Malattie croniche e piano di trattamento odontoiatrico

OBJECTIVES. TO show how to plan dental treatment in patients suffering from the most common chronic systemic diseases in Italy, such as cardiovascular diseases, diabetes, and osteoporosis. MATERIALS AND METHODS. The authors review some therapeutical issues associated with the more common systemic diseases in the Italian population. These diseases as well as their medical therapies must be considered by the dentist before treatment planning and they may also impose to modify dental treatment. RESULTS AND CONCLUSIONS. Population aging is associated with an increasing prevalence of chronic diseases that may be a contraindication for some dental treatment, as in case of poorly controlled diabetes, or that canaffect treatment itself because of the drugs employed. To provide good oral health care, dental professionals must understand the special needs of their patients and their ability to undergo and respond to dental care; they should work closely with the rest of the health care team and should be prepared to manage emergencies associated with systemic chronic diseases.