Table 3.106.

Key considerations for dental management in lymphomas (see text)

	Management modifications*	Comments/possible complications
Risk assessment	3	Anaemia; corticosteroid therapy; bleeding tendency; radiotherapy consequences; liability to infection
Appropriate dental care	3	Disease prognosis; avoid elective dental care during acute phase; bleeding tests; antibiotic prophylaxis; specialist advice before invasive procedures
Pain and anxiety control
– Local anaesthesia	1
– Conscious sedation	2
– General anaesthesia	3/4	Irradiation may have damaged lung or heart function
Patient access and positioning
– Access to dental office	0
– Timing of treatment	0
– Patient positioning	0	Upright position in patients with pulmonary fibrosis
Treatment modification
– Oral surgery	3
– Implantology	3
– Conservative/Endodontics	1
– Fixed prosthetics	1
– Removable prosthetics	1
– Non-surgical periodontology	3
– Surgical periodontology	3
Hazardous and contraindicated drugs	2	Some patients receive corticosteroids or immunosuppressives

^*0 = No special considerations. 1 = Caution advised. 2 = Specialised medical advice recommended in some cases. 3 = Specialised medical advice mandatory. 4 = Only to be performed in hospital environment. 5 = Should be avoided.