Pacjent z astmą oskrzelową w gabinecie stomatologicznym – przegląd piśmiennictwa dotyczącego postępowania leczniczego

Abstract

Introduction. Asthma is the most common chronic condition of childhood. Patients with bronchial asthma are a high-risk group requiring constant and intensive dental prophylaxis and treatment as well as regular dental check-ups. They also require certain modifications of the management in order to minimize the risk of a disease exacerbation during dental treatment. Aim. The purpose of the article is to discuss dental therapeutic management in asthma patients in light of the latest research. Material and methods. Three databases PUBmed/Medline, EMBASE and Cochrane Library were searched through in terms of contemporary methods of dental treatment of an asthmatic patient. Results. In order to provide the best dental care and to avoid exacerbations during dental procedures to a patient with asthma, a dentist should cooperate with the patient’s attending physician. The elimination of pre-procedural stress using inhaled or oral sedation and knowledge of allergenic agents within dental anaesthetic substances and materials are crucial for successful treatment of the patient. Additionally, a professional fluoride prophylactic is recommended as a standard of care in patients at a high risk of caries. Conclusions. In light of recent research, intensive treatment and dental prevention is necessary in asthma patients as it may reduce symptoms and lead to the stabilization of the disease.