Table 3.152.
Key considerations for dental management in thrombocytopenia (see text)
| Management modifications* | Comments/possible complications | |
|---|---|---|
| Risk assessment | 2 | Haemorrhage; infections; long-term corticosteroids |
| Appropriate dental care | 1–4 | According to procedure and platelet count |
| Pain and anxiety control | ||
| – Local anaesthesia | 1 | Regional block |
| – Conscious sedation | 1 | Haematoma |
| – General anaesthesia | 3/4 | Airway |
| Patient access and positioning | ||
| – Access to dental office | 0 | |
| – Timing of treatment | 0 | |
| – Patient positioning | 0 | |
| Treatment modification | ||
| – Oral surgery | 1–4 | According to procedure and platelet count |
| – Implantology | 3 | |
| – Conservative/Endodontics | 1 | |
| – Fixed prosthetics | 1 | |
| – Removable prosthetics | 0 | |
| – Non-surgical periodontology | 1–4 | According to platelet count |
| – Surgical periodontology | 1–4 | According to platelet count |
| Hazardous and contraindicated drugs | 1 | Avoid aspirin and NSAIDs, amoxicillin, ampicillin; consider steroid supplementation |
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.