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. 2015 Feb 15;2015:571739. doi: 10.1155/2015/571739

Table 3.

Possibility of dental procedures in the prechemotherapy phase.

Procedure Considerations and restrictions Time before the start of CT
Type I
 Exam
  Clinical
  Radiographic
 Hygiene instructions
No restrictions.
 Molding Elective procedure, postpone
Type II
 Simple restorations (ART)
 Prophylaxis and supragingival scaling
No restrictions.
 Orthodontics Elective treatment, postpone.
Consider removing orthodontic appliances.
Type III
 More complex restorations Solely for adequacy of the oral environment.
Consider use of provisional restorative materials (e.g., glass ionomer).
 Scaling and root planning (subgingival) Invasive procedure of high-risk carried out carefully. To evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
 Endodontics
  Symptomatic tooth Evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
Consider extraction if endodontics fail.
At least 1 week [1]
  Asymptomatic tooth Postpone (tricresol formalin)
OR
Evaluate hematological indices of platelets and neutrophils. Need for antibiotic prophylaxis.
At least 1 week [1]
Type IV
 Simple extractions Invasive procedure of high-risk.
Evaluate hematological indices of platelets and neutrophils. Need for antibiotic prophylaxis.
3 weeks; minimum 10–14 days [5]
2 weeks; minimum 7–10 days [1]
 Curettage (gingivoplasty) Elective procedure, invasive and high-risk.
Postpone.
Type V
 Multiple extractions If for adequacy of the oral environment, evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
If elective, postpone.
3 weeks; minimum 10–14 days [5]  
2 weeks; minimum 7–10 days [1]
 Flap surgery/gingivectomy
 Extraction of impacted tooth
 Apicoectomy
 Single implant placement
Elective procedure, invasive and high-risk.
Postpone.
Type VI
 Extraction of an entire arch or both If adequacy of the oral environment, evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
If elective, postpone.
3 weeks; minimum 10–14 days [5]  
2 weeks; minimum 7–10 days [1]
 Extraction of multiple impacted teeth
 Flap surgery
 Orthognathic surgery
 Placement of multiple implants
Elective procedure, invasive and high-risk.
Postpone.