Table 3.141.

Key considerations for dental management in rickets/osteomalacia (see text)

	Management modifications*	Comments/possible complications
Risk assessment		Due to the underlying disease
Pain and anxiety control
– Local anaesthesia	0
– Conscious sedation	2	Avoid respiratory depressants
– General anaesthesia	3/4	Avoid if rachitic chest
Patient access and positioning
– Access to dental office	0
– Timing of treatment	0
– Patient positioning	0
Treatment modification
– Preventive dentistry	1	Prophylactic occlusal coverage
– Oral surgery	1	Jaw fracture
– Implantology	1/5	Compromised osseointegration
– Conservative/Endodontics	0
– Fixed prosthetics	0
– Removable prosthetics	0
– Non-surgical periodontology	0
– Surgical periodontology	0
Hazardous and contraindicated drugs	1	Underlying disease

^*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.