pradesh, India
  • Arun Patyal Medical Officer Dental, Regional Hospital, Bilaspur, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20220104

Keywords:

Medically compromised, Orthodontic considerations, General management

Abstract

Medically compromised patients are increasing in number day by day who are seeking orthodontic care. For majority of the medical emergencies orthodontic treatment is not contraindicated but special care and precautions are necessary for their successful treatment without any further complication. One of the most important things that patients can do with their medical history is to share it with health care providers. Medical history helps to provide best possible treatment to the patient and thus helps to maintain good health. Successful orthodontic treatment can be done for most patients with relevant management. Actively managing this will avoid numerous complications, life threatening emergencies and will avoid many medico-legal incidents. This article enlightens the possible medical emergencies faced by orthodontist in day-to-day practice and helps to understand the management of such patients.

Metrics

Metrics Loading ...

Author Biography

Tanushree Sharma, Department of Orthodontics, Himachal Institute of Dental Sciences, Poanta Sahib, Himachal Pradesh, India

Senior Lecturer at Dept of Orthodontics and Dentofacial Orthopedics,  

HIDS, Poanta Sahib.

References

Patel A, Burden D J, Sandler J: Medical disorders and orthodontics. J Orthodont. 2009;36:1-21.

Namikoshi T, Yoshimatsu T, Suga K, Fujii H, Yasuda K. The prevalence of sensitivity to constituents of dental alloys. J Oral Rehabil. 1990;17:377-81.

Counts AL, Miller MA, Khakhria ML, Strange S. Nickel allergy associated with a transpalatal arch appliance. J Orofac Orthop. 2002;63:509-15.

Jacobsen N, Hensten-Pettersen A. Changes in occupational health problems and adverse patient reactions in orthodontics from 1987 to 2000. Eur J Orthod. 2003;25:591-8.

Snyder HA, Settle S. The rise in latex allergy: implications for the dentist. J Am Dent Assoc. 1994;125(8):1089-97.

Field EA, Longman LP. Guidance for the management of natural rubber latex allergy in dental patients and dental health workers. London: Faculty of General Dental Practitioners (UK), The Royal College of Surgeons. 2004.

Hain MA, Longman LP, Field EA, Harrison JE. Natural rubber latex allergy: implications for the orthodontist. J Orthodont. 2007;34:6-11.

Burden D, Mullally B, Sandler J. Orthodontic treatment of patients with medical disorders. Eur J Orthodont. 2001;23:363-72.

Dnyandeo Tekale P, Arun R Mhaske Et Al; Clinical Management and Guidelines for Infective Endocarditis in Orthodontics. World J Dentistry. 2015;6(4):226-8.

Mashru AC. Orthodontic Treatment In Systemic Disorders. J Indian Orthodont Soc. 2007;41(4):133-14.

Gómez-Moreno G, Cañete-Sánchez ME, Guardia J, Castillo-Naveros T, Calvo-Guirado JL. Orthodontic management in patients with haemophilia. About two clinical cases. Med Oral Patol Oral Cir Bucal. 2010;15(3):463-6.

Gupta A, Epstein JB. Bleeding Disorders of Importance in Dental Care and Related Patient Management. JCDA. 2007;73(1).

Agarwal L, Gupta A, Kulshrestha R. Bleeding Disorders in Orthodontics and Their Management - A Review. JDS. 2016;4(3).

Proffit WR, Van Venroroy JR. 1985;111.

Platt OS, Brambilla DJ, Rosse WP. Mortality in sickle cell death: Life expectancy & risk factors for early death; N Engl J Med. 1994;331:1022-3.

Rizvi O, Sabrish S, Pai S, Pattabiraman V. Diabetes mellitus, A dilemma in orthodontics. J Orthodont Res. 2014;2(3).

Little JW, Falace DA. Dental Management of medically compromised patient. Fourth edition Mosby. 1993;347-50.

Bensch L, Braem M, Van Acker K, Willems G. Orthodontic treatment considerations in patients with diabetes mellitus. Am J Orthod Dentofacial Orthop. 2003;123(1):74-8.

Bensch L, Braem M, Willems G. Orthodontic consideration in diabetic patient. Semin Orthodont. 200410(4):252-8.

Firkin D, Ferguson J. Diabetes mellitus & Dental patients. N Z Dent J. 1985;81:7-11.

Charles A, Senkutvan RS, Jacob S, Krishnan CS, Subbiah S. Clinical management of medical disorders in Orthodontics. Int J Dent Sci Res. 2014;2(2):36-41.

Mittal S, Gupta D, Sekhri S, Goyal S. Oral manifestations of parathyroid disorders and its dental management. J Dent Allied Sci. 2014;3(1):34-8.

Ansar J, Maheshwari S, Chaudhari P, Verma SK. Orthodontic care of medically compromised patients. Indian J Oral Sci. 2012;3(3):129.

Sankar SG, Vannala V, Raja SK, Rao KS. Management of the Medically Compromised Cases in Orthodontic Practice. Asian J Med Sci. 2010;1:68-74.

Toroglu MS, Bayramoglu O, Yarkin F, Tuli A. Possibility of blood and hepatitis B contamination through aerosols generated during debonding procedures. Angle Orthod. 2003;73(5):571-8.

DePaola LG. Managing the care of patient infected with blood borne diseases. J Am Dent Assoc. 2003;134:350-8.

Al Khalidi JA. Current concepts in the diagnosis, pathogenesis & treatment of autoimmune hepatitis. Mayo Clin Proc. 2001;76:1237-52.

Sankar SG, Vannala V, Raja SK, Rao KS. Management of the Medically Compromised Cases in Orthodontic Practice. Asian J Med Sci. 2010;1:68-74.

Sidiropoulon- Chatzigianni S, Papadopoulon MA. Dentoskeletal morphology in children with Juvenile Idiopathic arthritis, compared with healthy children. J Orthod. 2001;28:53-8.

Proffit WR, Henry F. Contemporary Orthodontics. Mosby year book. 1991;253-4.

Kjellberg H, Starvos K, Bergit T. Dentofacial growth in orthodontically treated & untreated children with juvenile chronic arthritis; A comparison with Angle class II, Div 1 subjects. European J Orthod. 1995;357-73.

Van Voonroy DR, Proffit WR. Orthodontic care for medically compromised patients; possibility and limitations: Am J Dent Assoc. 1985;11(2):262-6.

Tarvade SM, Daokar SG. Osteoporosis & Orthodontics: A review. Sci J Dent. 2014;1:26-9.

Zahrowski J. Bisphosphonates treatment: An orthodontic concern calling for a proactive approach. Am J Orthod Dentofacial Orthop. 2007;131:311-20.

Ekka SB, Balani R, Shukla C, Agarwal S, Swamy K. Management of Epileptic Patient in an Orthodontic Clinic. RRJDS. 2014;2(2).

Gupta M, Gupta M, Abhishek. Oral condition in renal disorders & treatment considerations- A review. The Saudi Dent J. 2015;27:113-9.

Fogo A, Kon W. Pathophysiology of progressive chronic renal disease. In: Avner ED, Harmon WE, Niaudet P, Editors. Textbook of Pediatric Nephrology, fifth ed. Lippincott Williams & Wilkins, Philadelphia. 2004;1267-480.

Klassen JT, Krasko BM. The dental health status of dialysis patients. J Can Dent Assoc. 2002;68:34-8.

De Rossi SS, Glick M. Dental consideration for patient with renal disease receiving hemodialysis. J Am Dent Assoc. 1996;127:211-9.

Miller CS, Little JW, Falace DA. Supplemental corticosteroids for dental patients with adrenal insufficiency; Reconsideration of the problem. J Am Dent Assoc. 2001;132:1570-9.

Pietrzak P, Kowalska E. Possibilities of orthodontic-orthopaedic treatment in patients with Down syndrome, based on review of literature and on own observations. Pediatriapolska. 2012;87:626-32.

Dash S, Soni UN, Baldawa RS, Toshniwal NG, Mani SA. Treatment of Special Children: An Orthodontic Perspective. Int J Curr Res Rev. 2016;186173625.

Musicha DR. Orthodontic Intervention and Patients with Down syndrome. The Role of Inclusion, Technology and Leadership. Angle Orthodontist. 200;76:4.

Downloads

Published

2022-01-25

Issue

Section

Review Articles