Open Access
Table IV
Risk factors for oral healthcare and specific treatement modifications required.
| Risk factors | Treatment modifications |
|---|---|
| Cardiac defects | Antibiotic prophylaxis |
| Cardiac great vessel constriction, mental retardation | Conscious sedation, general anesthesia |
| High caries susceptibility | Dietary counselling, oral hygiene maintenance, topical fluoride applications, pit and fissure sealants, regular oral prophylaxis |
| Anxiety/uncooperative behaviour | Behaviour modification, conscious sedation |
| Wound dehiscence | Avoid mucoperiosteal flaps |
| Cardiac compromise | Mild cases treat in dental office without adrenaline use |
| Renal compromise | Avoid nephrotoxic drugs, NSAIDs and Aspirin |
| Treat on the day following renal dialysis | |
| Bleeding tendency | Bleeding and coagulation tests, local hemostatic measures, establish INR≤2 before invasive procedures |
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