Gerodontology

Question 1

name three factors that might make older people more at risk for dental disease

Answer 1

diet
reduced manual dexterity
xerostomia

Question 2

name three factors that relatives of people receiving end of life care may deem important

Answer 2

cleanliness
free from pain
dignity maintained

Question 3

what is ART

Answer 3

atraumatic restorative treatment

Question 4

give three factors which may cause ART to fail

Answer 4

lower number of toothbrushing/ day
absence of prosthesis
posterior location of tooth

Question 5

name four effects of dry mouth on the patient

Answer 5

speech difficulty
nutritional function and intake decreased
social interaction decreased
protective features of saliva lost

Question 6

what are the two types of causes of falls for older people

Answer 6

intrinsic - postural hypotension
extrinsic - trip hazards

Question 7

name two dental implications of bone health in older people

Answer 7

MRONJ - if taking bisphosphonates
fracture of mandible following fall/ XLAs

Question 8

name four dental implications of nutrition and weight loss on older people

Answer 8

NCTSL
higher caries rate
delayed healing
haematinics - recurrent aphthous stomatitis

Question 9

what are oral corticosteroids usually used to treat

Answer 9

inflammatory autoimmune conditions

Question 10

what are examples of disease modifying medications

Answer 10

methotrexate
mycophenolate

Question 11

when is immunomodulatory treatment usually used

Answer 11

for cancer treatment

Question 12

what are the two hallmark signs of diabetes

Answer 12

polyuria and polydipsia
- increased urine output and increased protein in urine

Question 13

how should patients with diabetes be treated

Answer 13

morning appts
avoid scheduling appts that coincide with maximum insulin activity

Question 14

name three risks diabetes patients pose

Answer 14

hypoglycaemia
fatigue/ intolerance for long treatment
poor wound healing

Question 15

what are the four types of stroke

Answer 15

ischaemic
haemorrhagic
carotid artery dissection
cerebral venous thrombosis

Question 16

name four effects a stroke might have on dental treatment

Answer 16

aphasia - inability to process language
denture wearing issues due to loss of muscle control
poor OH if loss of mobility
body support in dental chair

Question 17

name four pieces of oral hygiene advice for patients with dysphagia

Answer 17

brush teeth upright with suction or aspirating toothbrush
low foaming toothpaste
remove excess water on toothbrush
rub toothpaste into toothbrush before placing in mouth

Question 18

name three dental implications of parkinson’s disease

Answer 18

xerostomia
anxiety increases tremor which could affect tongue/ lips
L-dopa may cause taste disturbance and interact with adrenaline

Question 19

name four main types of dementia

Answer 19

alzheimer’s
vascular
lewy body
frontotemporal

Question 20

what occurs in alzheimer’s dementia

Answer 20

amyloid plaques build between nerve cells
loss of concentration and memory

Question 21

what occurs in vascular dementia

Answer 21

disturbance in the blood supply to the brain causing neuronal death