Experience of Dental Treatment in Patients with Hyperthyroidism

Abstract

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.