Table 3.108.

Key considerations for dental management in malignant hyperthermia (see text)

	Management modifications*	Comments/possible complications
Risk assessment	2	Oral infections
Appropriate dental care	2	Select drugs; preoperative dantrolene
Pain and anxiety control
– Local anaesthesia	2	Avoid epinephrine
– Conscious sedation	3/4	Monitor closely
– General anaesthesia	3/4	Avoid halothane
Patient access and positioning
– Access to dental office	0
– Timing of treatment	0
– Patient positioning	0
Treatment modification
– Oral surgery	2
– Implantology	2
– Conservative/Endodontics	2
– Fixed prosthetics	2
– Removable prosthetics	2
– Non-surgical periodontology	2
– Surgical periodontology	2
Hazardous and contraindicated drugs	2	Select drugs (see Table 3.107)

^*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.