Female,MedComp,Elderly (Lecture 5) Flashcards
Which bug is increased from increased ESTROGEN/Progesterone levels in pubescent females?
P.I…….Prevotella Intermedia
What 4 treatment options are there for pubescent gingivitis?
OHI, SRP, CHX, Antibiotics
Pregnancy: increased _______, decreased _______
increased progesterone (pregnancy) (prevotella intermedia)…decreased estrogen
Pregnancy perio can lead to what two birth issues?
pre-term and low birth weight
PROGESTERONE = what bug? Why?
PROGESTERONE = PREVOTELLA INTERMEDIA…really interesting! P.i. can substitiute its normal food for eating progesterone!
in pregnancy, it is usually thought that a puss filled abscess develops, but it is actually a ______ granuloma
pyogenic granuloma
What is the main culprit for pre-mature uterine contraction?
PGE2
Do we treat during the 1st trimester?
NO, emergency only!
When is the safest trimester for Tx?
2nd trimester-control active disease, eliminate potential problems, postpone perio surgery tho
Do you treat in the 3rd trimester?
only selective treatment
How much of the maternal drug dose is excreted in breast milk?
1-2%
Is lidocane good to go in pregnancy? is acetaminophen? What is the most common antibiotic in pregnancy?
YES and YES…the most common given…antibiotic = amoxicilllin
is Metronidiazole contra indicated in pregnancy?
yes! it was common to treat with, so watch out!
What is pre HTN? What is straight up HTN?
Pre=120-139…HTN=over 140
Do we change dental treatment with stage 1 HTN? (140-159)
Nope
What is the HTN line that we only preform emergency dental treatment on?
180 or above
How long do we wait after M.I. or Stroke to treat a patient?
6months
What type of patient is it recommended to use a bite block c/o sudden movements?
defibrilator/pacemaker patients…they get zapped!
How long should you wait between appointments for a patient who has had infectious endocarditis?
10-14 days
________ has been suggested to be associated with an increased susceptibility to bacterial infection (periodontal disease).
Obesity
We detected an exposure–response association of _____ with increase in periodontal pockets
BMI
HbA1c #s!!!! __-__ % = normal… ___% OUTTA CONTROL!
4-6% normal……8% OUTTA YOUR MIND
These are oral signs and symptoms of _______: Xerostomia, Burning mouth, Periodontal abscesses, Dental Caries, Candidiasis
Poorly Controlled Diabetes
Why would we not give bisphosphonates to aid in perio regeneration?
Osteonecrosis of the Jaw…the alveolus is HIGHLY mitotic and necroses instead of being built
What is the most common type of caries for the elderly pop?
root caries
