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Article: Volume 30 Number 6 Page 316 - July/August 2003

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  Dent Update 2003; 30: 316-320

Pharmacology:  Perioperative Corticosteroid Supplementation and Dento-alveolar Surgery

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Abstract: Patients are referred to hospital for dento-alveolar surgical procedures requiring supplemental corticosteroid administration.However,it has been reported that medically compromised patients who require routine dental treatment are being referred unnecessarily.This article reports a retrospective study undertaken at a Regional Maxillofacial Unit over a 24-month period,which reveals the referral pattern and management of patients specifically referred for outpatient dental treatment with corticosteroid supplementation.

Clinical relevance: There is a need for standardization of guidelines on the provision of perioperative corticosteroid supplementation for dental patients taking regularly prescribed corticosteroid therapy.

Author notes: S.J. Key, FDS RCPS, FRCS, Specialist Registrar in Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University College London Hospitals NHS Trust, S.C. Hodder, FDS RCS, FRCS, Dip FM, Consultant in Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Morriston Hospital, London, R. Davies, FDS RCS, LRCP, MRCS, Consultant in Special Needs Dentistry, Department of Oral and Maxillofacial Surgery, University College London Hospitals NHS Trust, D.W. Thomas, FDS RCS, PhD, MScD, Consultant in Oral Surgery, Department of Oral Surgery, Medicine and Pathology, and S. Thompson, BDS, MPhil, PhD, MSNDRCS, Clinical Senior Lecturer in Special Needs Dentistry, Department of Adult Dental Health, University of Wales College of Medicine, Cardiff.

Objective: To analyse the proportion of patients who may require perioperative corticosteroid supplementation and discuss current guidelines.

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