Exam 3 Flashcards
The Master Endocrine Gland regulates hormones.
Antedior pituitary gland; has a great impact on body organs, other endocrine glands, and overall wellbeing.
Regulates the output of hormones by other glands
Know pituitary gland disorder/s patient is at increased risk of developing.
- Macrocephaly
- Macrognathia
- Disproportionate mand. Growth, mand. Prognathism
- Open anterior bite
- Large pulp chmabers
- Delayed eruption of primary and secondary teeth
- Increased risk for period disease due to growth factors and hormone imbalaces
Define Thyroid Storm?
Potentially life-threatening condition for people with hyperthyroidism. The thyroid suddenly releases large amounts of thyroid hormone
Be familiar with diabetes & adequate/inadequate production of hormone and endocrine gland responsible for diabetes.
- Pancreas: Improper functioning of this gland leads to diabetes
- Diabetes is a disease of metabolism with inadequate production of the hormone insulin.
- Be familiar with symptoms of menopause and factors to trach the patient about regarding menopause.
• Hot flashes accompanied by sweats.
• Hot flash may begin with aheadache, flushing of the face, heart palpitations, dizziness then chills
• Epiosodes may last a few mintues to 30 mins.
• Night sweats/sleeping problems, feeling tires, stressed or tense
• PATIENT ED.
o Saliva substitues for xerostomia/aid in preventing caries.
o Measures for prevention of perio explained
o Importance of calculus removal
o Correlation between good health and oral health
o Recommend whole grain products, veggies, fruits
o Choose low fat low cholesterol
o Recommend Calcium and limit alcohol intake
o Caries prevention though nutritious foods
- Postmenopausal women experience increased risk for ………. (postmenopausal effects)
- Reproductive organs atrophy
- Bone problems have been associated with the menopausal patient.
- Skin nd mucous membranes decrease in thickness and keratinization coming fragile and easily injured
- Predisposition to conditions including atherosclerosis, diabetes and hypothroidism
- Symptoms of menopause.
- Mucosal changes: Decreased estrogen levels, Dry, thinning of tissue
- Emotional Disturbance: Mood swings, depression, irriabiliy, difficulty with concentration/memory. Dcreased inteset ins sex, experience anxiety, tension, and irritability and feel useless, weight gain and increase weight around the waist
- In menopause the patient’s general symptoms are most likely related to the decline of what hormone?
• Estrogen and Progesterone
- Define Cushing’s Syndrome.
• Caused by too much cortisol, possibly a tumor.
- Define seizure.
• A paroxysmal (sudden) event that results from abnormal brain activity.
- Partial seizure vs. generalized seizure.
- Partial seizure: Invovles only ONE PART of the brain.
* Generalized seizure: Affects the WHOLE brain at the same time.
- What is aura when talking about clinical manifestation’s; what do you need to be aware of if this takes place in clinical setting.
• Not all patients have a warning, or aura, before a seizure. One who does receive a warning may seek a safe place to sit or lie down in privacy. In the dental environment, the patient can inform you so that procedures can be stopped and preparations can be made.
- Be familiar with different types of seizures.
- Generlized: Affects the enire brain at the same time
- Focal (Partial): Involves only one part og the brain
- Unknown: These includes epileptic spasms.
- What is gingival hyperplasia caused by: (the mechanism)
- Causes fibroblasts and osteoblasts to deposit excessive extracellular matrix, causing gingival overgrowth.
- Tissue color and texture are generally within normal limits with lobular shape.
- Local irriants like biofilm or ill fitting dentures for example make up the response worse
- Meticulous oral hygiene has been found to reduce the occurrence ans severity of gingival overgrowth
- What determines the severity of phenytoin - induced hyperplasia/enlargement. (complicating factors)
- Biofilm: Most significant determinant of the severity
* Contributing factors: Mouth breathing, overhangs, defective restorations, carious lesions, calculus
- Be familiar with drugs that have capability of causing gingival enlargement.
- Phenytoin
- Calcium Channel blocker
- Immunosuppressant cyclosporin
- Partial seizures are more common in what age group.
Seniors
- Clinical manifestations of a partial seizure.
- Precipitating factors such as stress, fatigue, flashing lighs, alchol use or withdrawl, neonatal conditions.
- Aura-seek a safe place to sit down, numbness, tingling, twitching
- Be familiar with the antiepileptic drug phenytoin/oral changes.
- Tissue color and texture are generally within normal limits with lobular shaep.
- Fibroblasts and osteoblasts to deposit excessive extracellular matrix
- Greater in younger patients than older
- Anterior gingiva more affected, maxillary than mandibular
- Facial and proximal areas are usually more affected than lingual and palatal areas
- What is the best practice to reduce occurrence and severity of gingival overgrowth?
- Change in drug prescription
- Nonsurgical treatment
- Surgical removal