9 - Gerodontology Flashcards

1
Q

What factors impact oral frailty?

A
  • mastication (difficulty eating hard foods or complete inability to chew)
  • swallowing (decreased ability to swallow food or liquids)
  • motor skill (impaired tongue movement, speech or phonatory disorders)
  • salivation (hypo salivation or xerostomia)
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2
Q

What do family deem important in end of life care?

A
  • cleanliness
  • free of pain
  • family present
  • dignity maintained
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3
Q

How does frailty impact oral health?

A
  • communication, halitosis, comfort
  • immune status, OHRQoL and pain/infection
  • nutrition
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4
Q

What is an alternative to conventional restoration in older people?

A

ART

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5
Q

What are common oral problems in the older population?

A
  • oral candidiasis
  • xerostomia
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6
Q

What are the dental implications of falls?

A
  • dental trauma
  • sit patients up slowly after treatment (postural hypotension)
  • manual handling
  • domiciliary visits
  • MRONJ
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7
Q

What are the dental implications of poor nutrition?

A
  • delayed healing
  • NCTSL
  • haematinics (burning mouth syndrome, RAS)
  • higher caries rate
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8
Q

What are the dental implications of poor diabetic control?

A
  • hyper/hypoglycaemia
  • fatigue or reduced tolerance of long treatment
  • infection risk
  • poor wound healing
  • periodontal disease
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9
Q

How do you manage dysphagia?

A
  • altered consistency of food
  • non oral feeding NG or PEG
  • tuck chin to chest when swallowing
  • rehab
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10
Q

What dental advice can you give someone with dysphagia?

A
  • brush teeth with suction/self aspirating toothbrush
  • low foaming toothpaste
  • no excess water on toothbrush
  • rub toothpaste in mouth prior to brushing
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11
Q

What changes can be made to make an environment dementia friendly?

A
  • good acoustics to aid communication
  • walls, doors and floor different colours
  • clear signage
  • well lit
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12
Q

What communication tools should you use to communicate with someone with dementia?

A
  • engage and eliminate distraction
  • eye contact
  • physical contact to maintain attention
  • verbal cues and short sentences
  • reassure and use humour
  • use first name
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13
Q

What are key teeth for OHRQoL?

A
  • occluding pairs
  • increased number of teeth
  • anterior teeth
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14
Q

What are the dental implications of dementia?

A
  • progressive neglect or inability to undertake OH
  • inability to accept treatment
  • xerostomia
  • halitosis
  • caries and periodontal disease progression
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15
Q

What patients require domiciliary visits?

A
  • bed bound
  • oxygen therapy
  • hospitalised
  • agoraphobic
  • end of life care
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16
Q

Who provides dental domiciliary visits?

A
  • GDP
  • PDS
  • SCD
17
Q

What is the lone working policy?

A

Always have a chaperone (can be dental nurse)

18
Q

What are you required to take with you on domiciliary visits?

A
  • ID
  • portable suction
  • emergency bag including drugs
  • dental equipment
  • sharps box
  • PPE
19
Q

What treatment is appropriate for domiciliary visits?

A
  • replacing dentures
  • assessment of ST disease
  • simple extractions
  • ART
  • supragingival PMPR
  • prevention
20
Q

What is recommended for palliative oral care?

A
  • moisten mouth every 30 mins (ice, water spray, lubricant)
  • remove risk of pain or infection where possible
  • general OHI
21
Q

What is is palliative care?

A

Active total care of patients who are not responsive to curative treatment, including control of pain, other symptoms and of social and spiritual problems