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. 2010 Dec 29:26–455. doi: 10.1016/B978-0-443-07151-5.50005-6

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.