Consultation with Primary Care Provider

1. Patients with symptoms of blood dyscrasias should be referred to their primary care provider for complete blood counts. Treatment should be postponed until the results are known.

2. Consultation may be required in order to assess the extent of disease control and the patient's ability to tolerate stress. Client/Family Teaching

1. Review the importance of good oral hygiene in order to prevent soft tissue inflammation.

2. Review the proper use of oral hygiene aids in order to prevent injury.

3. With gingival hyperplasia, intensify oral hygiene, use a soft tooth brush, massage the gums, use dental floss daily, and obtain routine dental checks.

4. Daily home fluoride treatments for persistent dry mouth.

5. Avoid alcohol-containing mouth rinses and beverages.

6. Avoid caffeine-containing beverages.

7. Dry mouth can be treated with tart, sugarless gum or candy, water, sugar-free beverages, or with saliva substitutes if dry mouth persists.

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