intellectual impairment PBL Flashcards
asthmatic pt ask
- inhlaers used?
- hospitalisation
- frequency of asthma attacks
- when last had an attack
how to avoid triggering asthma attack?
proper suction, dental dam use
avoid prolonged supone positions
anxiety levels - assess and help manage if risk triggering attack
how can proper suction and use of dental dam prevent asthma attack
limit amount of particles so reduce chance of allergy induced asthma
what is important to check before commencing dental tx on asthma pt
rescue inhaler on hand
3 characteristics of ASD
- social interaction
- social communication
- limited and restricted patterns in bahviour
pain management of broken tooth in ASD pt
ideally smooth off - but unlikely due to compliance issues
chlorohexidine/salt water wash (prevent secondary infection)- assess ability to swallow
traumatic ulcer Tx
hopefully go away after a few weeks
monitor
GA tx consider when
- uncooperative pt
- volume of disease large
- pain and infection
AWI tx needs to be
least invasive option
minimum necessary treatment
pros of GA if ASD, dentally anxious pt with lots of clinical needs
single appointment
less anxiety/stress for them
so pt best interest
lower splint cons
caries risk
erosion risk
ASD connection to bruxist habit
clench/tight gives comfort
bruxism can cause
NCTSL
trauma can result if no occluding teeth
is large volume of extractions and bruxist ASD pt - what tx is worth considering if going for GA
full clearance
prevent future issues
taurodontism
condition found in molar teeth whereby the body of the tooth and pulp chamber is enlarged verically at the expense of the roots
causing the floor of the pulp and furcation of the tooth to be moved apically done the root