HD 8- DENTAL Management of patients with musculoskeletal disorders

Question 1

Taking teeth out on patients with bisphosphonates?

Answer 1

If taking IV bisphosphonates – refer for specialist to extract teeth
If taking oral bisphosphonates - can treat in primary care

Question 2

What is Osteopetrosis?

Answer 2

Spongy bit of bone doesn’t exist – all bone is compact

Possibility of post-extraction osteomyelitis

Question 3

What are some features of fibrous dysplasia?

Answer 3

Mega mind!
islands of bone shaped like chinese letters

Similar to cheburism

Question 4

What are some dental implications of Pagets disease?

Answer 4

Dentures get tighter = bone deposition

Glass in concrete syndrome- teeth very brittle, alveolar bone very strong

Question 5

What is the guidelines for patients undergoing radiotherapy and extractions?

Answer 5

Avoid extractions in the first six months to 1-year post-radiotherapy

Question 6

OH affects of radiotherapy?

Answer 6

Radiation caries, caused by very bad xerostomia.

Topical fluoride.

Question 7

Features of marfans syndrome?

Answer 7

Tall and thin.
High arched palate.
Scoliosis

Question 8

Oral side effects of cox 2 inhibitors? eg celecoxib

Answer 8

Stomatitis and taste disturbance

Question 9

Oral side effects of Penicillamine? Used for RA

Answer 9

• Lichenoid reactions = white lesion in mouth caused as a direct side effect of drug/ amalgam
• Oral ulceration
• Thrombocytopaenia