General

1. The patient may require a semisu-pine position in the dental chair to help with breathing.

2. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

3. Severe nasal congestion may prohibit the use of nitrous oxide/oxygen inhalation. Client/Family Teaching

1. Overuse or misuse of nasal sprays may cause significant medical problems, i.e., a nasal spray used regularly for more than 3 or 4 days may precipitate rebound congestion.

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