Thyroid disorders. Part I: hyperthyroidism

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
James W Little

Abstract

The significant thyroid disorders that may be found in dental patients are presented in a series of 3 articles. This article (part I) deals with hyperthyroidism, part II with hypothyroidism and thyroiditis, and part III with neoplastic lesions of the thyroid. The signs and symptoms, laboratory tests used to diagnoses hyperthyroidism, and the medical management of patients with hyperthyroidism are presented in this paper. The dental management of patients with hyperthyroidism is discussed in detail. The dentist, by detecting the early signs and symptoms of hyperthyroidism, can refer the patient for medical diagnosis and treatment and avoid potential complications of treating patients with uncontrolled disease. These complications include the rare thyrotoxic crisis (thyroid storm) that may be precipitated by dental treatment, acute infection, or trauma in the patient with uncontrolled hyperthyroidism. Also, the use of epinephrine or other pressor ammines can cause a hypertensive crisis in the patient with uncontrolled hyperthyroidism. Patients will benefit from the early detection and referral by reducing the risks of the medical complications such as hypertension, cardiac arrhythmias, and congestive heart failure.

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Citations

Oct 4, 2011·Indian Journal of Endocrinology and Metabolism·Shalu Chandna, Manish Bathla
Oct 15, 2013·Medicina oral, patología oral y cirugía bucal·J Silvestre-RangilF Espín-Gálvez
May 6, 2008·Journal of Periodontology·Daniela da Silva FeitosaSérgio de Toledo
Sep 18, 2008·Nursing·Elaine E Steinke, Karen S Hayes
Jun 1, 2016·Journal of Dental Anesthesia and Pain Medicine·Kyung-Jin LeeEun-Jung Kwak
Aug 18, 2021·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Amirmohsen ArbabiReza Razeghinejad

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