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

Table 3.76.

Key considerations for dental management in hydrocephalus (see text)

Management modifications* Comments/possible complications
Risk assessment 2 Latex allergy, epilepsy, learning disability, etc.

Appropriate dental care 1/4 Influenced by the underlying disease; antibiotic cover

Pain and anxiety control
  – Local anaesthesia 1
  – Conscious sedation 2
  – General anaesthesia 3/4 Associated conditions/complications

Patient access and positioning
 – Access to dental office 1 Consider cause of hydrocephalus
 – Timing of treatment 1
 – Patient positioning 1

Treatment modification
 – Oral surgery 2 May require antibiotic cover
 – Implantology 2
 – Conservative/Endodontics 1
 – Fixed prosthetics 1
 – Removable prosthetics 1
 – Non-surgical periodontology 2 May require antibiotic cover
 – Surgical periodontology 2

Hazardous and contraindicated drugs 0
*

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.