Takayasu's arteritis: oral complications and dental guidelines

Periodontal findings in a rare case of Takayasu arteritis

“…Duque et al 6 have reported a case of Takayasu arteritis in a pediatric patient in whom dental treatments including scaling, extractions, pulpotomy, and composite restorations were performed successfully. Gupta et al 5 have reported a case of a female patient with TA, who was successfully treated for pericoronitis and space infection. In both the above case reports, extraction of teeth had to be performed as one of the dental procedures due to mobility of teeth occurring probably due to localized periodontal destruction.…”

“…A decrease in the levels of Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level was observed following nonsurgical therapy and the authors hypothesized about the potential relationship between periodontitis and TA concerning inflammatory factors, bacteria, and medication. 19 Based on supporting studies, 5,6 dental treatments in TA should be carried preferentially in a hospital setting with strict cardiac monitoring. Antibiotic prophylaxis and steroid supplementation are recommended.…”