Michael Glick

Immune suppression and considerations for dental care.

Immunocompromised individuals present a challenge to oral health care providers. As the spectrum of patients with dysfunctional immune responses continues to broaden, practitioners should be able to identify these patients, understand the potential for complications, and manage their dental care safely and effectively. This article reviews various immune deficiencies, addresses complications that may result from an individuals immune status, and discusses dental considerations for these patients.

Human Immunodeficiency Virus

Oral health is an integral component of overall health and well-being in all patients. However, for an immunocompromised patient, many common oral conditions may have a significant impact on quality of life. Intraoral pain, which is a common complaint among patients with human immunodeficiency virus (HIV), will compromise patients’ ability to maintain adequate and appropriate oral intake. Furthermore, the polypharmacopeia used to treat HIV and associated opportunistic infections may cause an increase in the incidence of caries. Changes in the levels of salivary flow caused by medications and the high sucrose content of nutritional supplements play a significant role in the progression of caries rate (1).

The ADA Practical Guide to Patients with Medical Conditions: Patton/ADA

Contributors vii Preface xi Acknowledgments xiii List of Common Drugs xv 1. Medical History, Physical Evaluation, and Risk Assessment 3 2. Cardiovascular Diseases 25 3. Pulmonary Disease 43 4. Endocrine and Metabolic Disorders 69 5. Renal and Urinary Tract Disease 95 6. Hepatic Disease 115 7. Gastrointestinal Disease 127 8. Hematological Disease 143 9. Bleeding Disorders 173 10. Autoimmune and Connective Tissue Diseases 191 11. HIV/AIDS and Related Conditions 217 12. Immunological and Mucocutaneous Disease 243 13. Head and Neck Cancer 257 14. Neurological Disorders 281 15. Neurodevelopmental and Psychiatric Disorders 305 16. Substance Use Disorders 331 17. Developmental Defects of the Craniofacial Complex and Orthopedic Disorders 357 18. Geriatric Health and Functional Issues 381 19. Womens Health 399 20. Medical Emergencies 425 Index 437 Companion website This book is accompanied by a companion website: www.wiley.com/go/patton The website includes: * Webliography * Powerpoints of all fi gures and tables from the book for downloading