“…We fully agree that infection prevention is a priority in any OF because children and adolescents are still developing their immune systems, often have asymptomatic infections (due to MRSA, S. pneumonia, S. pyogenes, H. influenza, Moraxella catarrhalis, HBV, HIV etc), may be at high risk of developing infections (immunocompromised subjects and those predisposed to developing infective endocarditis), or be medically compromised (12)(13)(14)(15)(16)(17)(18)(19). This accounts for the increasing discussion of the medical-legal liability of orthodontists, and underlines the need for established scientific proof concerning prophylactic antibiotic treatment and the prevention of the over-use of antibiotics (19,20) when treating high-risk patients.…”
Context: The Centers for Disease Control and Prevention has recently published its "Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care", but information concerning compliance, occupational hazards, and specific recommendations for orthodontic facilities is less widely available. Evidence Acquisition: We searched electronic English articles published in PubMed and Google Scholar databases (2010-May 2016) using various combinations of the key indexing terms. Results: 95 articles were selected for comprehensive reading according to the inclusion criteria. Problems and difficulties for orthodontic offices in applying the recommendations have been divided into nine focus areas concerning the quality of supplies, the procedures necessary to adhere to the standard precautions of hand hygiene, the use of personal protective equipment (PPE), respiratory hygiene/cough etiquette, sharps safety, orthodontic instrument reconditioning, cleaning and disinfecting clinical contact surfaces and dental unit water lines, and impression disinfection. Conclusions: On the basis of our experience in a university department of orthodontics and private orthodontic offices, we believe that innovative thinking based on better knowledge, education and training, ergonomics, and task-specific, evidence-based guidelines and resources are required to improve compliance with infection control recommendations.
“…We fully agree that infection prevention is a priority in any OF because children and adolescents are still developing their immune systems, often have asymptomatic infections (due to MRSA, S. pneumonia, S. pyogenes, H. influenza, Moraxella catarrhalis, HBV, HIV etc), may be at high risk of developing infections (immunocompromised subjects and those predisposed to developing infective endocarditis), or be medically compromised (12)(13)(14)(15)(16)(17)(18)(19). This accounts for the increasing discussion of the medical-legal liability of orthodontists, and underlines the need for established scientific proof concerning prophylactic antibiotic treatment and the prevention of the over-use of antibiotics (19,20) when treating high-risk patients.…”
Context: The Centers for Disease Control and Prevention has recently published its "Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care", but information concerning compliance, occupational hazards, and specific recommendations for orthodontic facilities is less widely available. Evidence Acquisition: We searched electronic English articles published in PubMed and Google Scholar databases (2010-May 2016) using various combinations of the key indexing terms. Results: 95 articles were selected for comprehensive reading according to the inclusion criteria. Problems and difficulties for orthodontic offices in applying the recommendations have been divided into nine focus areas concerning the quality of supplies, the procedures necessary to adhere to the standard precautions of hand hygiene, the use of personal protective equipment (PPE), respiratory hygiene/cough etiquette, sharps safety, orthodontic instrument reconditioning, cleaning and disinfecting clinical contact surfaces and dental unit water lines, and impression disinfection. Conclusions: On the basis of our experience in a university department of orthodontics and private orthodontic offices, we believe that innovative thinking based on better knowledge, education and training, ergonomics, and task-specific, evidence-based guidelines and resources are required to improve compliance with infection control recommendations.
“…Routine orthodontic therapy may be provided to patients with parathyroid disease once that disorder has been identified and the proper medical treatment given. 23,24…”
Section: Orthodontic Considerationmentioning
confidence: 99%
“…Proper dress code including gloves, eye glasses, and mouth mask should be followed. 23 Dental impressions can transmit HBV, as HBV can survive on innate objects for 1 week. Disinfecting sprays like sodium hypochlorite or glutaldehyde can be used to prevent contamination.…”
“…Disinfecting sprays like sodium hypochlorite or glutaldehyde can be used to prevent contamination. 23,26 Any surgical procedures or extractions that has the risk of bleeding should be performed in hospital settings to provide emergency care in time of need.…”
“…Osteoporosis is systemic, degenerative disease results in diminished bone mass, a micro architectural deterioration of the bone and ensuing increment in bone fragility. 23 Osteoporosis occurs most commonly in menopausal women. Risk variables that cannot be modified are progressed age, being female and lack of estrogen after menopause.…”
<p class="abstract">Medically compromised patients are increasing in number day by day who are seeking orthodontic care. For majority of the medical emergencies orthodontic treatment is not contraindicated but special care and precautions are necessary for their successful treatment without any further complication. One of the most important things that patients can do with their medical history is to share it with health care providers. Medical history helps to provide best possible treatment to the patient and thus helps to maintain good health. Successful orthodontic treatment can be done for most patients with relevant management. Actively managing this will avoid numerous complications, life threatening emergencies and will avoid many medico-legal incidents. This article enlightens the possible medical emergencies faced by orthodontist in day-to-day practice and helps to understand the management of such patients.</p>
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