Preoperative management of glucocorticoid-dependent pedodontic patients.
Patients with adrenal insufficiency, allergic disorders, blood dyscrasias, collagen, malignant, and gastrointestinal diseases, and renal disorders may be receiving long-term courses of glucocorticoids; mismanagement could result in Addisonian crisis. If dental procedures for these patients involve moderate to severe stress, increases in the dosages of glucocorticoids shoudl be instituted before dental treatment begins.
D000293:Adolescent; D000302:Adrenal Cortex / Q000378:metabolism; D000309:Adrenal Insufficiency / Q000188:drug therapy / Q000503:physiopathology; D000324:Adrenocorticotropic Hormone / Q000378:metabolism; D000450:Aldosterone / Q000378:metabolism; D002648:Child; D003188:Composite Resins; D003442:Crowns; D003722:Dental Alloys; D003793:Dental Restoration, Permanent; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D007018:Hypopituitarism / Q000188:drug therapy; D008297:Male; D009404:Nephrotic Syndrome / Q000188:drug therapy; D011300:Preoperative Care; D013312:Stress, Physiological / Q000503:physiopathology; D014081:Tooth Extraction
D003188:Composite Resins; D003722:Dental Alloys; D005938:Glucocorticoids; D000450:Aldosterone; D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone