Dental Coniditions (complete) Flashcards
what is recommended for dental pain?
acetaminophen + NSAIDs = better than codeine
for pregnancy, is NSAID ok to use?
only 1-2 trimester, but avoid in 3rd trimester –> risk of premature closure of ductus arteriosus
not recommended after 20 weeks’ gestation due to increased risk of oligohydramnios
is opioid ok during pregnancy?
considered generally safe - but possible small increased risk of congenital anomalies, particularly oral clefts, with 1st trimester exposure
what antibiotics should you use for pregnancy ?
Fluoroquinolones, tetracyclines and clarithromycin are not recommended for use during pregnancy. Penicillins may be preferable options.
is NAIDS ok while breastfeeding?
Most NSAIDs are safe to use during breastfeeding. Ibuprofen is preferred due to its short half-life and extensive history of use in this patient population
is codeine ok while breastfeeding?
Codeine is not recommended during breastfeeding, as those who are ultra-rapid metabolizers of CYP2D6 (which converts codeine to morphine) may have resultant high levels of morphine in their breast milk.[12] Morphine may be a safer opioid alternative.
what is a component of tooth structure, along with enamel, cementum and pulp, and composed of tubules containing fluid that is in contact with the pulp?
dentin
Dentin hypersensitivity, also known as sensitive teeth is characterized by…?
sharp pain of short duration arising from exposed dentin in response to various stimuli that cannot be ascribed to any other dental defect or pathology
which desensitizing ingredients are more effective in toothpastes?
arginine or nano-hydroxyapatite
how to prevent dental (dentin) hypersensitivity?
- brush with a soft or extra-soft bristle brush
- limit acidic foods and beverages - can soften enamel and contribute to erosion, and to avoid brushing within 2 hours of consuming acidic foods and beverages (to allow enamel to re-harden after acid exposure)
- rinse with water after intake of acid foods or drinks
what are some acidic foods and beverages?
citrus, pineapple, apple, pomegrandate, blueberries, tomato, dried fruits;
sour candies, tomato-based sauces;
soda, sweetened beverages, sports drinks, flavoured water, fruit juice, coffee, other caffeinated drinks
how long should a person use to achieve benefit from a desensitizing agent?
up to 2 weeks
what is acute alveolar osteitis (dry socket)?
after extracting of a tooth - delay of healing process and the bone of the socket is exposed and extremely sensitive.
what is the prevention for dry socket?
chlorhexidine oral rinse to prevent alveolar osteitis;
what is treatment for dry socket?
consult a dentist ASAP - gentle irrigation with normal saline followed by the insertion of an iodoform gauze soaked with eugenol for pain relief;
NSAID or tylenol
why clindamycin is no longer recommended as a first-line option in penicillin-allergic patients?
increased risk of c. diff. and limited efficacy in odontogenic infections
