Female,MedComp,Elderly (Lecture 5)

Question 1

Which bug is increased from increased ESTROGEN/Progesterone levels in pubescent females?

Answer 1

P.I…….Prevotella Intermedia

Question 2

What 4 treatment options are there for pubescent gingivitis?

Answer 2

OHI, SRP, CHX, Antibiotics

Question 3

Pregnancy: increased _______, decreased _______

Answer 3

increased progesterone (pregnancy) (prevotella intermedia)…decreased estrogen

Question 4

Pregnancy perio can lead to what two birth issues?

Answer 4

pre-term and low birth weight

Question 5

PROGESTERONE = what bug? Why?

Answer 5

PROGESTERONE = PREVOTELLA INTERMEDIA…really interesting! P.i. can substitiute its normal food for eating progesterone!

Question 6

in pregnancy, it is usually thought that a puss filled abscess develops, but it is actually a ______ granuloma

Answer 6

pyogenic granuloma

Question 7

What is the main culprit for pre-mature uterine contraction?

Answer 7

PGE2

Question 8

Do we treat during the 1st trimester?

Answer 8

NO, emergency only!

Question 9

When is the safest trimester for Tx?

Answer 9

2nd trimester-control active disease, eliminate potential problems, postpone perio surgery tho

Question 10

Do you treat in the 3rd trimester?

Answer 10

only selective treatment

Question 11

How much of the maternal drug dose is excreted in breast milk?

Answer 11

1-2%

Question 12

Is lidocane good to go in pregnancy? is acetaminophen? What is the most common antibiotic in pregnancy?

Answer 12

YES and YES…the most common given…antibiotic = amoxicilllin

Question 13

is Metronidiazole contra indicated in pregnancy?

Answer 13

yes! it was common to treat with, so watch out!

Question 14

What is pre HTN? What is straight up HTN?

Answer 14

Pre=120-139…HTN=over 140

Question 15

Do we change dental treatment with stage 1 HTN? (140-159)

Answer 15

Nope

Question 16

What is the HTN line that we only preform emergency dental treatment on?

Answer 16

180 or above

Question 17

How long do we wait after M.I. or Stroke to treat a patient?

Answer 17

6months

Question 18

What type of patient is it recommended to use a bite block c/o sudden movements?

Answer 18

defibrilator/pacemaker patients…they get zapped!

Question 19

How long should you wait between appointments for a patient who has had infectious endocarditis?

Answer 19

10-14 days

Question 20

________ has been suggested to be associated with an increased susceptibility to bacterial infection (periodontal disease).

Answer 20

Obesity

Question 21

We detected an exposure–response association of _____ with increase in periodontal pockets

Answer 21

BMI

Question 22

HbA1c #s!!!! __-__ % = normal… ___% OUTTA CONTROL!

Answer 22

4-6% normal……8% OUTTA YOUR MIND

Question 23

These are oral signs and symptoms of _______: Xerostomia, Burning mouth, Periodontal abscesses, Dental Caries, Candidiasis

Answer 23

Poorly Controlled Diabetes

Question 24

Why would we not give bisphosphonates to aid in perio regeneration?

Answer 24

Osteonecrosis of the Jaw…the alveolus is HIGHLY mitotic and necroses instead of being built

Question 25

What is the most common type of caries for the elderly pop?

Answer 25

root caries