Influence of chronic congenital systemic disorder effects in orthodontic treatment

The orthodontic treatment of patients with medical disorders is becoming an increasing aspect of modern-day practice. Orthodontic treatment is no longer reserved for only healthy patients. With better management of serious medical problems, increased quality of life expectations, and greater ambulation, medically compromised individuals are now regular visitors to orthodontic practices. While orthodontic treatment has been historically considered to be completely noninvasive, specific orthodontic procedures may place some patients at risk for serious sequelae. Among the most common of these conditions are those associated with cardiovascular disease, bleeding disorder, respiratory disorder, neurological disorder, renal disease, musculoskeletal system, endocrine disorder, liver disease, allergies, and drug side effects. Aggressive risk assessment is the key factor in the identification and prevention of medically associated problems. Assessment and management of patients at risk for endocarditis, bleeding, and asthmatic attacks are discussed. The orthodontic treatment of patients with medical disorders is becoming an increasing aspect of modern-day practice. The influences of various systemic diseases on orthodontic treatment have been discussed and various recommendations to overcome the potential problems have been highlighted in this article.