H - Special care

Question 1

Example of adjunct to communication? when helpful?

Answer 1

Helpful in patients with learning difficulties ad autism

Question 2

The protected characteristic of the equality act of 2010?

Answer 2

Age 
gender 
pregnancy
disability 
Race 
religion 
sexual orientation

Question 3

What is Parkinson’s disease?

Answer 3

progressive neurogenerative disease
Affects basal ganglia (substantia nigra)
degeneration of dopamine receptors
Signs; resting tremor, bradykinesia, rigidity, mask-like face

Question 4

Conditions associated with downs syndrome?

Answer 4

Alzheimer's dementia 
congenital heart defects 
epilepsy
leukaemia 
diabetes 
hearing impairment

Question 5

What does it mean to have capacity?

Answer 5

To act 
to make rational decisions 
to communicate decisions 
to understand decisions 
To retain the memory of that decision

Question 6

Effects of radiation therapy on the oral cavity.

Answer 6

ORN (osteoradionecrosis bone death)
mucositis
trismus
Xerostomia

Question 7

Early symptoms of dementia?

Answer 7

STML - short term memory loss
confusion
Agitation
inability to manage everyday tasks

Question 8

Xerostomia treatment?

Answer 8

Frequent liquid consumption, sugar-free gum

Saliva replacements like sprays

Question 9

2 cognitive tests for dementia?

Answer 9

MMSE (mini-mental state exam)

Blessed dementia scale

Question 10

What is a risk factor for oropharyngeal cancer?

Answer 10

HPV
Smoking and alcohol
Poor oral hygiene
Poorly fitted denture

Question 11

Platelet count in FBC to treat?

Answer 11

more than 100x10 (9)

Question 12

Dose of radiation at risk of ORN?

Answer 12

50-60grays

Question 13

Types of dementia?

Answer 13

Alzheimers - reduction in cortex size. Plaques and tangles
Vascular - reduced BF to brain
Lewy bodies - abnormal protein, deposits also found on Parkinson’s patients
Frontotemporal - frontal and temporal lobe damage

Question 14

Who can issue a section 47 and what does it do?

Answer 14

GP or dentist who has completed the appropriate training
Allows consent to be given for treatment on behalf of someone who lacks capacity
Under the AWI act (adults with incapacity)

Question 15

Types of PoA? which is allowed to make health decisions?

Answer 15

Power of attorney
Continuing
welfare - allows them to make healthcare decisions

Question 16

When to remove teeth before cancer treatment?

Answer 16

Ideally, 3 weeks before

No less than 10 days

Question 17

AIms of pre-assessment for a cancer patient?

Answer 17

Identify and treat oral disease or poor prognosis teeth
remove potential infection sources
Establish good OH, start fluoride therapy
Smooth any rough teeth/restorations
Imp for soft splint
prepare the patient for oral effects