Table 3.58.

Key considerations in dental management in G6PD deficiency (see text)

	Management modifications*	Comments/possible complications
Risk assessment	1	Avoid oxidant drugs
Appropriate dental care	2	Avoid oxidant drugs
Pain and anxiety control
– Local anaesthesia	1	Avoid prilocaine
– Conscious sedation	1
– General anaesthesia	3/4
Patient access and positioning
– Access to dental office	0
– Timing of treatment	0
– Patient positioning	0
Treatment modification
– Oral surgery	0
– Implantology	0
– Conservative/Endodontics	0
– Fixed prosthetics	0
– Removable prosthetics	0
– Non-surgical periodontology	0
– Surgical periodontology	0
Hazardous and contraindicated drugs	2	Avoid aspirin, acetaminophen, sulphonamides and topical toluidine blue

^*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.