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.