Endodontic treatment considerations in patients with special healthcare needs

Ainaa Abdulmoeen Alsharif; Osama Abdulmohsen Almuqhim; Sliman Mohamad Alhowimel; Alanoud Sameer Alfarran; Rakan Nejer Alotaibi; Zahra Ahmed Alhuwayji; Faisal Mohammed Al-Bakri; Ibtisam Abdulaziz Almotairi; Lama Salman Alhazmi; May Awad Alanazi; Lama Abdullah Alshumaymiri

doi:10.18203/2394-6040.ijcmph20233810

Authors

Ainaa Abdulmoeen Alsharif Department of Endodontics, King Fahad General Hospital, Jeddah, Saudi Arabia
Osama Abdulmohsen Almuqhim University Medical Center, Majmaah University, Majmaah, Saudi Arabia
Sliman Mohamad Alhowimel Afif General Hospital, Afif, Saudi Arabia
Alanoud Sameer Alfarran College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
Rakan Nejer Alotaibi Ministry of Health, Riyadh, Saudi Arabia
Zahra Ahmed Alhuwayji Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia
Faisal Mohammed Al-Bakri College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
Ibtisam Abdulaziz Almotairi Nujoom Al-Mahed Dental Complex, Mahd Al Dhahab, Saudi Arabia
Lama Salman Alhazmi Al-Steen Dental Lab Center, Mecca, Saudi Arabia
May Awad Alanazi College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
Lama Abdullah Alshumaymiri King Fahad Military Medical Complex, Damma, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20233810

Keywords:

Endodontic treatment, Cardiovascular diseases, Hypertension, Diabetes, COVID-19

Abstract

Individuals with special needs may have conditions that are either present from birth, arise from environmental factors, or are acquired later in life. These conditions can significantly restrict their ability to engage in everyday activities, such as self-care tasks and essential life activities. Special needs encompass a wide range of conditions, including physical, developmental, mental, sensory, behavioral, and emotional impairments. These individuals may face challenges in communication and cooperation during dental treatment. Various medical conditions, such as cardiovascular diseases, hypertension, diabetes, bleeding disorders, and pregnancy, also impact endodontic care. Management strategies include careful evaluation, the use of general anesthesia, and minimizing technical compromises. Dental professionals deal with individuals in their everyday routines who suffer from a variety of medical conditions and special circumstances The review further discusses considerations for patients with bleeding disorders, diabetes, lung disorders, HIV, and those undergoing cancer treatment. Finally, it highlights the unique challenges of providing endodontic care to elderly patients and COVID-19-positive individuals, emphasizing the importance of safety protocols during the pandemic.

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