DENTISTRY and CHRONIC DISEASE
The underlying diseases that must be considered because of their direct relationship with oral health are diabetes, hypertension, osteoporosis, blood diseases and coagulopathies, liver abnormalities, kidney failure, visual and motor alterations, nutritional deficiencies, mental disorders and any condition that can cause some degree of immunosuppression.
When a patient has any of these conditions, it is essential that the dental surgeon determines if the patient is in treatment and if the condition is stabilized before performing any dental maneuver.
Patients with motor, and visual impairments, and with an altered mental status are unquestionably limited to maintain a proper oral hygiene. With them, it is fundamental to give them simplified cleaning techniques