drugs in dentistry

Question 1

what are antifungals? and what are some examples of them how are they taken? and is there any side effects in the oral cavity

Answer 1

destroy the growth of multiplication of fungi.

nystatin- cream or topically
usually 4 lozenges per day dissolved for 7 days

Amphotericin/ fungilin - dosage 1 lozenge qid x 10-15 days

no side effect in oral cavity

Question 2

what are some examples of 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 and antibacterial Miconazole and Daktarin taken for and what is the dosage?

Answer 3

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

Question 4

what is the antifungal fluconazole/ diflucan taken and dosage?

Answer 4

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

Question 5

different viruses in the dental setting?

Answer 5

Herpes simplex - cold sores most common

Varicella zoster- Chicken pox

Herpes zoster - shingles

Epstein Barr virus
Hepatitis B and C

Question 6

How can the antiviral aciclover be taken and what is dosage? What is it taken for?

Answer 6

can be taken as
Tablets or 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 7

what is used to treat herpes labialis (cold sores)

Answer 7

Penciclovir / vectavir
herpes labialis (topical)

Question 8

what is used to treat herpes zoster (shingles)

Answer 8

Famciclovir / famvir
herpes zoster (systemic)

Question 9

what is asprin taken for what are some problems with aspirin?

Answer 9

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 10

problems with paracetamol?

Answer 10

Problems with liver damage in overdose.

paracetamol mixed with codeine is cocodamol which is stronger pain killer

Dyhydrocodeine
Strong analgesics

Question 11

what is nurofen used for?

Answer 11

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