alcohol

Question 1

government advice on alcohol

Answer 1

no more than 14 units per week
if drinking 14 units +, spread over at least 3 days
aim to have at least 2 alcohol free days

Question 2

average number of units in
- shot of spirit
- medium glass of wine
- pint of beer

Answer 2

1
2
2

Question 3

how does alcohol increase oral cancer risk

Answer 3

• damages cells, when cells repair themselves DNA changes can occur
• weakens cell walls increasing permeability to other toxins

synergistic effect with tobacco

Question 4

what LA should be used in alcholics and why

Answer 4

articaine
metabolised in liver as well as plasma

Question 5

oral health risks associated with increased alcohol consumption

Answer 5

increased cancer risk
increased caries
increased toothwear
increased risk of facial and dental trauma

Question 6

what drugs should be avoided in alcoholics

Answer 6

metronizadole
NSAIDs

Question 7

prompts for offering alcohol advice

Answer 7

can I ask how much you drink on a weekly basis
are you aware that is more than the recommended guidelines, do you know some of the risks associated with this
would you like help to cut down or stop drinking alcohol

Question 8

what is OFG

Answer 8

oro facial granulomatosis
uncommon condition seeing swelling oral and facial soft tissues due to blockage of lymphatic drainage

Question 9

when does OFG most commonly present

Answer 9

late childhood - adolescence

Question 10

symtpoms/ signs of OFG

Answer 10

perioral redness and swelling
full thickness gingivitis
linear fissured ulcers
angular chelitis

Question 11

managment of OFG

Answer 11

mild cases may require no treatment
- exclusion diet for 3 months (cinammon, chocolate etc)
- topical treatments
- systemic treatments

Question 12

what other condition should be assessed for if child presents with OFG

Answer 12

crohns
- ask about any altered bowel habits or abdominal pain

Question 13

patient information about biopsy - what to expect

Answer 13

local anaesthetic placed around site - numb
small amount of tissue will be taken and sent to lab for analysis
sutures will likely be placed to help healing

Question 14

reasons for urgent referral to cancer pathway

Answer 14

• unexplained head neck lumps >3 weeks
• unexplained oral ulceration or swelling >3 weeks
• all red and mixed red/white patches >3 weeks
• persistent hoarseness >3 weeks
• difficulty or pain on swallowing >3 weeks
• persistent pain in throat >3 weeks