Sunday 4 May 2014

Dental Management of patients with Thyroid Disease

Thyroid dysfunction is the second most common glandular disorder of the endocrine system which may rear its head in any system in the body including the mouth. The oral cavity is adversely affected by either an excess or deficiency of these hormones. Obtaining an understanding of thyroid dysfunction is of significant importance to the dentist for two reasons. First, the dentist may be the first to suspect a serious thyroid disorder and aid in early diagnosis. Thus, as part of a health care team, the dentist plays an important role in detecting thyroid abnormalities. The second reason is to avoid possible dental complications resulting from treating patients with the thyroid disorders. Modifications of dental care must be considered when treating patients who have thyroid disease.


Oral Manifestation of thyroid disease

Hyperthyroidism
Hypothyroidism
Increased susceptibility to
caries
Salivary gland enlargement
Periodontal disease
Macroglossia
Presence of extra glandular
thyroid tissue (struma
ovarii—mainly in lateral
posterior tongue)
Glossitis
Accelerated dental eruption
Delayed dental eruption
Burning mouth syndrome
Compromised periodontal
health—delayed bone
resorption

Dysgeusia

Considerations for dental treatments



Before treatment assessment of thyroid function

  • Establish type of thyroid condition.
  • Is there a presence of cardiovascular disease? If yes, assess cardiovascular status.
  • Are there symptoms of thyroid disease? If yes, defer elective treatment and consult a physician.
  • Obtain baseline thyroid-stimulating hormone, or TSH. Control is indicated by hormone levels, length of therapy and medical monitoring. If the patient has received no medical supervision for more than one year, consult a physician.
  • Make baseline complete blood count, giving attention on drug induced leukopenia or anemia.
  • Assess medication and interactions with thyroxine and TSH. Make proper treatment modifications if the patient is receiving anticoagulation therapy.
  • Take blood pressure and heart rate. If blood pressure is elevated in three different readings or there are signs of tachycardia/bradycardia, defer elective treatment and consult a physician.

During Treatment

  • Oral examination should include salivary glands. Give attention to oral manifestations.
  • Monitor vital signs during procedure:
  • Minimize stress–appointments should be brief.
  • Is the patient euthyroid? If yes, there is no contraindication to local anesthetic with epinephrine.
     ■ Use caution with epinephrine if the patient taking nonselective β-blockers.
     ■ If the patient’s hyperthyroidism is not controlled, avoid epinephrine; only emergent procedures should be performed 
  • Discontinue treatment if there are symptoms of thyroid disease.

After Treatment

  • Patients who have hypothyroidism are sensitive to central nervous system depressants and barbiturates.
  • Control pain.
  • Use precaution with nonsteroidal anti-inflammatory drugs for patients who have hyperthyroidism, avoid aspirin.
  • Continue hormone replacement therapy or antithyroid drugs as prescribed.


51 comments:

  1. I never realized how common thyroid glad problems were in children. I actually never even realized that a dentist would take care of a thyroid problem. I'm sure that would be a good reason to run to an emergency dentist at 2 in the morning. http://www.dentalcarextra.com.au/

    ReplyDelete
  2. A lot of these problems can lead to emergency situations. My son had a sudden tooth break and gum inflammation that wouldn't stop bleeding. We definitely had an emergency on our hands. It's good to know what to do with a situation like that before it actually happens. Luckily, we were able to handle it.

    Gerald Vonberger | http://www.childrensdentistrylakecounty.com/Emergencies/

    ReplyDelete
  3. This is so helpful, thank you. I don't want to overreact, but I'm also not afraid to see an emergency dentist. At least I'll be able to check these symptoms before I panic completely. And if I need to, there's always an emergency dentist.

    Jenn | http://www.mjmylnedental.com.au/services

    ReplyDelete
  4. Having read this I thought it was very informative.
    I appreciate you finding the time and energy to put this content together.
    I once again find myself personally spending way too much time both reading and leaving comments.
    But so what, it was still worthwhile!

    My web blog - successful people (wikipedia.org)

    ReplyDelete
  5. Good day! I simply want to give you a big thumbs upp for your great info
    you hawve got right hedre on thhis post. I am returning to your wweb site for more soon.

    Look at my web-site :: jordan 11 shoes release date

    ReplyDelete
  6. I am in dental school right now and I am looking into thyroid dysfunction. I appreciate all the information on this because I have a test coming up that I am worried about. This information helped me to understand what will be on the test. Thank you so much.

    http://glendaledentalgroup-az.com/Emergency-Care-Glendale-AZ.html

    ReplyDelete
  7. This could be the right blog for everyone who desires to be familiar with this topic.
    You know much its practically not easy to argue along.
    Superb stuff, simply great!

    Also visit my website - www.enhancedonlinenews.com

    ReplyDelete
  8. I think that there are a lot of things that could qualify as a dental emergency. It's important to stay on top of that kind of stuff. It can really make a lot of difference to have a dentist available in case of an emergency. http://www.redwooddental.ca/general_and_family_dentistry.html

    ReplyDelete
  9. Greate article. Keep posting such kind of information on your page.
    Im really impressed by your blog.
    Hey there, You've performed a great job. I'll certainly digg it and individually suggest to
    my friends. I am sure they will be benefited from this
    website.

    Also visit my site - Sunergetic

    ReplyDelete
  10. Hello, I enjoy reading through your article post. I like to write a little comment to
    support you.

    Also visit my website - weight loss tips (www.w3ightl055.com)

    ReplyDelete
  11. Quality posts is the secret to invite the viewers to pay a visit the
    site, that's what this site is providing.

    Here is my web-site :: Diabetes miracle cure

    ReplyDelete
  12. Hi there everyone, it's my first go to see at this
    web site, and paragraph is really fruitful for me,
    keep up posting these types of posts.

    My homepage ... life fitness bike Used

    ReplyDelete
  13. Attractive ѕection of content. I just stumbled սpon yоur web site аnd
    in accession capital toο saƴ that I gеt actually enjoyed account yоur
    weblog posts. Anyway Ӏ'll Ƅe subscribimg to yߋur augkent ߋr еѵеn Ӏ achieveent yoս get
    admission tо conatantly rapidly.

    mү web ρage ... trehyth retert

    ReplyDelete
  14. Do you mind if I quote a few of your posts as long as I
    provide credit and sources back to your webpage?
    My blog is in the very same area of interest as yours and my users would really benefit from some
    of the information you provide here. Please let me know
    if this alright with you. Regards!

    my blog; weight loss tips; http://www.w3ightl055.com,

    ReplyDelete
  15. I've been surfing online more than three hours today, yet I never found any interesting article like
    yours. It's pretty worth enough for me. In my opinion, if all website owners and bloggers made good content as you did,
    the internet will be much more useful than ever before.


    My web page - treatment pros []

    ReplyDelete
  16. You really make it appear so easy with your presentation however
    I to find this topic to be really something which I
    feel I would never understand. It seems too complex and very broad
    for me. I am looking ahead in your subsequent submit, I'll try to get the grasp of it!



    Feel free to surf to my web site; weight loss tips (www.w3ightl055.com)

    ReplyDelete
  17. Asking questions are truly good thing if you are not understanding anything totally, however this post provides pleasant understanding yet.



    Check out my site: blizzard white tooth

    ReplyDelete
  18. Hi I am so delighted I found your weblog, I really found you by error, while I was researching
    on Yahoo for something else, Anyhow I am here
    now and would just like to say thanks for a fantastic
    post and a all round exciting blog (I also love the theme/design),
    I don't have time to look over it all at the minute but I have bookmarked it and
    also added in your RSS feeds, so when I have time I will be back to read a great deal more, Please do keep up the excellent work.


    My blog - Miracle Skin transformer

    ReplyDelete
  19. It's very effortless to find out any topic on web
    as compared to textbooks, as I found this post at this site.


    Here is my weblog: Miracle Skin transformer

    ReplyDelete
  20. I've never thought about how to deal with dental issues when you have thyroid issues as well. I'm sure this is tricky. It would be hard to deal with both of these at the same time. I wonder what type of special care there is for people with health issues that affect teeth. http://www.adelaidedentalemergency.com.au

    ReplyDelete
  21. I read this article completely on the topic of the comparison of most
    recent and preceding technologies, it's remarkable article.


    Look at my page Puravol

    ReplyDelete
  22. It sounds like if you have any disorders or problems with your thyroid or parathyroid glands that you would want to visit the dentist to get your mouth checked out. Can the dentist give you any medicine to help you with the oral problems you face? I sounds like going in is going to answer the majority of questions that I would have. http://www.runcorndental.com.au/emergencydental

    ReplyDelete
  23. Reading this helped me realize how important it is to address whether an oral problem is caused by thyroid disease. I didn't realize that thyroid problems can cause periodontal disease, macroglossia, glossitis, accelerated dental eruption, and burning mouth syndrome. My mother has been experiencing these oral conditions, so I should find out if she's having thyroid issues so that a dentist will know how to address these dental problems.
    http://www.montmorencydentalgroup.com.au/services

    ReplyDelete
  24. An amazing article. It’s nice to read a quality blog post. I think you made some good points in this post,thank you for posting.
    Denture Repairs

    ReplyDelete
  25. Hey there, first of all thank you so much for this post and honestly I was searching for the same information from last few days. Keep posting and keep sharing.
    Denture Cleaners

    ReplyDelete
  26. Hey there, first of all thank you so much for this post and honestly I was searching for the same information from last few days. Keep posting and keep sharing.
    Denture Cleaning http://denturesplus.co.nz/

    ReplyDelete
  27. My Smile Family Dental Official Blog Provides Dental Tips, Guide, Product Reviews & Much More! best dentist in Edmonton

    ReplyDelete
  28. Good post and so good slides you shared. these have so good information.
    Best dentist in Delhi

    ReplyDelete
  29. This blog has increased my blog view and i got more information from your blog, it is very well said. so please increase your updates to enchant my knowledge.

    Best Root Canal Treatment In Chennai

    ReplyDelete
  30. Oral health diseases are very bad and quite difficult to handle. Maintaining oral health by simple natural remedies is very effective idea. There are lots of people (including me) who spent lots of time and money to cure this problem. But the results were not impressive. After reading your article I am very impressed with your suggestions to treat oral problems. I have read your articles about health disease and illness illness which is also very helpful and interesting.

    ReplyDelete
  31. I like your way of thinking.Only a professional dentist in Padstow always think about this.

    ReplyDelete
  32. The information you have posted is very useful. The sites you have referred was good. Thanks for sharing..
    Calgary Dentist

    ReplyDelete
  33. This content creates a new hope and inspiration with in me. Thanks for sharing article like this. The way you have stated everything above is quite awesome. Keep blogging like this. Thanks.

    Laser Root Canal Treatment In Chennai

    Best Dental Clinic In Velachery


    ReplyDelete
  34. Thank you for the fresh content and information you provide. This really helps learner like me. Keep sharing knowledge. Happy to read.

    Best Dental Clinic In Annanagar

    Painless Dental Treatment In Chennai

    ReplyDelete
  35. Thanks you for sharing very useful post. It has very effective information for readers. Are you Delhi, NCR based and looking for world class dental clinic? Then visit us
    Dental Clinic in Greater Noida
    Dentist in Greater Noida

    ReplyDelete
  36. I am very amazed by the information of this blog and I am glad I had a look over the blog. thank you so much for sharing such great information.



    Prosthodontists

    ReplyDelete
  37. These provided information was really so nice,thanks for giving that post and the more skills to develop after refer that post. Your articles really impressed for me,because of all information so nice.

    Laser Root Canal Treatment In Chennai

    Best Dental Clinic In Velachery

    ReplyDelete
  38. Being new to the blogging world I feel like there is still so much to learn. Your tips helped to clarify a few things for me as well as giving..

    Best Laser Clinic In Chennai

    Best Dental Clinic In Chennai

    ReplyDelete
  39. Excellent and very cool idea and the subject at the top of magnificence and I am happy to this post..Interesting post! Thanks for writing it. What's wrong with this kind of post exactly? It follows your previous guideline for post length as well as clarity..

    Best Dental Clinic In Chennai

    Best Dental Clinic In Tambaram

    ReplyDelete
  40. There are numerous Flushing dentists to choose from. There are hundreds who say that they are the best Most of them are the type, that promise that they are of top-quality, or the most affordable, or even the most experienced.medicareclinic

    ReplyDelete
  41. Thank you for the fresh content and information you provide. This really helps learner like me. Keep sharing knowledge. Happy to read.

    Best Dentists In Chennai

    Tooth Braces In Chennai

    ReplyDelete
  42. Thanks for the valuable information Gum Disease Treatment you can visit here for best Gum Disease Treatment.

    ReplyDelete
  43. Hello!
    Thyroid symptoms In Teeth
    Symptoms may include bleeding gums (especially with brushing or flossing),
    puffy gums, receding gums, plaque buildup on teeth, loose teeth,
    bone loss in the jaw, and bad breath.
    Recommended Treatment Plan:
    Periodontitis has been connected to dental dysbiosis
    or an imbalance of bacteria in the mouth
    The Thyroid and common solution of teeth can get rid by the Texas royse city dental clinic


    Hyperthyroidism
    An overactive thyroid gland is sometimes associated with advanced gum disease.
    Colgate notes that those with hyperthyroidism may
    have teeth that enter the mouth earlier than expected.
    The first, second or wisdom teeth can erupt sooner than usual.

    Hypothyroidism
    Adults may have an enlarged tongue,
    difficulty maintaining healthy gums or may
    have difficulty with wound healing or the sense of taste.
    The Merck Manual states that hypothyroidism is more common
    in the elderly, but it is also usually easy to diagnose in children and young adults.

    ReplyDelete
  44. hello, I would like to say that this blog really convinced me, you give me best information about dental issue that related to Thyroid problem! and now I am think about to visit my nearest dentist Brandon for dental checkup.

    ReplyDelete
  45. Great..This is my first opportunity to visit this website I found some interesting things and I will apply to the development of my blog.Thank you Very Much.

    Palatine Dentist

    ReplyDelete
  46. Thanks for sharing such a wonderful post,its informative,keep sharing your thought
    Best Dental Surgeon in Lucknow
    Skin Care Treatment Centre in Lucknow

    ReplyDelete
  47. Great blog. It cleared a lot of my doubts. Thank you for such a great content. best dental clinic in Delhi

    ReplyDelete
  48. I love above written article a lot, as it's proper that people would know the information surrounding us. Invisalign dentist in San Diego

    Thanks

    ReplyDelete
  49. It is really a great and useful piece of info. I’m glad that you shared this helpful info with us. Please keep us informed like this. Thank you for sharing.


    Best Dentist In Chennai | Full Mouth Implant Treatment | Pediatric Dentist in Chennai | Orthodontic Treatment

    ReplyDelete

Translate

Related Posts Plugin for WordPress, Blogger...