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The patient with asthma: implications for dental practice.
James Guggenheimer1, Paul A Moore
1School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|May 16, 2009
Summary
Dental patients with a history of asthma require prompt management of acute episodes and preventative strategies. Chronic asthma medication use may increase oral candidiasis risk, especially with other risk factors.
Area of Science:
- Dentistry
- Pulmonology
- Public Health
Background:
- Asthma is common in dental patients, with potential for acute episodes triggered by allergens, fear, or anxiety.
- Dental professionals must recognize asthma attacks as emergencies requiring immediate bronchodilator treatment.
- Chronic asthma medication, including inhalers and glucocorticoids, can elevate oral candidiasis risk.
Purpose of the Study:
- To highlight the prevalence of asthma in dental patients.
- To emphasize the importance of preventative strategies and emergency preparedness for dental professionals.
- To inform about the increased risk of oral candidiasis in asthma patients using certain medications and with additional risk factors.
Main Methods:
- Review of existing literature on asthma management in dental settings.
- Analysis of factors contributing to asthma exacerbations in dental patients.
- Identification of risk factors for oral candidiasis in patients with asthma.
Main Results:
- Asthma history is common in adult and pediatric dental patients.
- Triggers for asthma attacks in dental offices include allergens, fear, and anxiety.
- Oral candidiasis risk is heightened by chronic use of bronchodilators/glucocorticoids, smoking, dentures, and xerostomic medications.
Conclusions:
- Dentists must be prepared to manage asthma emergencies and implement preventive measures.
- Awareness of medication side effects, like oral candidiasis, is crucial for dental patient care.
- Comprehensive patient history is vital for tailoring dental treatment and minimizing asthma-related risks.
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