Immune System and Neoplasia

Question 1

What are common drug allergens used in dentistry?

Answer 1

Antibiotics and analgesics

Question 2

What other dental things can patients be allergic to?

Answer 2

latex gloves, rubber dams, impression materials, fluoride

Question 3

What causes AIDS

Answer 3

HIV

Question 4

HIV patients can receive dental treatment without –

Answer 4

special precautions

Question 5

AIDs patients the — count needs to be taken

Answer 5

CD4

Question 6

In AIDs patient a premed is needed for a neutrophil count of – and CD4 count of – per mm3 of blood

Answer 6

500 or less

200 or less

Question 7

Can saliva transmit HIV?

Answer 7

no

Question 8

– is a risk factor for periodontal disease

Answer 8

cig smoking

Question 9

– or – may result in localized periodontal problems such as recession and loss of attachment

Answer 9

smokeless and spit tobaccos

Question 10

What potential emergency can arise form allegies?

Answer 10

anaphylactic shock or angioneurotic edema

Question 11

What would require a med consult for a patient with HIV or AIDS

Answer 11

no recent check up, extensive treatment needed, unexplained signs and symptoms

Question 12

Patients with HIV might have – or – which might need to be treated with an anti-fungal or chlorhexidine

Answer 12

candidiasis and herpes

Question 13

When would a premed be needed for a patient with AIDs?

Answer 13

to prevent post-op infection if neutrophil and CD4 are low

Question 14

What meds should be avoided in HIV/AIDS

Answer 14

none

Question 15

When is a med consult needed for patients doing chemo?

Answer 15

prior, during and after radiation therapy

Question 16

What dental mods are needed prior to chemo?

Answer 16

Complete exam with xrays. Eliminate infection. Aggressive disease prevention plan.

Question 17

What dental mods are needed during chemo?

Answer 17

Treat oral infections.

Question 18

What treats candidiasis?

Answer 18

anti-fungal: nystatin or clotrimazole

Question 19

What treats herpes?

Answer 19

acyclovir

Question 20

What helps eliminate other bacterial infections?

Answer 20

CHX

Question 21

What sort of pain control is given to patients in chemo?

Answer 21

Ibuprofen, benylin syrup/kaopectate, or 2% xylocaine

Question 22

What is the goal of treatment prior to head and neck radiation?

Answer 22

establish dentition that will be maintained for the rest of the patients life…pull teeth if you have to

Question 23

What is important during head and neck radiation treatment?

Answer 23

Jaw muscles exercises to reduce trismus.

Question 24

What should be done following head and neck therapy?

Answer 24

3-4mo recalls. Resume treatment plans including prosthetics and caries.

Question 25

Always consult a head and neck patients oncologist before – and – because the risk for – is lifelong.

Answer 25

extractions
periodontal surgery
osteonecrosis

Question 26

Do head and neck radiation patients need a premed?

Answer 26

no

Question 27

Do chemo patients need a premed?

Answer 27

no