A patient with Addison's disease (primary adrenal insufficiency) is scheduled for dental treatment. What is the MOST appropriate management?

Correct answer: A. Consult with the patient's physician for steroid supplementation guidance

• A. The safest approach is to CONSULT with the patient's physician to determine current steroid dose, assess stress response capacity, and receive guidance on whether supplemental steroids (stress dose) are needed. This is the 'rule of 2s' evaluation. ✓
• B. Postponing all treatment is not appropriate — with proper consultation and preparation, patients with Addison's disease can safely receive dental care.
• C. Prescribing steroids without physician consultation is inappropriate — the dose and need depend on the patient's current regimen and procedure invasiveness.
• D. Patients with Addison's disease on long-term steroid replacement may need supplemental steroids during dental stress to prevent an Addisonian crisis. Treating without modifications is inappropriate.