- Establish and assess asthma severity and control.
- Consider morning appointments.
- Place patient’s inhaler on the bracket table, or close by for easy access.
- ß-2 agonists may reduce salivary flow. Fluoride supplements are indicated for patients with an increased caries rate.
- Instruct the patient to rinse his or her mouth after inhaler use.
- Recognize and treat oral candidiasis caused by corticosteroid use.
- Consider antibiotic prophylaxis for severely immune suppressed individuals.
- Consider glucocorticosteroid replacement therapy when indicated.
- Avoid dental materials that may induce an asthma attack.
- Avoid sodium metabisulfate-containing local anesthetics.
- Avoid the use of erythromycin and phenobarbital in patients taking theophylline.
- Be aware of possible adverse reactions to aspirin and NSAIDs (up to 20% of patients). COX-2 inhibitors can still be used.
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