Clinical Management of Medical Disorders in Orthodontics

Anila Charles^1, , Senkutvan RS¹, Sanjay Jacob¹, Krishnan C.S² and Sivaram Subbiah³

¹Department of Orthodontia, Madha Dental College, M.G.R University, Chennai

²Department of Periodontics, Madha Dental College, M.G.R University, Chennai

³Department of Orthodontics Penang International Dental College

Cite this paper:
Anila Charles, Senkutvan RS, Sanjay Jacob, Krishnan C.S and Sivaram Subbiah. Clinical Management of Medical Disorders in Orthodontics. International Journal of Dental Sciences and Research. 2014; 2(2):36-41. doi: 10.12691/ijdsr-2-2-3

Abstract

Orthodontists are confronted with an increasing number of medically compromised patients who require proper alignment for esthetics and oral rehabilitation. The present review is regarding the current knowledge of the most common systemic and local diseases on the outcome of orthodontic treatment, Fortunately in orthodontics complications are infrequent and are of minor consequence, nevertheless the practitioner should understand and have a basic knowledge and understanding of the disease and its impact on the oral cavity as it is essential to recognize oral signs and symptoms of undiagnosed medical problems too.

Keywords:
medical disorders orthodontic treatment guidelines

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References:

[1]	Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings: Duke Endocarditis Service. Am J Med. 96: 200-209, 1994.
[2]	Keys TF. Infetive endocarditis: Preventive, Diagnosis and treatment, referrals. Cleve clinical j Med 2000; 67: 353-360.
[3]	Cabell CH, Abrutyn E, Karchmer AW. Cardiology patient page. Bacterial endocarditis: the disease, treatment, and prevention. Circulation 2003; 107: e 185-7.
[4]	Heart disease diagnosis and therapy. Contemporary Cardiology, 2005, 415-426.
[5]	Dajani AS, Taubert KA, Wilson W, et al. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA. 1997; 277: 1794-1801.
[6]	British dental association advisory services. Infection control in dentistry. American Journal of Infection Control 1996; 24: 313-42.
[7]	Kim A, Keys T. Infective endocarditis prophylaxis before dental procedures: New guidelines spark controversy. Cleve Clin J Med. 2008; 75: 89-92.
[8]	Donald burden, Brain Mullally, Jonathan sandler, Orthodontic treatment of patients with medical disorders, European journal of orthod 2001: 23; 363-372.
[9]	Kilmaratin C, Munroe CO. Cardiovascular disease and the dental patients. Can Dent Assoc J 1986; 52: 513-518.
[10]	Ciancio SG. Medications impact on oral health. J Am Dent Assoc 2004; 135: 1440-1448.
[11]	Yagiela JA. Agents affecting salivation. In, Ciancio SG, ADA Guide to Dental Therapeutics, ed. 4. Chicago, ADA Publishing Co., 2006.
[12]	Miranda J, Brunet L, et al, Prevalence and risk of gingival enlargement in patients treated with nifedipine. J Periodontol. 2001; 72: 605-11.
[13]	Yagiela JA, Haymore TL. Management of the hypertensive dental patient. J Calif Dent Assoc 2007; 35: 51-59.
[14]	Finney LS, Finney MO, Gonzalez-Campoy JM. What the mouth has to say about diabetes. Careful examinations can avert serious complications. Postgrad Med. 1997; 102: 117-26.
[15]	Loe H. Periodontal disease: The sixth complication of diabetes mellitus. Diabetes Care 1993: 16; 329-334.
[16]	Brownlee M, Cerami A. The biochemistry of the complications of diabetes. Annu Rev Biochem. 1981; 50: 385-432.
[17]	Meyle J, Gonzáles JR. Influences of systemic diseases on periodontitis in children and adolescents. Periodontol 2000. 2001; 26: 92-112.
[18]	Dokheel TM. An epidemic of childhood diabetes in the United States? Evidence from Allegheny County, Pennsylvania. Diabetes Care. 1993; 16: 1606-11.
[19]	Bensch L, Braem M, Willems G. Orthodontic Considerations in the Diabetic Patient Seminars in Orthod 10: 252-258.
[20]	Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: estimates and projections to the year 2010 Diabet Med. 1997; 14 Suppl 5: S 1-85.
[21]	Saadoun AP. Diabetes and Periodontal Disease: a review and update. J West Soc Periodontol Periodontal Abstr. 1980; 28 (4): 116-39.
[22]	Luc Bensch, Marc Braem and Guy Willems; Orthodontic Considerations in the Diabetic Patient; Semin Orthod 2004; 10: 252-258.
[23]	Burden D, Mullally B, Sandler J. Orthodontic treatment of patients with medical disorders. Eur J Orthod. 2001 23: 363-72.
[24]	Cornacchio AL, Burneo JG, Aragon CE. The effects of antiepileptic drugs on oral health. J Can Dent Assoc. 2011; 77: b 140.
[25]	Fong, G. C, Mak, Y. F.; Schwartz, B. E.; Walsh, G. O. Body part asymmetry in partial seizure. Seizure, 2003: 12; 606-612.
[26]	Johnston, S. C.; Barnard, K. M. & Harrison, V. E. Recognizing and caring for the medically compromised child: 4 Children with other chronic medical conditions. Dent Update, 1999; 26: 21-26.
[27]	Giglio JA, Lanni SM, Laskin DM, Giglio NW. Oral health care for the pregnant patient. J Can Dent Assoc 2009; 75: 43-48.
[28]	Pinto A, Glick M. Management of patients with thyroid disease: oral health considerations. J Am Dent Assoc. 2002; 133: 849-58.
[29]	Young ER. The thyroid gland and the dental practitioner. J Can Dent Assoc 1989; 55: 903-907
[30]	Muzyka BC. Atrial fibrillation and its relationship to dental care. J Am Dent Assoc 1999; 130: 1080-1085.
[31]	Woeber KA. Thyrotoxicosis and the heart. N Engl J Med. 1992; 327: 94-8.
[32]	Vanderpump MP, Tunbridge WM, French JM et al. The incidence of thyroid disorders in the community: a twenty-year follow-up of the Whickham Survey. Clin Endocrinol 1995; 43: 55-68.
[33]	Burket’s Oral Medicine Diagnosis & Treatment, Tenth Edition, 2002, pg 341-571.
[34]	Little: Dental Management of the Medically Compromised Patient, 2007, 7th edition.
[35]	Dental Secrets SE. Stephen TS. II nd edition-Pg 37-64.
[36]	Carlos Fabue L, Jiménez Soriano Y, Sarrión Pérez MG. Dental management of patients with endocrine disorders. J Clin Exp Dent. 2010; 2 (4): e 196-203.
[37]	Shalu Chandna, Manish Bathla, Oral manifestations of thyroid disorders and its management. Indian J Endocrinol Metab. 2011 July; 15: 113-116.
[38]	Palenik CJ. Alphabet soup: The various hepatitis viruses. Contemporary Dental Assisting. 2007: Jan; 22-25.
[39]	Samaranayake LP. Essential Microbiology for Dentistry. 2nd ed. Edinburgh: Churchill Livingstone; 1998: 263-320.
[40]	Redd JT, Baumbach J, Kohn W, et al. Patient-to-patient transmission of hepatitis B virus associated with oral surgery. J Infect Dis. 2007; 195: 1311-1314.
[41]	McCarthy GM, Mamandras AH, MacDonald JK. Infection control in the orthodontic office in Canada. Am J Orthod Dentofacial Orthop 1997; 112: 275-281.
[42]	McMahon BJ, Alward WL, Hall DB et al. Acute hepatitis B virus: relation of age to the clinical expression of disease and subsequent development of the carrier state. J Infect Dis. 1985; 151: 599-603.
[43]	Zachrisson S, Zachrisson BU. Gingival condition associated with orthodontic treatment. Angle Orthod. 1972; 42: 26-34.
[44]	Heintze SD, Jost-Brinkmann PG, Finke C, Miethke R. Oral Health for the Orthodontic Patient. Chicago, Ill: Quintessence Publishing Co Inc; 1999: 1-23.
[45]	Degling TE. Orthodontics, bacteremia, and the heart damaged patient. Angle Orthod. 1972; 42: 399-401.
[46]	Erverdi N, Biren S, Kadir T, Acar A. Investigation of bacteremia following orthodontic debanding. Angle Orthod. 2000; 70: 11-14.