Orthodontic care for medically compromised patients: possibilities and limitations

Venrooy, John R. van

doi:10.14219/jada.archive.1985.0085

Cited by 26 publications

(18 citation statements)

References 6 publications

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“…In general it is a good idea to keep orthodontic treatment sessions in patients with DM short and to inform them beforehand about the treatment's duration so that they can prepare themselves by appropriate food intake or adjustment of the insulin dose [66]. This can help prevent hypoglycemia or fainting.…”

Section: Specific Treatment Aspectsmentioning

confidence: 99%

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Influence of Diabetes Mellitus on the Development and Treatment of Malocclusions – A Case Report with Literature Review

2009

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Diabetes mellitus is a metabolic disorder characterized by disturbed glucose regulation, manifesting primarily as chronic hyperglycemia. Today about 6% of the world's population suffers from diabetes mellitus. This metabolic disorder is known to be associated with a large number of concomitant and secondary diseases of the cardiovascular system, as well as of the joint and supporting tissue systems. It is also a recognized fact that diabetes mellitus is closely associated with diverse problems in the oral, facial and jaw regions. These facts suggest that patients with diabetes may respond to orthodontic treatment differently from those without diabetes in how the periodontium and surrounding visceral cranium react to therapy. Beginning with a clinical case report we proceed to present a general overview of the clinical features and pathophysiology of diabetes mellitus, followed by a critical discussion of the results of a systematic literature search for aspects of the disease relevant to orthodontics.

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Section: Specific Treatment Aspectsmentioning

confidence: 99%

“…eine angepasste Insulingabe vorbereitet ist [66]. Dies kann der Vorbeugung einer Hypoglykämie oder einer Ohnmacht dienlich sein.…”

Section: Besonderheiten Bei Der Behandlungunclassified

Influence of Diabetes Mellitus on the Development and Treatment of Malocclusions – A Case Report with Literature Review

2009

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“…Beim Einsetzen und beim Entfernen der Drahtbögen ist besondere Sorgfalt erforderlich [1]. " Die kieferorthopädische Behandlung sollte so kurz wie mög-lich durchgeführt werden, um das Risiko für Komplikationen zu minimieren [28].…”

Section: Sichelzellanämieunclassified

“…Von einem chirurgischen Eingriff im Unterkiefer wird jedoch abgeraten. Bei einer schweren Minderentwicklung des Unterkiefers sollte besser der Oberkiefer chirurgisch korrigiert und eine Genioplastik durchgeführt werden [28]. [115], " Extraktion von Zähnen, " kieferchirurgische Maßnahmen, " schlecht angepasste zahnmedizinische Apparaturen, " Rauchen " Alkoholabusus Zu den röntgenologischen Anzeichen gehören eine Verbreiterung des Parodontalspaltes im Bereich der Furkation der Molaren und eine wolkige Knochenstruktur als Folge der Osteolyse [115].…”

Section: Sichelzellanämieunclassified

Allgemeinmedizinische Erkrankungen und Kieferorthopädie

Patel¹,

Burden²,

Sandler³

2009

Inf Orthod Kieferorthop

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“…The orthodontic treatment of these patients has been neglected for years for fear of bleeding, which involved complications in the occlusal, dental and periodontal state of the same. These patients have higher risk of complications during orthodontic treatment, but they can get a successful outcome to the extent that they present a proper control of their disease (1)(2)(3). Haemophilia It is the most common congenital bleeding disorder (4).…”

Section: Introductionmentioning

confidence: 99%

Orthodontic management in patients with haemophilia. About two clinical cases

Cañete-Sánchez¹,

Guardia²,

Castillo-Naveros³

et al. 2010

Med Oral

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The most common congenital bleeding disorder is haemophilia. It is a pathology inherited and caused by a defective or an absence of the coagulation factors, so that haemophiliacs cannot form an efficient clot. These patients have been treated with fear in the dental profession without having achieved the goals and ideals most appropriate according to the requirements of each case, which is demonstrated in the little existing literature available. However, they are currently treated as healthy orthodontic patients thanks to the advances in orthodontics. We present the cases of two brothers with mild classical haemophilia, who were treated by Mc Namara's disjunctor. The emphasis is on importance of interconsultation with the haematologist, prevention and oral hygiene, and that of the beneficial effect of orthodontic.

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Orthodontic care for medically compromised patients: possibilities and limitations

Cited by 26 publications

References 6 publications

Influence of Diabetes Mellitus on the Development and Treatment of Malocclusions – A Case Report with Literature Review

Influence of Diabetes Mellitus on the Development and Treatment of Malocclusions – A Case Report with Literature Review

Allgemeinmedizinische Erkrankungen und Kieferorthopädie

Orthodontic management in patients with haemophilia. About two clinical cases

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