Medical and Dental Questionare Flashcards
Valve replacement
*medical clearance needed
Stent; congenital heart lesions
*clearance required
*NO premed
Myocardial infarction
*clearance required
Pacemaker
*clearance required
CVA
*clearance required
High Blood Pressure
*clearance needed if 160/100 or more
Diabetes
*clearance required if uncontrolled, they don’t know HbA1c grade, and if its 8 or higher
Why should aspirin be avoided with patients who have diabetes?
it may trigger a hypoglycemia reaction
The 3 P’s of Diabetes
polyuria (frequent urination)
polydipsia (excessive thirst)
polyphagia (excessive hunger)
Cancer/chemotherapy
*clearance required
Kidney trouble/ dialysis
*clearance required
Sexually Transmitted Infection
*clearance required
Which strains of oral cancer are associate with HPV (Human Papilloma Virus)
16 and 18
HIV Antibody
*clearance required
Hepatitis, Jaundice, or Liver Disease
*clearance required
Organ transplant
*clearance required
Prosthetic replacement
*clearance required
Tuberculosis
*clearance required
Sickle Cell Anemia
*clearance required
*premed required
Which food allergies are associated with latex allergies?
-banana
-kiwi
-nectarine
-avocado
-chestnut
-peaches
What is the clinical significance of gastric bypass?
-severe xerostomia and increased TMD
-nutritional deficiencies
-ill fitting dentures
-NO periostat or NSAIDS
-avoid nitrous oxide
Which meds may required a medical clearance for treatment?
-anticoagulants
-chemotherapy
-cortisone/steroids
-bisphosphonates (dismissed if IV)
-Fen-phen (weight loss drug)
ASA I
-normal healthy patient
-non smoking minimal alcohol use
-little to no anxiety for dental treatment
-no functional limitations
ASA II
-mild stable systemic disease
-no extreme functional limitations
-no extreme fear or anxiety of dental care
-ex// obesity, well controlled diabetes, mild lung disease, current smoker, social drinker, normal pregnancy
ASA III
-severe systemic disease
-1 or more moderate to severe disease and/or functional limitations
-ex//morbid obesity, poorly controlled diabetes, alcohol/drug dependency, history of MI, CVA, COPD (over 3 months ago)
ASA IV
-severe systemic disease that constantly threatens life
-ex// recent (last 3 months) MI, CVA, scheduled dialysis, sepsis, acute respiratory distress
Osteoporosis
-type of biphosphonate taken
-clearance required*
When can patients who are allergic to penicillin/amoxicillin NOT take cephalexin
if they have a type 1 reaction (anaphylactic, less than this reaction they may take the medication)
Which procedures are prophylaxis recommended for (for patients who need it)
-dental extractions
-periodontal/debridement procedures
-dental implant placement
-orthodontic band placement
-intraligamentart local anesthesia
-endodontic instrumentation
-when bleeding is anticipated*
List the conditions that required antibiotic prophylaxis (premed)
-prosthetic cardiac valves
-previous endocarditis
-congenital heart disease
-cardiac transplantation w/ valve regurgitation
What type of instruments must be used for patients with dental implants?
titanium instruments
*can probe with stainless steel
Important factors of the dental questionaire
-consumption of caffeine, sugar creamer, and the frequency
-fruit juices, soda, sports drinks
-mouth breathing
-sports and mouth guard use
-oral piercings
-tobacco use
-fluoride use
-nutritional/dietary habits
