Clinic questions Flashcards
name 3 new anti-coagulants
- dagibatran etexilate (pradaxa)
- rivaroxaban (xarelto)
- apixaban (eliquis)
what should dentists do if perio patients are on these new anti-coagulants?
treat one tooth first to see if there is a lot of bleeding, consider using stitches
why is asthma relevant to perio
use of steroid inhalers thins mucosa
why is diabetes relevant to perio
gum disease causes high blood sugar levels, so may cause/ worsen diabetes
therefore people with (esp uncontrolled) diabetes often have more severe periodontal disease
why is smoking relevant to perio
- smokers have more anaerobic, gram -ve bacteria in pockets
- nicotine causes vasoconstriction –> less bleeding and inflammation–> disease masking
- less T lymphocytes –> poor healing
- impairment of neutrophils (phagocytosis, chemotaxis) –> poor healing
why can honey have good and bad effects in the mouth?
it is an extrinsic sugar so is cariogenic, but has antibacterial properties so may prevent action of cariogenic or periodontal disease- related pathogens
clinical sign of Acute Necrotising Ulcerative Gingivitis (ANUG)
punched out papillae
2 oral diseases other than periodontal disease associated with smoking
ANUG Nicotinic stomatitis (cobblestone appearance of palate)
likely reason for sensitivity to
a. cold only
b. cold and sweet
c. biting
d. heat
e. pain on release from biting
likely reason for sensitivity to
a. cold only: recession
b. cold and sweet: caries
c. biting: hairline fracture
d. heat: irreversible pulpitis
e. pain on release from biting: cracked tooth syndrome
what teeth are most likely to have been extracted for orthodontics
4s
2 drugs in perio pill
metronidazole
amoxicillin
when can you NOT use articaine and why
ID block
4% compared to 2% lidocaine so risk of post op paraesthesia
