Resumo

SANTOS, Pâmela Letícia dos; CALDEIRA, Jonatas Esteves; JUNIOR, Idelmo Rangel Garcia  e  ARANEGA, Alessandra Marcondes. Surgical care dentistry immunosuppressed patients and the use of corticosteroid. RFO UPF [online]. 2011, vol.16, n.2, pp. 224-228. ISSN 1413-4012.

Objective: The objective of this work, and review concepts on the physiology of hormones Adrenals to enhance pre, trans and post-operative care to dentists facing surgical, dental care of immunosuppressed patients. Literature review: The corticosteroids are among the most used drugs in medicine in recent times due to its anti-inflammatory and immunosuppressive activities, especially in transplant patients and patients with chronic autoimmune diseases. However, the continuing use of these drugs leads to a decrease in endogenous production of cortisol by the adrenal. Besides depressing the patient's immune system, it may generate many parallel undesirable effects like blocking the production of the natural hormone of adrenal cortex, or steroid called cortisol, which may be the cause of a malfunctioning of the adrenal gland, causing hypofunction or hyperfunction of the gland. Final considerations: This fact will lead to changes in the planning of dental surgery, where it will be necessary special actions towards the patients who have this condition.

Palavras-chave : Corticosteroids.; Adrenal gland.; Surgery..