Table 3.59.

Key considerations for dental management in gout (see text)

	Management modifications*	Comments/possible complications
Risk assessment	2	Underlying disease
Appropriate dental care	1	Avoid elective oral care during acute attacks
Pain and anxiety control
– Local anaesthesia	0/2	Underlying disease
– Conscious sedation	0/2
– General anaesthesia	0/2
Patient access and positioning
– Access to dental office	0/1
– Timing of treatment	0
– Patient positioning	1
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	1	Avoid aspirin and ampicillin

^*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.