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The presence of any of the features of a severe exacerbation listed in Box 6-9 are a sign of the necessity for pressing remedy and instant switch to hospital (Evidence D). For these sufferers and people with ailments that have an effect on development, corresponding to juvenile rheumatoid arthritis, the correct orthodontic therapy should be mixed with identification and control of the disease process. General measures-Discontinue all oral consumption for (30 or 54 weeks), 35% have been in clinical remission (and 21% 24-forty eight hours or until the affected person demonstrates clinical have been in corticosteroid-free remission), a modest but enchancment
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