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
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