Orthodontic Care for Children with Medical Conditions

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Questions and Answers

Which type of diabetes is sometimes termed as Juvenile onset?

Diabetes of pregnancy

Type III Insulin resistant

Type I Insulin dependent (correct)

Type II Insulin independent

What is the clinical syndrome that produces an excess of blood sugar due to a deficiency or diminished effectiveness of insulin?

Infective endocarditis

Leukaemia

Cystic fibrosis

Diabetes Mellitus (correct)

Which hormone has a contra-insulin effect in diabetes of pregnancy?

Human placental lactogen (correct)

Glucagon

Insulin

Thyroid hormone

What is the recommended diastolic pressure for hypertensive patients on medication?

90mmHg Signup and view all the answers

In acute hypertensive crisis (e.g., 180/120 mmHg), what action should be taken during a dental procedure?

Terminate the procedure and administer Nifedipine Signup and view all the answers

Which leukemia type is described as the most common childhood malignancy?

Acute lymphoblastic leukemia (ALL) Signup and view all the answers

What are some oral manifestations of diabetes mentioned in the text?

Xerostomia, oral candidiasis, impaired wound healing, and periodontal disease Signup and view all the answers

What is the recommended approach for dental/orthodontic treatment in diabetic patients?

Good medical control, stress-free procedures, and emphasis on oral hygiene Signup and view all the answers

What should be considered when providing dental/orthodontic treatment to patients with hypertension?

Checking blood pressure, determining the degree of control, and considering postural hypotension Signup and view all the answers

What is the main clinical manifestation of cystic fibrosis?

Non-productive cough and acute respiratory infections Signup and view all the answers

What should orthodontists consider when making treatment decisions for cystic fibrosis patients?

The risk of endocarditis against the potential adverse reactions to antimicrobial therapy Signup and view all the answers

What is the current median survival for individuals with cystic fibrosis?

30 years Signup and view all the answers

What is the special consideration for orthodontic treatment in children with severe hemophilia?

Orthodontic treatment is generally not contraindicated, but special considerations are necessary to prevent bleeding and complications. Signup and view all the answers

What is the impact of Juvenile Rheumatoid Arthritis (JRA) on orthodontic treatment?

JRA can lead to severe joint deformity, including damage to the temporomandibular joint (TMJ), requiring careful selection of orthodontic procedures to avoid stress on the affected TMJs. Signup and view all the answers

Why do children with cystic fibrosis require special orthodontic considerations?

Due to the nature of the disorder affecting the exocrine glands. Signup and view all the answers

Study Notes

Special Orthodontic Considerations for Children with Medical Conditions

Orthodontists do not "give up" on patients when halting treatment, and careful selection of words can enhance emotional acceptance of appliance removal.
Appliance removal can be presented as a transition point in orthodontic treatment and is essential for the comfort and safety of patients undergoing chemotherapy.
Orthodontic treatment is elective for most patients, but for those undergoing treatment for hematologic malignancies, the risk-benefit balance weighs against ongoing orthodontic treatment.
Patients with bleeding disorders, such as severe hemophilia, require special consideration due to the potential complications during orthodontic treatment.
Factor concentrates derived from human blood donations carry a small risk of transmitting serious viral infections, despite improved manufacturing methods.
Orthodontic treatment is generally not contraindicated in children with bleeding disorders, but special considerations are necessary to prevent bleeding and complications.
Juvenile Rheumatoid Arthritis (JRA) is an inflammatory arthritis that can lead to severe joint deformity, including damage to the temporomandibular joint (TMJ).
Children with JRA may require additional support for oral hygiene during orthodontic treatment, and orthodontic procedures should be carefully chosen to avoid stress on the affected TMJs.
Restricted growth of the mandible occurs in 10-30% of subjects with JRA, and special care is required when considering orthodontic treatment for these patients.
Cystic fibrosis is the most common inherited disease among Caucasians, with an incidence of one in 2500 live births.
Children with cystic fibrosis require special orthodontic considerations due to the nature of the disorder affecting the exocrine glands.
Orthodontic treatment for children with medical conditions like JRA or cystic fibrosis requires careful assessment and consideration of the specific challenges and risks involved.

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Description

"Special Orthodontic Considerations for Children with Medical Conditions" quiz covers important factors that orthodontists should consider when treating children with medical conditions such as hematologic malignancies, bleeding disorders, juvenile rheumatoid arthritis, and cystic fibrosis. The quiz addresses the challenges, risks, and special care required for orthodontic treatment in these cases.