ORTHODONTIC TREATMENT ALGORITHM OF PATIENTS WITH A BURDENED DRUG ANAMNESIS. DRUGS THAT REDUCE BONE MINERAL DENSITY

The large number of drugs available today for the treatment of various general somatic conditions poses the challenge of studying both the positive and negative effects of drugs on orthodontic tooth movement. To improve the efficiency, safety and quality of treatment, an orthodontic care algorithm has been developed for patients taking glucocorticoids (GCS), drugs for the treatment of diabetes mellitus (thiazolidinediones and SGLT-2 inhibitors), L-thyroxine, immunosuppressors, antidepressants, anticonvulsants, proton pump inhibitors (PPIs), misoprostol (copyright database IREG deposit certificate No. 2089354). Out of 348 patients, who came for consultation and orthodontic treatment, 48 patients (13,8%), according to the algorithm, the active treatment and retention plans, appliance activation were adjusted taking into account the positive drug anamnesis. 9 patients were referred for consultations with doctors of other medical specialties to receive an information about general disease compensation degree, bone mineral density measurement and identification of possible contraindications for orthodontic treatment.