Table 2: ECT placement and suggested precautions in patients
with compromised dental health.
|
Patient’s dentition status |
Precaution |
Recommended
ECT placement |
|
Fully dentate |
Use
the thinnest possible bite guard. The bite guard should not be forced up
behind the upper anterior teeth by the lower anterior teeth |
Right
unilateral> bifrontal> bitemporal |
|
Dental implants, crowns, bridges |
Posterior
teeth implants are more susceptible to axial force while anterior implants
are more vulnerable to lateral forces. |
Right
unilateral |
|
Edentulous |
Consider
reducing the pressure to a single side by using a small prop. |
Right
Unilateral |
|
Partial dentition (solitary tooth, extracted
tooth with gaps) |
Metal-based
dentures are preferred over acrylic dentures. An individualized bite guard is
best if possible to support the remaining teeth and spread the force equally.
|
Right
Unilateral |