drugs in dentistry

Question 1

what are antifungals?

Answer 1

substances which destroy the growth of multiplication of fungi

Question 2

what are some fungal infections? and what is the bacteria that causes fungal infections

Answer 2

caused by candida albicans

denture stomatitis
oral candadosis (thrush)
Chronic erythematous candidosis
Chronic hyperplastic candidosis
Angular chelitis

Question 3

what is the anti fungal Nystatin – Nystan dosage and how is it taken?

Answer 3

cream or topically
usually 4 lozenges per day dissolved for 7 days.
not absorbed use topically

Question 4

what is the anti fungal Amphotericin/ fungilin dosage and how is it taken?

Answer 4

systemically
dosage 1 lozenge qid x 10-15 days

Question 5

what is the anti fungal and antibacterial Miconazole and Daktarin taken and dosage?

Answer 5

Cream 2% apply to angle of lips 2-3 times daily for Angular Chelitis
dosage 4x daily for 7 days

Question 6

what is the antifungal fluconazole/ diflucan taken and dosage?

Answer 6

caps or oral suspension
dosage 50mg x 1 x 7-14 days
Cautions – renal disease, children, pregnancy

Question 7

different viruses in the dental setting?

Answer 7

Herpes simplex - cold sores most common

Varicella zoster- Chicken pox

Herpes zoster - shingles

Epstein Barr virus
Hepatitis B and C

Question 8

what are some antiviral agent aciclover? dosage and how can it be taken

Answer 8

Aciclovir
Tablets, suspension, cream

Herpes simplex oral dose – may be 200mg x 4 but dose can be decreased/increased. (primary infection)

Herpes labialis cream – prodromal phase apply 5 day 5-10 days approx. every 4 hours (2nd infection)

Herpes zoster 800mg x 5 x 7 days(shingles)

Question 9

what is used to treat herpes labialis (cold sores)

Answer 9

Penciclovir / vectavir
herpes labialis (topical)

Question 10

what is used to treat herpes zoster (shingles)

Answer 10

Famciclovir / famvir
herpes zoster (systemic)

Question 11

what are some problems with aspirin?

Answer 11

Problems with gastric bleeding and irritation
eg- aware of Haemostasis re dental treatment. Interaction with Warfarin is a special hazard
Not used for children - danger of Reye’s Syndrome (precise cause of this is unknown)

Question 12

problems with paracetamol?

Answer 12

Problems with liver damage in overdose.

paracetamol mixed with codeine is cocodamol which is stronger pain killer

Dyhydrocodeine
Strong analgesics

Question 13

what is nurofen used for?

Answer 13

Used for mild to moderate pain.
Anti-inflammatory.
Used for skeletal pain/post operative dental pain