Asthma is an inflammatory disease of the airways that causes bronchospasm and thick mucus production, leading to coughing, shortness of breath, and wheezing. It can be intrinsic from causes like cold air or infections, or extrinsic from allergies like rhinitis. Diagnosis involves history, examination, pulmonary function tests, and chest x-rays. Dental treatment for asthma patients requires assessing their condition, reducing stress, using local anesthetics without vasoconstrictors or sulfite components, and having patients bring their inhalers.

1. 
Asthma
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2. 
 Asthma is inflammatory disease of the airway that
cause bronchospasm and overproduction of thick
mucus in the airway lead to symptoms of coughing,
dyspnea and wheezing .
What is asthma ?!
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3. 
 Intrinsic Asthma
non allergic as : bronchial reaction due to
cold air or infection or anxiety .
 Extrinsic asthma
allergic as : Allergic Rhinitis
Urticarial
Eczema
Types and causes
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4. 
 wheezing
 Shortness of breath
 Chest tightness or pain
 Chronic coughing
 Trouble sleeping due to coughing or wheezing
Signs and symptoms
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5. 
 History and clinical
examination .
 Chest x-ray .
 Pulmonary function
test .
 Arterial blood gases. .
Diagnosis of asthma
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6. 
Dental
management
of asthmatic patient
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7. 
 Patients appointment should be
late morning .
 Assess severity of ASTHAMATIC condition.
 Consider antibiotic prophylaxis for immune-
suppressed patients .
 Consider corticosteroid replacement for adrenals
suppressed patients .
Before dental treatment
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8. 
 Rubber dams should be used cautiously.
 Use technique to reduce patient stress:
- Avoid prolonged supine positioning .
- Avoid nitrous oxide in people with sever
asthma .
- Avoid using BARBITURATES .
 Avoid using LA containing SODIUM
METABISULFIDE.
 Use vasoconstrictor judiciously .
During treatment
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9. 
 Ask patient to bring his medication/inhalator with
him.
 Prophylactic inhalation before dental procedure is
recommended.
 Stress during dental appointment should be reduced
to avoid an asthmatic attack .
 Nitrous oxide is a recommended sedative in stressed
asthmatic patient because it has no respiratory-
depressing properties.
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10. 
 Local anesthesia containing epinephrine or
levonordefrin also contain sulfite component which
may precipitate asthmatic attack. Therefore plain
local anesthesia is recommended, especially in
moderate to severe asthmatic patients.
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11. 
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12. 
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