J Korean Dent Sci.  2023 Jun;16(1):1-8. 10.5856/JKDS.2023.16.1.1.

Considerations for Invasive Dental Treatment in Disabled Patients

• Kwak EJ

• KMID: 2549596
• DOI: http://doi.org/10.5856/JKDS.2023.16.1.1

Abstract

Dental treatment for the disabled should be a customized that considers the characteristics and degree of cooperation of each disabled patient. There are additional considerations during implant treatment and tooth extraction in disabled patients. Since some brain lesion disorder or cardiac disease patients may be taking antiplatelet or anticoagulant medications, it is necessary to evaluate whether these medications should be discontinued before an invasive procedure. Precautions should be taken for patients with heart valve disease considering the risk of infective endocarditis, especially during invasive dental procedures. Moreover, disabled patients may have difficulty in following instructions and cautions. There are specific considerations for each stage of implant treatment in disabled patients. In the case of patients who are in the pre- or post-transplant state, it is necessary to assess their general condition and oral disease due to the risk of infection. Since disabled patients with various systemic diseases may visit the dental clinic, it is important to understand their characteristics and treatment process in order to flexibly adjust the dental treatment plan accordingly.

Keyword

Disabled patients; Implant surgery; Infective endocarditis; Invasive dental treatment; Organ transplantation; Special care dentistry