Table 3.158.
Key considerations for dental management in tuberculosis (see text)
Management modifications* | Comments/possible complications | |
---|---|---|
Risk assessment | 1 | Transmission |
Appropriate dental care | 2 | Active TB, defer elective dental care; infection control precautions |
Pain and anxiety control | ||
– Local anaesthesia | 0 | |
– Conscious sedation | 3 | Avoid nitrous oxide |
– General anaesthesia | 5 | Risk of contamination |
Patient access and positioning | ||
– Access to dental office | 0 | |
– Timing of treatment | 1 | End of session; minimise staff exposed |
– Patient positioning | 0 | |
Treatment modification | ||
– Oral surgery | 0 | |
– Implantology | 0 | |
– Conservative/Endodontics | 1 | Minimise aerosols; use barriers |
– Fixed prosthetics | 1 | Minimise aerosols; use barriers |
– Removable prosthetics | 0 | |
– Non-surgical periodontology | 0 | |
– Surgical periodontology | 0 | |
Hazardous and contraindicated drugs | 1 | Avoid acetaminophen, aspirin and azoles |
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.