Steroids dental surgery

1. Gibson N, Ferguson JW. Steroid cover for dental patients on long-term steroid medication: proposed clinical guidelines based upon a critical review of the literature. Br Dent J . 2004;197:681- 685.
2. Miller CS, Little JW, Falace DA. Supplemental corticosteroids for dental patients with adrenal insufficiency: reconsideration of the problem. J Am Dent Assoc . 2001;132:1570-1579.
3. Haveles EB. Applied Pharmacology for the Dental Hygienist. 5th Ed . St. Louis: Mosby; 2007:355.
4. Muzyka BC. Revisiting the use of glucocorticosteroids in dentistry. Pract Periodontics Aesthet Dent . 2000;12(9):814.
5. Requa-Clark B. Applied Pharmacology for the Dental Hygienist . 4th Ed. St. Louis: Mosby; 2000:415.
6. Malamed S. Medical Emergencies in the Dental Office . 5th Ed. St. Louis: Mosby; 2000:149.
7. Pickett FA, Gurenlian JR. The Medical History: Clinical Implications and Emergency Prevention in Dental Settings . Philadelphia: Lippincott Williams and Wilkins; 2005:128.
8. Image of adrednal glands. Available at: /healthGate/images/exh45027_ . Acessed May 27, 2008.
9. Little JW, Fallace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient . 6th Ed. St. Louis: Mosby; 2002:271.
10. Reynolds EC. Pharmacodynamics of antiinflammatory and immunosuppressive drug therapies. Journal of Practical Hygiene . 2000;9(6):24-27.
11. Brunton LL, Lazo JS, Parker KL. Goodman and Gilman’s The Pharmacological Basis of Therapeutics . 11th Ed. New York: McGraw-Hill; 2006.
12. Nunn P. Medical emergencies in the oral health care setting. J Dent Hyg . 2000;74:136-151.
13. National Endocrine and Metabolic Diseases Information Service. Available at: http:///pubs/addison / . Accessed May 27, 2008.
14. Venes D, Thomas CL. Tabor’s Cyclopedic Medical Dictionary . 19th Ed. Philadelphia: . Davis Co; 2001:515.  

Major procedures . caesarian section, joint replacement or other operations requiring a general anaesthetic always require parental steroids. As a rule, patients should take their usual doses the day before surgery, and on the morning of surgery for later procedures. 100mg intra-muscular hydrocortisone should then be administered on induction of the anaesthetic, and the dose repeated 6 hourly thereafter for 24-48 hours or until the patient is able to eat and drink normally. Patients should then typically take double their usual dose for 48hours, or until they are feeling back to normal, at which they should resume their usual dose.

Steroids dental surgery

steroids dental surgery


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