Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DH200 Int Clinic > Ch 46 Patients With Special Needs > Flashcards

Ch 46 Patients With Special Needs Flashcards

1
Q

All organs are formed (organogenesis) during the ___ trimester

By week __ the fetus moves

Swallows at approx week ___ to __

A

First

8th

10 to 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tooth buds develop between the __ and __ weeks

Initial mineralization occurs from the __ to __ month

A

5th and 6th

4th to 5th month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What forms during the 4th-7th week ? Bw 8th and 12th?

Cleft lip is apparent by the __ week
Cleft palate by the __ week

A

Lips

Palate forms

8th
12th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What trimester is the ideal time for treatment.

Baby’s organs are completed and growth and maturation continue

A

Second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

T/F

There is a strong relationship between periodontal disease and adverse pregnancy outcomes (not confer causality)

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What 2 meds to never use during pregnancy

A

Ciprofloxacin
Tetracycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When does tetracycline effect fetus

A

During mineralization of primary teeth beginning at about 4 months of gestation

And permanent teeth near and after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Is antiretroviral therapy (cART) considers face and effective for HIVinfected pregnant women

-maternal viral suppression and decrease mother to child transmission and infant mortality

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Used for upper respiratory infections. Associated with numerous infant complications including cleft lip, heart conditions, hydronephrosis, and trisomy 18

A

Echinacea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Increased proportions of which oral microbiota have been found during pregnancy

Also increases biofilm formation

A

AA
P gingivalis
Prevotella
Campylobacter recuts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Isolated discrete soft round enlargement near GM usually with interdental margin

Mushroom shaped, smooth, glistening

Pressure of lip or cheek tends to flatten

Colors depends on what?

A

Pyogenic granuloma

Color depends on age of lesion
Newer is increase vascularity-purple, red, deep blue
Older is pinker color

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Symptoms of Pyogenic granuloma

A

Bleeds easily with slight trauma

Painless unless interferes with occlusion and mastication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is periodontal treatment safe during pregnancy

A

Yes. Pregnant women should undergo routine perio exams
PMT and perio therapeutic services if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where does erosion from vomiting primarily occur ?

A

Max anterior lingual

Max and mand occlusal

Posterior region of mand buccal surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can be used for erosion prevention

A

Sodium bicarbonate rinse after vomiting (1 cup water to 1 tsp sodbicarb)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Consult during pregnancy is only needed if the women has

Not required for other routine dental care

A

Hypertension.

An abnormal blood pressure or underlying health condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Factors for radiology

A

As low as reasonably acheivable (ALARA)

Safe throughout pregnancy, cover with apron and thyroid collar

18
Q

What is contraindicated during pregnancy and first 6 months of breastfeeding

A

Potassium iodide

19
Q

Restorative materials (amalgam and composite) are recommended when

elective esthetic tx?

A

Anytime during the pregnancy

Should be postponed until after delivery

20
Q

What position should pregnant women be placed

A

On left side, or supine or trendelenburg

21
Q

Monthly or appt three times during the 9 Month period may be required

Appt frequency depends on pts needs as well as

A

True

Ability and motivation to maintain good oral self care

22
Q

Hyperemesis gravidarum

A

Morning sickness

23
Q
  1. What happens is pt placed in supine position
  2. The venous return is decreased and causes
A
  1. Weight of fetus is placed directly on major vessels (aorta and inferior vena cava)

Pressed bw spinal column and uterus

  1. Circulatory insufficiency
24
Q

Lying in supine
Fall in BP
Bradycardia sweat nausea weak air hunger
Reduced cardiac output and loss of consciousness

A

Supine hypotensive syndrome emergency

Pressure of uterus with baby on inferior vena cava

25
Q

What to do in case of supine hypotensive syndrome emergency

A

Roll pt over to left side to relieve pressure
BP should return promptly

Or elevate right hip to displace uterus to left (pillow or blanket)

Pt lies on left side in semi supine

26
Q

Is the use of ultrasonic scaler contraindicated for reasons relate to pregnancy ?

A

No

27
Q

Local anesthetic containing _______ is allowed during pregnancy

Consult with pt PCP for use of ___ ___ (in moderation )

How long can N.O. be used in 2nd or 3rd semester

A

Epinephrine

Nitrous oxide

30 min with oxygen at 50%!

28
Q

Particular needs for mother’s diet include

A

Proteins
tissue construction

Minerals
calcium and phosphorus- bone and tooth, iron - RBCs

Vitamins
D- calcium metabolism, folate- prevent neural tube defects and low birth weight

29
Q

400mg
1300mg, 1000mg for all 19-50 yrs

A

Per day

Folate
Calcium

30
Q

Is the relationship bw dental caries and pregnancy direct?

A

No, caries do not increase just bc of pregnancy ( food intake and bad habits like at other times in any individual)

31
Q

Factor that can contribute to increase dental caries

A

Previous neglect

Diet (cravings, frequency)

Salivary changes
-lower pH

Neglect of oral self care
-smell of toothpaste or lack of interest

Low socioeconomic status
-low income, less education

32
Q

Prenatal Fluoride supplements and relation to early childhood caries ?

A

No evidence that intake influences rate in offspring

33
Q

Sadness
Insomnia or excessive sleep
Loss of appetite or excessive eating
Anxiety, panic attacks
Feelings of worthlessness and suicidal thoughts

A

Signs of depression

34
Q

How does perinatal depression impact the fetus

A

Higher tendency for preeclampsia
Growth restriction
Low birth weight
Preterm delivery

35
Q

Infant oral health should be discussed during ____ ____ to improve preparedness

A

Prenatal visits

36
Q

Should children under 2 receive OTC benzocaine

What can result if so

A

No

Can cause potentially fatal methemoglobinemia

37
Q

When should infant receive a dental exam

A

Eruption of first primary and no late than 12 months

38
Q

Kissing
Sharing food, drink, utensil
Cleaning pacifier via moth

Vs

Saliva containing S Mutans exchanged Between siblings and children at daycare

A

Vertical transmission

Horizontal transmission

39
Q

Exam sequence

A

Head and neck and legs and arms (evidence of abuse)

With teeth present, lift lips away from GM to examine
-biofilm, discoloration

Malformations, caries, white spots

Aptypical Frenal attachment
-can limit to bud mobility

Show parent , refer to DDS

40
Q

Educating expectant mother about importance of infant oral health to improve preparedness

A

Anticipatory guidance

DH200 Int Clinic (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions