Dental Management of Patients with Psychiatric Illness Flashcards

1
Q

who is at risk of poor mental health (childhood)?

A
  • parental use of alcohol, tobacco and drugs during pregnancy
  • maternal stress during pregnancy
  • poor parental mental health
  • parental unemployment
  • child abuse and adverse experiences
  • use of cannabis
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2
Q

who is at risk of poor mental health (adulthood)?

A
  • lower income and debt
  • violence
  • stressful life events
  • housing
  • fuel poverty
  • unemployment
  • certain personality traits
  • experience of abuse
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3
Q

what is generalised anxiety disorder (GAD)?

A

having regular/uncontrollable worries about many different things in your everyday life

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4
Q

what is panic disorder?

A

having regular or frequent panic attacks without a clear cause or trigger

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5
Q

what is a phobia?

A

extreme fear or anxiety triggered by a particular situation or a particular object

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6
Q

what is depression?

A

characterised by depressed or sad mood, diminished interest in activities that used to be pleasurable, weight gain or loss, fatigue, inappropriate guilt & difficulties concentrating, as well as recurrent thoughts of death

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7
Q

causes of depression?

A
  • relationship breakdown
  • bereavement
  • family history
  • giving birth
  • loneliness
  • alcohol & drugs
  • illness
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8
Q

dental implications of depression?

A
  • chronic facial pain
  • burning mouth/sore tongue
  • TMD
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9
Q

what is psychosis?

A

people lose some contact with reality,

might involve seeing/hearing things that others cannot see/hear (hallucinations)

believing things that are not actually true (delusions)

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10
Q

what is bipolar disorder?

A

mental health condition that affects your moods, which can swing from 1 extreme to another

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11
Q

what is schizophrenia?

A

a mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions.

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12
Q

what is anorexia nervosa?

A

self starvation & weight loss

very dangerous, usually dieting driven by intense fear of gaining weight/fat

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13
Q

what is bulimia nervosa?

A

binge eating in a short period of time then throwing up

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14
Q

dental implications of bulimia nervosa?

A
  • erosion on lingual, palatal, occlusal surfaces
  • angular cheilitis
  • glossitis
  • candidiasis
  • oral ulceration
  • xerostomia (medications)
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15
Q

how can we help a patient with eating disorder?

A
  • offer safe space for pt to open up
  • dont lecture pt
  • if patient does open up, know how to signpost for help
  • offer support
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16
Q

upon examination of a pt with mental health conditions, what things may you expect to find?

A
  • poor oral hygiene
  • poor cooperation
  • smoker
  • self-neglect
  • lower salivary flow
  • high risk caries, perio, oral cancer
  • candida
  • trauma
  • xerostomia
  • poor denture hygiene
17
Q

what recommendations are useful for these patients within a dental setting?

A
  • bringing someone to an appointment
  • working with carers
  • avoiding jargon
  • managing expectations
  • letter copies
18
Q
A