Dental Treatment in Patients with Leukemia

Table 5

Possibility of dental procedures in postchemotherapy phase.

Intervention in postchemotherapy	Considerations and restrictions
Type I
Exam
Clinic	No restrictions.
Radiographic
Hygiene instructions
Molding
Type II
Simple restorations (ART)	No restrictions.
Prophylaxis and supragingival cell scaling
Orthodontics	Completed chemotherapy and after two years free of disease, one can restart the orthodontic treatment
Type III
More complex restorations	No restrictions.
Scaling and root planning cell (subgingival)
Endodontics
Symptomatic tooth
Asymptomatic tooth
Type IV
Simple extractions	Need for antibiotic prophylaxis until six months after completion of chemotherapy.
Curettage (gingivoplasty)
Type V
Multiple extractions	Need for antibiotic prophylaxis until six months after completion of chemotherapy.
Flap surgery/gingivectomy
Extraction of impacted tooth
Apicoectomy
Single implant placement
Type VI
Extraction of an entire arch or both	Need for antibiotic prophylaxis until six months after completion of chemotherapy.
Extraction of multiple impacted cell teeth
Flap surgery
Orthognathic surgery
Placement of multiple implants