Table 3.41.
Key considerations for dental management in cystic fibrosis (see text)
| Management modifications* | Comments/possible complications | |
|---|---|---|
| Risk assessment | 2/4 | Reduced respiratory function; liver disease (bleeding tendency); diabetes |
| Pain and anxiety control | ||
| – Local anaesthesia | 0 | |
| – Conscious sedation | 2/4 | May cause respiratory depression |
| – General anaesthesia | 5 | Avoid; if unavoidable requires careful planning |
| Patient access and positioning | ||
| – Access to dental office | 0 | |
| – Timing of treatment | 1 | Avoid early morning |
| – Patient positioning | 1 | Upright position |
| Treatment modification | ||
| – Oral surgery | 1 | |
| – Implantology | 3 | Depends on disease prognosis |
| – Conservative/Endodontics | 1 | |
| – Fixed prosthetics | 1 | |
| – Removable prosthetics | 3 | May impede airway |
| – Non-surgical periodontology | 1 | |
| – Surgical periodontology | 1 | |
| Hazardous and contraindicated drugs | 1 | Antibiotic selection |
*
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.