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Thyroid Disorders - Oral Health Care Considerations

  • 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#

‚ö†ÔłŹ Avoid medications such as aspirin and barbiturates

  • Address possible oral dryness due to salivary gland enlargement
  • Address complaints of dysgeusia
  • Anticipate possible prolonged healing

Patients with a hyperthyroid state#

‚ö†ÔłŹ Provide only emergency dental care

‚ö†ÔłŹ 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

Medical Complexity Status - Thyroid Disorders#

Thyroid DisordersMCS1AMCS2C
Anticipated
complication
Controlled/
stable
Uncontrolled/
unstable
 HemostasisNoneNone
 Microbial
 susceptibility
NoneNone
 Drugs/ drug
 interactions
NoneMajor
 Stress/traumaNoneMajor

See Medical Complexity Status for more information.


Related Pages#

References/Websites#