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      Scaling and Root Planning in a Patient Taking Chronic Corticosteroid Therapy for Lupus Erythematosus.

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          Abstract

          The dental provider should be aware of the oral manifestations of systemic lupus erythematosus (SLE). Patients with SLE may be on chronic oral corticosteroids, which can increase the risk for periodontitis and opportunistic oral infections in addition to inducing multiple systemic adverse effects. Disease complications such as lupus nephritis and comorbid antiphospholipid antibody syndrome can further impact dental decision-making including around medications to prescribe or hemostatic measures to employ during treatment. Patients with SLE on systemic corticosteroid therapy usually do not require steroid supplementation before or after non-surgical or surgical dental treatment.

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          Author and article information

          Journal
          Dent Clin North Am
          Dental clinics of North America
          Elsevier BV
          1558-0512
          0011-8532
          Oct 2023
          : 67
          : 4
          Affiliations
          [1 ] Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA.
          [2 ] Department of Neurology, Penn Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA.
          [3 ] Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA. Electronic address: kfrance@upenn.edu.
          Article
          S0011-8532(23)00087-3
          10.1016/j.cden.2023.05.018
          37714616
          1b3d6b67-5e23-4e3e-ac6a-e9fd10041ea0
          History

          Systemic lupus erythematosus,Autoimmune disease,Chronic corticosteroids,Immunosuppression,Oral manifestations

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