Asthmatic Child Fissure Sealants — ORE Part 1 MCQ

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EasyPaediatric DentistryAsthmatic Child Fissure SealantsORE Part 1

A 10-year-old child with well-controlled asthma uses salbutamol as required and beclometasone by inhaler. They are cooperative and present for routine resin fissure sealants. Which is the most appropriate additional advice or management?

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Correct answer: A — Advise rinsing the mouth with water after beclometasone use

Explanation lettering: E = shown as B · B = shown as C · C = shown as D · D = shown as E

A is correct. Inhaled beclometasone can cause oral candidiasis; rinsing the mouth thoroughly with water after inhaler use reduces retained drug in the oropharynx and is appropriate preventive advice. Well-controlled asthma is not a contraindication to routine resin fissure sealants, and SDCEP describes standard sealant technique without an asthma-specific material or bonding modification. B is therefore wrong. Salbutamol is a reliever inhaler and is not routinely required immediately before treatment in an asymptomatic, well-controlled child, so C is wrong. D is unsupported: inhaled corticosteroid treatment does not impair resin bonding. E is inappropriate because a cooperative child can receive routine preventive treatment without general anaesthesia. The child should, however, have their usual reliever inhaler available at the appointment.

Reference: Electronic Medicines Compendium. Easyhaler Beclometasone 200 micrograms/dose inhalation powder: Summary of Product Characteristics, section 4.8, current. https://www.medicines.org.uk/emc/product/239/smpc