Management of the pediatric dental patient with metabolic and hormonal disorders: prevention and treatment

Metabolic and hormonal disorders can compromise the safety of child undergoing dental treatment. This article focuses on type I Diabetes mellitus and adrenal cortex disorders, which are more common in children. The pediatric dentist should be fully aware of the child's medical status and modify the treatment plane accordingly. Special attention should be made to the management of the anxious child with or without the need for pharmacological management. This article presents schematic flow chart for treatment emergencies in the diabetic patient and also protocols of treating the child who suffers from primary or secondary adrenal insufficiency.