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Dental Management of Asthmatic Patient PowerPoint Presentation

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Description : Dental management of asthmatic patient

Tags : dental,asthmatic patient,asthma,teeth issue,dental management

Published on : Mar 24, 2023 | Views : 1616 | Downloads : 4

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Dental management of asthmatic patient presented by 1-ايات كاظم عباس 2-ايمان احمد محمد 3-هالة فلاح عليوي 4-علي ستارجبار
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What is asthma?!asthma is inflammatory disease of the airway that cause bronchospasm and overproduction of thick mucus in the airway lead to symptoms of coughing, dyspnea and wheezing
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Diagnosis of asthma AirHistory and clinical examination.Chest x-ray. Pulmonary function test.Arterial blood gas test.
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Trigger of asthma1-tobacco smoking 2-dust mites 3-outdoor air pollution 4-pests
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Three best sleep position with asthma 1-Lie on your back with your shoulders and neck elevated 2-Lie on your left side with a pillow between your legs. 3-Lie on your back with your head elevated and your knees bent with a pillow under knees.
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Dental management of asthma ■ Identify asthmatic patients by history. Ask the patient about type of asthma, precipitating factors, severity and frequency of attacks, the time of day that attack most often occur, and whether he has been hospitalized for acute asthmatic attack. ■ Patient with unstable disease should be referred for medical care and dental appointment is postponed.
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■ Patient who has night asthmatic attack should be given late-morning appointment. ■ Avoid aspirin, NSAIDs, barbiturates, and narcotics because they may precipitate an asthmatic attack
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■ Avoid macrolides antibiotics (clindamycin, azithromycin, etc..) and ciprofloxacin in patients taking theophylline to avoid theophylline toxicity. ■Ask patient to bring his medication/inhalator with him. ■ Prophylactic inhalation before dental procedure is recommended. ■Stress during dental appointment should be reduced to avoid an asthmatic attack.
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■ Nitrous oxide is a recommended sedative in stressed asthmatic patient because it has no respiratory-depressing properties■ If oral sedative required, low-dose short acting benzodiazepines (e.g, diazepam) may be used.
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■Local anesthesia containing epinephrine or levonordefrin also contain sulfite component which may precipitate asthmatic attack. Therefore plain local anesthesia is recommended, especially in moderate to severe asthmatic patients.
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■ Asthmatic patient taking long-term systemic steroids may require supplemental dose of his medication in major surgeries (not required in routine dental treatment). However, long-term inhalation of steroids require no supplemental doses, unless daily inhalation dose is very high
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Asthmatic attack ■ An acute asthmatic attack require immediate therapy. ■Fast acting bronchodialtor (Ventolin, Proventil) should be provided immediately and it is most effective. ■ In severe asthmatic attack that not responsive to previous treatment,subcutaneousepinephrine(0.3-0.5 mL, 1:1000) injection is helpfu
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■ Other supportive measures include providing oxygen and repeating inhalation every 20 minutes. ■Call ambulance if the situation required
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Oral manifestation ■ Nasal symptoms, allergic rhinitis, and mouth breathing are common with allergic-type asthmatic patient. ■ Asthmatic patient who are mouth-breather has increased height of palatal vault, greater overjet and higher prevalence of crossbite
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■ Gastroesophageal reflux is common in asthmatic patient which may cause teeth erosion. ■ Some asthmatic medication may affect oral environment such as decreasing salivary flow, and increased prevalence of gingivitis and caries. ■ Rarely, asthmatic patient develop oral candidiasis due to steroid inhalation without a spacer. It is very responsive to antifungal treatment
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Thank you