Dental Treatment in Patients with Leukemia

Table 7

Possibility of dental procedures at various stages of chemotherapy.

Intervention	Pre	Trans	Post
Type I
Exam
Clinical	NR	NR	NR
Radiographic	NR	NR	NR
Oral hygiene instruction	NR	NR	NR
Molding	E	E	NR
Type II
Simple restorations (ARTs)	NR	NR	NR
Prophylaxis and supragingival scaling	NR	NR	NR
Orthodontics	E	E	R
Type III
More complex restorations	R	R	NR
Scaling and root planning (subgingival)	R; HI, AP	R; HI, AP	NR
Endodontics
Symptomatic teeth	R; HI, AP	R; HI, AP	NR
Asymptomatic teeth	E, R; HI, AP	E, R; HI, AP	NR
Type IV
Simple extractions	R,; HI, AP	R,; HI, AP	R
Curettage (gingivoplasty)	EIHR	EIHR	R
Type V
Multiple extractions	R,; HI, AP	R,; HI, AP	R
Flap surgery/gingivectomy	EIHR	EIHR	R
Extraction of impacted tooth	EIHR	EIHR	R
Apicoectomy	EIHR	EIHR	R
Single implant placement	EIHR	EIHR	R
Type VI
Extraction of an entire arch or both	R,; HI, AP	R,; HI, AP	R
Extraction of multiple impacted teeth	EIHR	EIHR	R
Flap surgery	EIHR	EIHR	R
Orthognathic surgery	EIHR	EIHR	R
Placement of multiple implants	EIHR	EIHR	R

NR: no restriction, R: with restriction, E: elective, EIHR: elective, invasive, and high-risk, HI: need for evaluation of hematological indices, and AP: antibiotic prophylaxis.