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Oral health care considerations for patients with thyroid disorders

Patients with a thyroid condition that is stable (euthyroid)

Patients with a hypothyroid state

Patients with a hyperthyroid state

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Oral health care considerations for patients with thyroid disorders:

  • Recognize and address signs and symptoms, and comorbid conditions associated with hyper-and hypothyroid states.
  • Establish thyroid status.

Patients with a thyroid condition that is stable (euthyroid):

No contraindications for dental care.

Patients with a hypothyroid state:

  • Avoid medications such as aspirin and barbiturates
  • Address possible oral dryness due to salivary gland enlargement
  • Address complaints of dygeusia
  • Anticipate possible prolonged healing

Patients with a hyperthyroid state:

  • Provide only emergency dental care
  • Avoid the use of epinephrine
  • Be aware of increased susceptibility to caries
  • Address complaints of burning mouth syndrome
  • Be aware of possible progressive periodontal disease

OK