drug use in dentistry

Question 1

antiplatelets

Answer 1

include aspirin- increase risk of bleeding during particular treatents

Question 2

anticoagulants

Answer 2

including warfarin- can increase risk of bleeding- INR must be checked 24 hrs before and should be less than 4. (INR- how long it takes blood to clot)

Question 3

immunosuppressants

Answer 3

cyclosporine- gingival overgrowth due to overproduction of collagen

Question 4

antidepressants

Answer 4

including citalopram- induces dry mouth

Question 5

bisphosphonates

Answer 5

• problem when extracting tooth - can lead to MRONJ

Question 6

oral contraceptives

Answer 6

may lead to increased sensitivity to plaque

Question 7

calcium channel blockers

Answer 7

nifidipine and amlodopine- gingival overgrowth

Question 8

ace inhibitors

Answer 8

ramipril- may cause lichenoid reactions within the mouth

Question 9

corticosteroids

Answer 9

e.g brown inhalers (beclamethasone) can cause dry mouth and oral candidiasis

Question 10

what is most common cause of dry mouth?

Answer 10

medication-induced dry mouth

Question 11

what are symptoms of dry mouth?

Answer 11

• food sticking
• trouble swallowing
• trouble speaking

Question 12

what can xerostomia cause?

Answer 12

• oral candidiasis
• dental caries
• periodontal disease

Question 13

what can be down for xerostomia?

Answer 13

• sugar free gum
• sugar free lozanges
• hydration with water
• change medication
• saliva substitutes

Question 14

if dry mouth and dry eyes- whats it called?

Answer 14

sjogrens syndrome