When is it necessary to increase the dose of prednisone in patients taking corticosteroids?
a. Restorative dentistry
b. Mucogingival surgeryc. Multiple extractions
d. Scaling and polishing
The
correct answer is C: For
restorative dentistry, dental hygiene, mucogingival surgery, and simple
extractions, it is not necessary to increase the patient’s corticosteroids.
However, it is important that the patient has taken the usual dose. For
multiple extractions or extensive mucogingival surgery, the dose of
corticosteroids should be doubled on the day of surgery. If the patient is
treated in the operating room under general anesthesia, stress level doses of
cortisone, 100 mg intravenously or intramuscularly, should be given
preoperatively.
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