|
| Procedure | Considerations or restrictions | Time between cycles |
|
| Type I | | |
| Exam | | |
Clinical
Radiographic
Hygiene instructions | No restrictions. | — |
| Molding | Elective procedure. Postpone. | — |
| Type II | | |
Simple restorations (ART)
Prophylaxis and supragingival scaling | No restrictions. | — |
| Orthodontics | Elective treatment.
Consider removing orthodontic appliances. | — |
| Type III | | |
| More complex restorations | Solely for adequacy of the oral environment.
Consider use of provisional restorative materials (eg., Glass ionomer). | — |
| Scaling and root planning (subgingival) | Invasive treatment, of high-risk, perform carefully. Evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis. | — |
| Endodontics | | |
| Symptomatic tooth | Evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
Consider extraction if endodontics fails. | At least 1 week [1] |
| Asymptomatic tooth | Postpone (tricresol formalin).
OR
Evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis. | At least 1 week [1] |
| Type IV | | |
| Simple extractions | Invasive treatment of high-risk. Evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis. | 3 weeks; minimum 10–14 days [5]
2 weeks; minimum 7–10 days [1] |
| Curettage (gingivoplasty) | Elective treatment, invasive and high-risk. Postpone. | — |
| Type V | | |
| Multiple extractions | If adequacy of the oral environment, evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
If elective, postpone. | 3 weeks; minimum 10–14 days [5]
2 weeks; minimum 7–10 days [1] |
Flap surgery/gingivectomy
Extraction of impacted tooth
Apicoectomy
Single implant placement | Elective procedure, invasive and high-risk.
Postpone. | — |
| Type VI | | |
| Extraction of an entire arch or both | If adequacy of the oral environment, evaluate hematological indices of platelets and neutrophils.
Need for antibiotic prophylaxis.
If elective, postpone. | 3 weeks; minimum 10–14 days [5]
2 weeks; minimum 7–10 days [1] |
Extraction of multiple impacted teeth
Flap surgery
Orthognathic surgery
Placement of multiple implants | Elective procedure, invasive and high-risk.
Postpone. | — |
|
