Disorders Of Oral Cavity

Question 1

Mouth function

Answer 1

Gateway to GI tract

Mirror of nutritional status

Question 2

Dental diseases:

Examples

Answer 2

Dental caries
Acid erosion
Periodontal disease

Question 3

Dental diseases:

Extraction

Answer 3

28-48hr post cold/cool foods help

- e.g. ice-cream

Question 4

Dental diseases:

Consequences

Answer 4

Tooth loss
Dentures - decreased diet quality, avoid sticky/hard foods
Pain
Affects food intake/chewing efficiency

Question 5

Bell’s Palsy

Answer 5

Herpes simplex
Non-specific
One sided facial paralysis
Pain, drooling, tearing, taste impairment

Question 6

Maxillo-facial disorders (2)

Answer 6

Mandibular fracture

Malocclusion

Question 7

Maxillo-facial disorders:

Mandibular fracture

Answer 7

Wire/plate insertion
Inability to chew 6-8 weeks
Liquidised diet

Question 8

Maxillo-facial disorders:

Malocclussion

Answer 8

Bad bite
Weight loss common

Osteotomy - break jaw and rest -> inflammation, liquidised diet

Question 9

Micronutrient deficiencies

Answer 9

Having suggests poor diet

B vitamins - cheilosis, angular stomatitis

Vitamin A - dental caries, mucous membranes

Question 10

Cancer

Answer 10

Head/neck

- mouth, pharynx, larynx

Question 11

Cancer:

Dietary risk factors

Answer 11

Insufficient evidence
Meat
F+V protective

Question 12

Cancer:

Staging process

Answer 12

TNM
Size
Spread to lymph glands
Spread to other body parts

Question 13

Cancer:

Treatment

Answer 13

Palliative
Surgery
Radiotherapy
Chemotherapy

Question 14

Cancer:

Diet problems

Answer 14

Digestion problems
Weight loss
Taste changes
Loss appetite
N+V
Difficulty swallowing

Question 15

Sore mouth

Answer 15

Lukewarm foods may be soothing

Question 16

Sore mouth:

General advice

Answer 16

Clean mouth
Fluid
Soft/liquidised foods
Add moisture - gravy, sauces

Question 17

Sore mouth:

Avoid

Answer 17

V hot or cold
Salty
Spicy
Fizzy
Alcohol
Coarse
Dry
Acidic

Question 18

Salivary gland disorders

Answer 18

Salivary calculi
Parotid gland inflammation
Xerostomia

Question 19

xerostomia

Answer 19

Perception of dry mouth

Question 20

Xerostomia:

Causes

Answer 20

Medications
Anxiety
Medications
Auto-immune inflammatory diseases

Question 21

Xerostomia:

Treatment

Answer 21

Artificial saliva
Sugar free sweets
Pineapple juice
Drinking water

Question 22

Xerostomia:

Consequences

Answer 22

Fungal infections
Decreased intake
Dental disease
Difficulty chewing + tasting

Question 23

Miscellaneous

Other conditions

Answer 23

HIV/AIDS - dry mouth
DM - xerostomia
Burning mouth syndrome
Glandular fever
Fear of choking

Question 24

Alterations in taste:

Consequences

Answer 24

Interest in food may decrease

Question 25

Hypogeusia

Answer 25

Decreased sensitivity to taste

Question 26

Dysgeusia

Answer 26

Age
Drugs
Treatment
Taste distortion

Question 27

Ageusia

Answer 27

Total loss of taste