Management of hyperthyroid patients in dental emergencies: a case report

Abstract

The prevalence of thyroid disease, particularly hyperthyroidism, has rapidly increased in Korea in the past 10 years. Therefore, it is important to consider the complete medical history including thyroid disease in patients under dental treatment. Both the drugs used for dental treatment and psychological symptoms associated with treatment can induce emergencies in hyperthyroid patients. This case report considers emergency situations during dental treatment for hyperthyroid patients, and discusses risk factors and related concerns.

Penatalaksanaan Pencabutan Gigi pada Pasien Hipertiroid

“…Epinefrin dalam anestesi lokal harus digunakan dengan sangat hati-hati karena miokardium pasien dengan kelainan tiroid rentan terhadap adrenalin dan dapat memicu aritmia, jantung berdebar, dan nyeri dada. 3,4 Sebelum pencabutan, pasien harus mengonsumsi obat hipertiroidnya secara teratur, istirahat yang cukup pada hari sebelum pencabutan, dan makan sebelum dilakukan pencabutan. Pasien perlu dipastikan memiliki vital sign yang baik pada saat hari pencabutan.…”