Hey Guys, here is a short presentation regarding the clinical aspects in the dentistry for thyroid patients. It's basic and to the point presentation for a dental student. For any questions and queries, we can connect on the links given at the end of the presentation. Thank you Regards Battisi - Dr. Jasmine Singh

1. DENTAL TREATMENT
THYROID PATIENT
Dr. Jasmine Singh
IN

2. THYROID ?
HOW IS IT RELATED
TO
DENTISTRY ?
THYROID
PATIENT
MANAGEMENT
ON
DENTAL CHAIR

4. Tri-iodo-thyronine
NORMAL SERUM (TOTAL) :
70-200ng/l
Thyroxine
NORMAL SERUM (TOTAL) :
5.5-13.5 ug/l
Calcium Lowering
Hormone
NORMAL SERUM (TOTAL) :
< 10 pg/mL.
1. Metabolism
2. Body Temperature
3. Growth and Development
4. Brain Development (Infancy)
NOT ABSOLUTELY ESSENTIAL FOR LIFE

5. 35-40% people in India have THYROID!
FAMILY MEMBER
Mention the anti thyroid drug and dose
in their records.
BE A DOCTOR : IDENTIFY
BE A DENTIST : DIAGNOSIS
TREATMENT

7. BE A DOCTOR : IDENTIFY

8. BE A DENTIST : DIAGNOSIS
Distorted
sense of
taste

9. Hypothyroidism
Hemostasis ( bleeding)
wound healing
Susceptible to cardiovascular disease (Consult from the physician)
Sensitive to central nervous system depressants and barbiturates
(Alchohol, sleeping pills,opiates,diazepam)
Exposure to a surgical antiseptic that includes iodine (such as
Povidone) can increase the risk of thyroiditis
(Betadine – Mouthwash should NOT be used)

10. Hemostasis ( bleeding)
Anti-thyroid drugs namely PropylThioUracil (PTU) (Hemorrhage)
Susceptibility to infection (Oral Infections)
Combination analgesics containing acetylsalicylic acid (ASA) are contraindicated
Aspirin
Stress or surgery can trigger a thyrotoxic crisis. Epinephrine is contraindicated
Fluoride free toothpaste
(Fluoride was used as a drug to treat
hyperthyroidism because it reduces thyroid activity
quite effectively. This is due to the ability of fluoride
to mimic the action of thyrotropin (TSH). Excess
fluoride correlates with the other thyroid-related
issues such as iodine deficiency.)
Hyperthyroidism

12. Discontinue the dental treatment
Activate Emergency Team
Position – Supine with feet elevated
A - B - C : Basic Life Support
Head Tilt – Chin Lift
IV – 5% Dextrose and Water / Normal Saline
Administration of oxygen
In Hyperthyroid patients , we can use COLD PACK too.

13. Let’s Connect On :
DoctorJasmineSinghPage
battisi_yourdentist
Battisi – Your Dentist