Orthodontic Management of Selected Medically Compromised Patients: Cardiac Disease, Bleeding Disorders, and Asthma

摘要

Orthodontic therapy is no longer reserved for only healthy patients. With better management of serious medical problems, increased quality of life expectations, and greater ambulation, medically compromised individuals are now regular visitors to orthodontic practices. While orthodontic therapy has been historically considered to be completely noninvasive, specific orthodontic procedures may place some patients at risk for serious sequelae. Among the most common of these conditions are those associated with cardiac disease, bleeding disorders and asthma. Aggressive risk assessment is the key factor in the identification and prevention of medically-associated problems. Assessment and management of patients at risk for endocarditis, bleeding and asthmatic attacks are discussed.