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Conditions that are associated with increased risk of infection

Conditions that are associated with increased risk of infection
Condition Oral manifestation or complication Dental management
Childhood cancers Decreased immune function, leading to gingival inflammation and alveolar bone loss Reduction of plaque and microorganisms through oral hygiene and use of chemotherapeutic agents, such as chlorhexidine
Chemotherapeutic immunosuppression Oral ulceration; infection by opportunistic organisms Reduction of plaque and microorganisms through oral hygiene and use of chemotherapeutic agents, such as chlorhexidine
Graft-versus-host disease Mucositis, xerostomia, oral pain Artificial saliva, chemotherapeutic agents to reduce plaque, pain control measures
HIV infection Severe acute and chronic gingival and periodontal inflammation, exceeding that expected for local irritants present Reduction of plaque and microorganisms through oral hygiene and use of chemotherapeutic agents, such as chlorhexidine
Diabetes mellitus Increased gingival and periodontal inflammation and increased risk of odontogenic infections Reduction of plaque and microorganisms through oral hygiene and use of chemotherapeutic agents, such as chlorhoxidine
Congenital heart disease Cyanotic friable oral tissues; ingress of microorganisms implicated in infective endocarditis Adherence to American Heart Association guidelines for prevention of infective endocarditis[1]
Sickle cell anemia Nonspecific oral findings, but at increased risk for infection secondary to dental treatment in some cases Prophylaxis with appropriate antibiotic when needed for dental treatment
Reference:
  1. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: Guidelines from the American Heart Association: A guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007; 116:1736.
Reproduced with permission from Casamassimo PS. Pediatr Clin North Am 2000; 47:1149. Copyright © 2000 W.B. Saunders Co.
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