Table 3.122.
Key considerations for dental management in osteoporosis (see text)
| Management modifications* | Comments/possible complications | |
|---|---|---|
| Risk assessment | 1 |
|
| Appropriate dental care | 1 | |
| Pain and anxiety control | ||
| – Local anaesthesia | 0 | |
| – Conscious sedation | 0 | |
| – General anaesthesia | 1 | Neck and chest deformities |
| Patient access and positioning | ||
| – Access to dental office | 1 | Assistance/escort |
| – Timing of treatment | 0 | |
| – Patient positioning | 1 | Neck support; mobility reduced |
| Treatment modification | ||
| – Oral surgery | 1 |
|
| – Implantology | 1 | Avoid sinus lifts |
| – Conservative/Endodontics | 0 | |
| – Fixed prosthetics | 0 | |
| – Removable prosthetics | 1 | Unstable prosthesis; soft-relining required |
| – Non-surgical periodontology | 0 | |
| – Surgical periodontology | 1 | Impaired bone remodelling |
| Imaging | 1 | Typical radiological features |
| Hazardous and contraindicated drugs | 1 | Avoid tetracyclines |
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.