Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Experience of Dental Treatment in Patients with Hyperthyroidism
Hirotsugu YAMAZAKIHiroshi SANOMotoyuki HIRAITakahiro OZAKIMitsuru NOGIYasushi KAWASHIMAIkuko AOKIYoshio MIZUNOTomoo WADA
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1986 Volume 32 Issue 11 Pages 2090-2104


Dental treatment under local anesthesia was performed twenty-three times on 10 patients with hyperthyroidism.
Biophysical reactions before, during and after the treatment were studied.
1. Before undertaking dental treatment in patients with hyperthyroidism, it was important to determine the time of treatment from the changes in T3 and T4.
2. Confirmation of the presence or absence of complications secondary to hyperthyroidism was necessary.
3. Precaution against side-effect such as agranulocytosis due to an antithyroid drug was necessary.
4. Measurement of blood pressure and pulse was indispensable before the treatment.
5. Monitoring of blood pressure and heart rate was necessary during treatment.
6. As regards pots-treatment biophysical reactions, precaution is advised against possible systemic reactions that sometimes occur more severely rather than local reactions.

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